You are correct in saying that discharge planning begins at the time of admission. Legally, skilling for therapy ends when the resident no longer meets the skilling criteria. This is determined by the therapist in consult with the physician. A social worker, family member, etc. may not request "a few more days" of treatment due to a difficulty in discharge plans. This should have been done ahead of time. Unfortunately emergencies come up all of the time and if the resident must remain in the facility, it becomes a private pay or MA concern. 
 
Gail Neustadt ("G")
----- Original Message -----
Sent: Wednesday, April 14, 2004 12:36 PM
Subject: Discharge planning

It was always my understanding that discharge planning starts on the day of admission.  It seems to me that discharge planning is key to therapy plans, assessment scheduling, etc.  Lately I have gotten more than one request from a Social Worker to skill a resident for an extra day or two for "discharge planning" after Therapy discontinues and there is no further skilled need.  Just wondering if this is legitimate to do - as it has happened we have not had to implement it because the residents discharged sooner than expected but I am not sure what I am to do if it becomes a real situation.  Advice?

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