Exactly and it eliminates the 30 day window. Another scenario-Resident admitted eligible and receiving therapy at limited weight bearing, plateaus and must be cut till advances in weight bearing status. This letter would provide for an extended pause in therapy and the ability to pick them back up Med A. I could see where you might have to do a new letter with each MD visit to keep the progress/cycle documented. WE are interested in this because we have people whose bones don't heal normally and we run into this scenario regularly especially with the cognitively impaired who can't learn some techniques for limited weight bearing. With some wording change in the letter I could also see this scenario: amputation admitted and receives therapy Med A, plateaus and maybe can't be fit for prosthesis till wound heals. Same problem, same resolution.
-----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of [EMAIL PROTECTED] Sent: Tuesday, April 27, 2004 9:13 AM To: [EMAIL PROTECTED] Subject: Question Re: letter of predictability Thank you for forwarding document. Am I correct in assuming this scenario? Resident fxs hip. Goes to hospital. Has 3 day requisite stay. Returns (for whatever reason) not a candidate for therapy. We send this letter to the DOC who states that resident cannot tolerate therapy at present time. We admit resident Medicaid/PP/etc. and when they are able to tolerate therapy, we then start med A days? > > From: "Faye Jones" <[EMAIL PROTECTED]> > Date: 2004/04/23 Fri PM 01:44:56 EDT > To: <[EMAIL PROTECTED]> > Subject: letter of predictability > > Hope this helps. Faye > > > /---------------------------------------------------------- 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 -----------------------------------------------------------/
