Re: Multidisciplinary Goals

[Guest guest]

>In an attempt to be efficient with the PPS documentation requirements,

>would it be appropriate to design a multidisciplinary goal form? Our

>facility has elected to allow each discipline to perform their individual

>eval on the patient. Problem list and plan will be included at the end of

>the eval. However, we would like to combine the goals in the following

>manner:

>On a single form, each primary discipline (P.T., O.T., Speech, Nursing,

>Social Work and Dietary) will have a prewritten list of the recurring

>primary STG's for patients typically seen in the unit. For example, O.T.

>may have " Pt/Resident will increase balance form to

>in order to bathe self with assist. " Obviously, there would

>also be other space for those situations requiring customized STG'S when

>necessary. The LTG's would be multi disciplinary and essentially become

>team discharge goals. A number of these would be prewritten as well. For

>example, " Pt/Resident will demonstrate functional mobility as evidenced by

>adequate safety for discharge destination. " or " Pt/resident will

>demonstrate stable medical status as evidenced by adequate hydration and

>nutritional status, stable vital signs and intact skin integrity. "

>Each discipline would assign the appropriate STG's for the patient at the

>time of eval and the LTG's (or Team discharge goals) will be be assigned

>at the first staffing of the patient. Review of these LTG's would take

>place at each patient staffing. The obvious goal is to streamline

>documentation while maintaining professional identity and expertise. Is

>this effort appropriate? Any ideas?

>

>^^^^^^^^^^^^^^^^

>Todd Cepica, P.T.

>Assistant Director

>Physical Medicine and Rehabilitation

>University Medical Center

>Lubbock, Tx 79417

>Ph: Fax:

>ntc@...

Todd -

I saw an article on interdisciplinary assessment in rehab,

" Avoiding Turf Issues " , in the February/March 1998 issue of Rehab

Management. It sounds like they were talking about a process similar to

what you're interested in.

- Laurie

>

>

>

>

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[Guest guest]

I think this is an excellent idea and really goes along with working for

the entire continuum of care. I think this could help in outpatient

settings with PT and behavioral medicine, or PT/speech, and actually why

not include the physician's goals?

----------

>

> To: ptmanager@...

> Subject: Re: Multidisciplinary Goals

> Date: Wednesday, August 05, 1998 12:24 PM

>

> >In an attempt to be efficient with the PPS documentation requirements,

> >would it be appropriate to design a multidisciplinary goal form? Our

> >facility has elected to allow each discipline to perform their

individual

> >eval on the patient. Problem list and plan will be included at the end

of

> >the eval. However, we would like to combine the goals in the following

> >manner:

> >On a single form, each primary discipline (P.T., O.T., Speech, Nursing,

> >Social Work and Dietary) will have a prewritten list of the recurring

> >primary STG's for patients typically seen in the unit. For example, O.T.

> >may have " Pt/Resident will increase balance form to

> >in order to bathe self with assist. " Obviously, there

would

> >also be other space for those situations requiring customized STG'S when

> >necessary. The LTG's would be multi disciplinary and essentially become

> >team discharge goals. A number of these would be prewritten as well.

For

> >example, " Pt/Resident will demonstrate functional mobility as evidenced

by

> >adequate safety for discharge destination. " or " Pt/resident will

> >demonstrate stable medical status as evidenced by adequate hydration and

> >nutritional status, stable vital signs and intact skin integrity. "

> >Each discipline would assign the appropriate STG's for the patient at

the

> >time of eval and the LTG's (or Team discharge goals) will be be assigned

> >at the first staffing of the patient. Review of these LTG's would take

> >place at each patient staffing. The obvious goal is to streamline

> >documentation while maintaining professional identity and expertise. Is

> >this effort appropriate? Any ideas?

> >

> >^^^^^^^^^^^^^^^^

> >Todd Cepica, P.T.

> >Assistant Director

> >Physical Medicine and Rehabilitation

> >University Medical Center

> >Lubbock, Tx 79417

> >Ph: Fax:

> >ntc@...

>

> Todd -

> I saw an article on interdisciplinary assessment in rehab,

> " Avoiding Turf Issues " , in the February/March 1998 issue of Rehab

> Management. It sounds like they were talking about a process similar to

> what you're interested in.

> - Laurie

> >

> >

> >

> >

> >----

> >Read this list on the Web at http://www.FindMail.com/list/ptmanager/

> >To unsubscribe, email to ptmanager-unsubscribe@...

> >To subscribe, email to ptmanager-subscribe@...

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>

>

>

>

>

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[Guest guest]

Our hospital has a 33 bed skilled nursing unit (SNU). We staff 2 PT's and 2

PTA's, 3 OT's and SLP as needed during the week. Weekends are staffed by 1

PT, 1 PTA, and 1 OT Sat/Sun with SLP on Sat only. Are there any hospital

based SNF's out there that have been pilot programs for PPS?

Could you share some strategies on the best way to track therapy minutes?

Also, streamlining progress notes?

Do you have problems with late night admissions preventing day one assessment

and treatment?

It seems that except for patients whichmay reach very high or ultra high RUGS,

section T of the MDS bumps patients up who have not been seen each of the

first five days. Perhaps we don't need to worry so much about day one

assessment and treatment?

Any input would be helpful. Thanks!

Robin

Louisville, KY

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[Guest guest]

You are correct. Day one assessments are only needed for ultra high and very

high categories. If you use section T only the high category must have

services in the first 5 days.

We track minutes on stat sheets eac h day. Every thurs. the bookkeeping dept.

looks at our stats and makes sure enough minutes were done to meet the

category mandates.

Progress notes must be done every 2 weeks min. and can be done on a 701 form

if that helps.

Janet

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