2018 CARF Medical Rehabilitation Standards Manual: New Standards and Reorganization continued from page 11 appraisal standard allows for the wide array of practices that are now being used in this critical part of development and management of the workforce. For the first time there is also a standard that addresses succession planning from future workforce needs, gap analysis, and strategic development. CARF staff are available via email or phone to answer any questions you may have. Please reach out to learn more about the changes in 2018. The Medical Rehabilitation Standards Manual has also aligned
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with other Manuals of CARF by reorganizing their Manual into 4 sections: • Section 1—ASPIRE to Excellence • Section 2—Rehabilitation Process and Services • Section 3—Program Standards including: – Comprehensive Integrated Inpatient Rehabilitation Program – Outpatient Medical Rehabilitation – Home and Community Services – Residential Rehabilitation – Vocational Rehabilitation – Interdisciplinary Pain Rehabilitation – Occupational Rehabilitation Program – Independent Evaluation Services – Case Management
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is thus recommended but it is unclear if the results of the National Lung Screening Trial can be replicated in community settings. METHODS:A retrospective review was performed of the lung screening program over its first five years, 2012-2016. Patient demographics, initial screening results, follow up, and management results were analyzed in relation to the National Lung Screening Trial results. Annual adherence was defined as returning for imaging within one year + 90 days. RESULTS: 1241 persons underwent initial screening over the 5-year period. 78.6% of findings were benign and only annual repeat low dose chest CT was recommended. 29 cancers were identified in 26 participants (2%) of which 72% were stage I. Annual adherence rate to repeat imaging after low risk baseline scan was 37% and any follow up rate was 51% despite programmatic efforts to follow screening recommendations. When positive findings required more intensive evaluation, most commonly by repeat chest CT scan, adherence was 88%. 1.1% of all participants had invasive biopsies for benign results. Complications of biopsy were minimal. CONCLUSIONS: Our review demonstrates that a community-based program can approximate the results of the National Lung Screening Trial in detecting early lung cancers. Further study of the adherence phenomenon is essential.
• S ection 4—Specialty Program Designation Standards – Pediatric Specialty Program – A mputation Specialty Program – Brain Injury Specialty Program – Cancer Rehabilitation Specialty Program – Spinal Cord Specialty Program – Stroke Specialty Program We will also be doing CARF 101s, a 2-day intensive training on the standards June 11–12, 2018, in Minneapolis, Minnesota, and October 15–16 in San Diego, California. We look forward to receiving your comments and questions. Please contact us at cmacdonell@carf.org. CM
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