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I am NOT sure if you are correct. I still maintain that it does not
matter when the ARD date is set, Section T. asks to estimate as soon as the POC
is established (type, amount, frequency and duration, although typically most
plans of care do not include amount). This should be part of the
evaluation process. The therapist may at that time estimate that the patient can
achieve 60 minutes of therapy each session. If the patient only received 30
minutes of therapy each session, than that will be reflected in Section P.
However 60 minutes in combination with the estimates of other disciplines
providing treatment is entered onto the MDS in Section T. Section T. must
me completed by the the ARD but has nothing to do with minutes actually
received. RENA, PLEASE CORRECT ME IF I HAVE MISUNDERSTOOD SOMETHING. Again,
actual minutes are entered in Section P and estimated minutes are entered in
Section T. on the MDS.
----- Original Message -----
Sent: Saturday, April 10, 2004 11:13
AM
Subject: Re: therapy minutes
I think your estimate is also depending on when your ARD is. From
my understanding if your ARD is on day 5 then even in section T you use the
actual minutes received until day 5 and then project from day 6 thru day
7.
Lisa
In a message dated 4/10/2004 8:05:00 AM Mountain Standard Time, [EMAIL PROTECTED] writes: In my opinion your estimate would only be for seven days of the
first 15
because you have prior knowledge that the patient is
leaving on the 8th
day. Your minute count does not beging until therapy
begins, evaluations
minutes do not count in Secttion T. OR Section P.
documentation. Also, I do
not understand why, if you have two disciplines
across 7 days, would your
estimated minutes be so low? It seems to me
that you are making your
estimate after the fact. Section T. is meant to
capture those days and
minutes that the therapists anticipate across the
first 15 days immediately
after the initial evaluation. Section T. does
not capture minutes were
already actualized, that is captured by Section
P. In your example, the
actual therapy minutes are not 315 but rather 255
(minus the 60 for
evaluations) which RUGs the patient at RM. If you
properly fill out Section
T and estimate 30 minutes of PT and OT
each across 7 days, the estimate is
420 minutes and the patient will RUG
at RH. Hope this helps.
Gail Neustadt,
GAil Neustadt, NHA
-----
Original Message -----
From: <[EMAIL PROTECTED]>
To:
<[EMAIL PROTECTED]>
Sent: Saturday, April 10, 2004 8:28 AM
Subject:
therapy minutes
> I work at the SNF unit of a hospital, and
most of our patients are high
level.When PT and OT evaluate these
patients, usually the estimated duration
of therapy is 5-7 days only,then
they're discharged home. Therapy orders are
usually written PT and OT
daily for 7 days. My question is filling out the
section T of the MDS,in
the estimated number of days and minutes. If the
patient is discharged
after the 7th day therapy was rendered, should I enter
7 days as the
estimate number of days, and the total minutes rendered on the
estimate
number of minutes? Or should I calculate the estimated number of
days and
minutes through day 15 eventhough i know from the start that this
patient
will only stay here after 7 days of therapy?
> i.e....April 1 - date
of admission
> 2 - PT/OT eval and tx day 1 = total min.
for both = 60min
> 3 - day 2 of therapy
45min
> 4 - " 3 " 45min
> 5 - " 4 "
45min
> 6 - " 5 " 45min
> 7 - " 6 "
45min
> 8 - " 7 " 30min
> 9 - dc
home
> The total therapy minutes for example is only 315 min. In
section T,
should I write 7 days and 315 min? Or estimate until day 15
eventhough I
know that the patient will be discharged?
>
Thanks...
>
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