If a patient leaves a facility over midnight for an admit to the hospital and then returns to the facility the next day, are you required to start over, i.e. a discharge and evaluation? On what day do you start when they return?
Answer
You say that they were out of the facility over midnight for an admit to the hospital. If they were actually admitted to the hospital and not just in for observation, even if it was just for one night, we have to discharge everything. Then, on the day they come back to the facility, even if it the next morning, we do an evaluation or in therapy we could do a reevaluation. We start back on day one. We also start over with the five-day assessment.
Shelly A. Mesure, MS, OTR/L
Shelly A Mesure, MS, OTR/L, is a nationally recognized industry expert and speaker specializing in training and seminars throughout the United States on translating government regulations to everyday clinical practice. She is also the SVP of Orchestrall Rehab Solutions providing on and off-site consulting services throughout the US and China. She has authored the blog, Rehab Realities, through McKnights.com; has developed continuing education webinars, six-hour live seminars, and various workshops and educational programs. In 2011, Ms. Mesure was featured in News-Line for Occupational Therapy for her efforts in continuing education and consulting work. Ms. Mesure received a BS in Rehabilitation Services with a minor in Gerontology from The Pennsylvania State University and an MS in Occupational Therapy from Rush University in Chicago.
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