Skilled therapies projects a high rehab RUG for 5 day.
Patient is discharged on 3rd or 4th day.
Actual minutes don't come anywhere near projection.
I have had many instances of the same where a resident is discharged home early, or leaves ama, or goes back to hospital. The purpose of the projection is to "estimate" the # of days and minutes that the resident is anticipated to achieve (under perfect circumstances). But as we all know, it is not a perfect world. We keep the 5 day as it is, using the projection. If the resident is readmitted with no significant change, I do a "0,5" (medicare re admit.) and use the short form. Hence this 5 day assessment only accounts for the actual days and minutes the resident accomplished. If they are a significant change, I do a "3,5", rehab reprojects for the new conditions. If the sig change is such where the resident is not able to perform rehab, then we do a 3,8 to indicate a sig change with an omra.
