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<strong>CMS</strong>-1403-FC<br />

Therefore, we proposed that each rehabilitation agency<br />

establish procedures to be followed by personnel in an<br />

emergency that cover immediate care of the patient, persons<br />

to be notified, and reports to be prepared.<br />

The following is a summary of the comments received<br />

concerning Emergency care and our responses.<br />

Comment: Most commenters concurred with our proposed<br />

changes to the emergency care standard. Specifically, the<br />

commenters supported our proposed elimination of the<br />

requirement that rehabilitation agencies retain a physician<br />

on call for emergencies. The commenters cited difficulty<br />

in recruiting physicians for this role, and stated that it<br />

is often impractical to contact a physician in the rare<br />

case of an emergency. One commenter also supported the<br />

revisions to the emergency provisions because they allow<br />

facilities to develop emergency care plans most appropriate<br />

for an individual facility’s location and patient<br />

population.<br />

Response: We thank the commenters for their support,<br />

and agree that these revisions will allow facilities to plan<br />

for, and respond to, emergency care situations in<br />

appropriate ways. As a result of the public comments, we<br />

are finalizing the provision as proposed with slight non-<br />

policy revisions for grammatical purposes. We are also<br />

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