Re: projected minutes

[IBARN96]

I understand how to calculate it, my question goes back to what prediction do you use for the minutes after the ARD the ones predicted on initial eval or the minutes projected when the patient was decreased to 3xwk?  Can the predicted minutes change after the initial eval or do you have to use the initial eval prediction?  That is where I am getting confused. Lisa     In a message dated 1/6/2004 5:43:09 PM Mountain Standard Time, [EMAIL PROTECTED] writes: Lisa, What I do is to calculate the actual minutes delivered through the ARD, then project days 9-15, and combine these for the projected minutes total in section T.   See page 3-216 in the RAI manual:  "Count the days of therapy already  delivered from Item P1a,b, and c. Calculate the expected number of days through day 15, even if the resident is discharged prior to day 15....  Include the number of minutes already provided from MDS Items P1ba(B), P1bb (B), and P1bc (B). Calculate the expected minutes through day 15, even if the resident is discharged prior to day 15."   I think the intention is clear, to include the actual minutes up through the ARD, then to calculate the minutes through day 15 and add together.   HS Holly F. Sox, RN, RAC-C  Clinical Editor, Careplans.com www.careplans.com [EMAIL PROTECTED] ----- Original Message ----- From: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Tuesday, January 06, 2004 7:17 PM Subject: projected minutes I asked this question last week and have not seen any repsonses so I will ask the question again.  Section T on 5 day Medicare assessment where it asks for the estimated minutes patient to be seen thru day 15-how is that tabulated?  Is it strictly from the therapist's evaluation or can it be changed?  For example  Ms Smith is seen by therapy for eval on day 1 and therapy predicts patient to be seen 5 days a week/45 min OT and PT. ARD is set for day 7, on day 5 therapy decides Ms Smith cannot tolerated 45 minutes therapy for 2 disciplines and decreased her to 3x week/ 45 minutes each.  For the predicted minutes in section T do you have to use the initial eval prediction or can you use the projection indicated after therapy decreased?  Is there anywhere it is written?  Thanks-this is very important matter between myself and therapy. Lisa Aurora, CO

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Lisa, What I do is to calculate the actual minutes delivered through the ARD, then project days 9-15, and combine these for the projected minutes total in section T.   See page 3-216 in the RAI manual:  "Count the days of therapy already  delivered from Item P1a,b, and c. Calculate the expected number of days through day 15, even if the resident is discharged prior to day 15....  Include the number of minutes already provided from MDS Items P1ba(B), P1bb (B), and P1bc (B). Calculate the expected minutes through day 15, even if the resident is discharged prior to day 15."   I think the intention is clear, to include the actual minutes up through the ARD, then to calculate the minutes through day 15 and add together.   HS Holly F. Sox, RN, RAC-C  Clinical Editor, Careplans.com www.careplans.com [EMAIL PROTECTED] ----- Original Message ----- From: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Tuesday, January 06, 2004 7:17 PM Subject: projected minutes I asked this question last week and have not seen any repsonses so I will ask the question again.  Section T on 5 day Medicare assessment where it asks for the estimated minutes patient to be seen thru day 15-how is that tabulated?  Is it strictly from the therapist's evaluation or can it be changed?  For example  Ms Smith is seen by therapy for eval on day 1 and therapy predicts patient to be seen 5 days a week/45 min OT and PT. ARD is set for day 7, on day 5 therapy decides Ms Smith cannot tolerated 45 minutes therapy for 2 disciplines and decreased her to 3x week/ 45 minutes each.  For the predicted minutes in section T do you have to use the initial eval prediction or can you use the projection indicated after therapy decreased?  Is there anywhere it is written?  Thanks-this is very important matter between myself and therapy. Lisa Aurora, CO

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