If I need to use grace days to get my 5 days of rehab, I use grace
days...... Unless it is only a 5 day. If its a 5 day, you only need to use
your grace days if there is going to be @ least 500 min of rehab. Otherwise,
the RUG is dependent on your Estimated minutes. When setting my ARD I try to
consider weekneds and hoildys and work around them. If Rehab knows a week in
advance of the ARD you want to use, then they need to get the minutes. If
you set your ARD early in the assessment window and still don't get your
minutes, you've got a little time to look at the ARD again, and might be
able to use another ARD without going into your grace days. but again, if
you need to use them to get your RUG, use them.

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of
[EMAIL PROTECTED]
Sent: Monday, November 17, 2003 11:15 AM
To: [EMAIL PROTECTED]
Subject: Back to basics-Use of grace days or need for 5 days of 1
therapy


I know that 5 days of 1 therapy is needed for a
resident. However, very often, in order to get
the 5 days, I have to use grace days (gd). I use
the gd because the resident did not get admitted
to our TCU early on the day of admission or had a
skilled need and could not participate in therapy
right away, or no therapy on Sunday, etc.
Sometimes I use all 8 days as the look back
period and still only have 3 or 4 days of therapy
minutes to use in Sect. P. I know that gd are
only to be used sparingly. I don't know which is
more important - use of grace days or 5 days of
therapy. What is the accepted protocol to follow
in this situation?
/----------------------------------------------------------
The Case Mix Discussion Group is a free service of the
 American Association of Nurse Assessment Coordinators
      "Committed to the Assessment Professional"
Be sure to visit the AANAC website. Accurate answers to your
         questions posted to NAC News and FAQs.
    For more info visit us at http://www.aanac.org
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/----------------------------------------------------------
The Case Mix Discussion Group is a free service of the
 American Association of Nurse Assessment Coordinators
      "Committed to the Assessment Professional"
Be sure to visit the AANAC website. Accurate answers to your
         questions posted to NAC News and FAQs.
    For more info visit us at http://www.aanac.org
-----------------------------------------------------------/

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