I would code the estimation of therapy according to what was anticipated at the ARD. Since the ARD was the 28th and the resident declined on the 25th after only 1 therapy treatment, the most appropriate estimation would probably be 1 day of therapy at the number of minutes that PT saw the resident. If, however, on the ARD, all therapies were still planning to continue seeing the resident, just had him on hold for a few days, I would code the number of days and minutes that they were still anticipating to treatas of the ARD. If it was obvious that the resident would not be improving within the 15 day window, I would go with the 1 day, etc. In other works, what was the estimation on the ARD, not the estimation on initial eval. This is always a question that my therapists ask. I have them write the estimation on initial eval but reassess their projections on the ARD to see if it is still accurate.
-----Original Message-----
From: Michelle Witges <[EMAIL PROTECTED]>
Sent: Feb 9, 2004 10:33 AM
To: [EMAIL PROTECTED]
Subject: Re: Estimating therapy
I guess I opened a can of worms. The resident was admitted on 1-23, ARD set for 1-28. All three therapies were ordered by MD. All 3 saw and evaluated and prescribed therapy. He only received one PT treatment before he had a dramatic decline on 1-25. No therapy was given after 1-24 and he expired on 2-2. My question is, would it be appropriate to estimate therapy minutes for the 5 day assessment since he only received one PT treatment?
Michelle
/---------------------------------------------------------- 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 -----------------------------------------------------------/----- Original Message -----From: [EMAIL PROTECTED]Sent: Saturday, February 07, 2004 4:10 PMSubject: Re: Estimating therapyIn a message dated 2/7/2004 4:02:59 AM Pacific Standard Time, [EMAIL PROTECTED] writes:I don't think I gave enough info. Resident admitted 1-23-04 all three therapies saw and evaluated and ordered therapy. Pt was the only therapy given during the lookback period as resident became ill and was unable to part. in any therapy afterWhat lookback period?You can't capture Therapy from the acute.
