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Acute to SNF transfer

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Im sure I know the answer to this one, but just thought I would ask

other hospital directors this question. When a patient goes from

acute care to a SNF in the same hospital, is there anyway to

transfer the plan of care to SNF without a second eval? I realize

that if the patients status changes, then the POC/goals would have

to change as well. However, I'm talking about the patient that you

eval early in the morning or late in the day on Acute care to trear

and/or determine qualification for SNF and they go to the SNF within

6-12 hours. I would just do a screen for SNF, but there are always

instances where a patient does not go to SNF for a few days leading

to no POC/treatment on the acute care floor.

I'm certain that we have to do another eval(which is what we do

now), but here are few points to consider:

1. Evals are not reimbursable in SNF, only the treatment minutes.

Why fill out another eval form if POC/goals have not changed?

2. I do realize that one area is DRG and the other is PPS, but

righting up the same eval within one day is the type of repetition I

would like to avoid. It would also be nice if I did an eval late on

a Friday evening and the patient went to SNF on Saturday morning to

just be able to allow the PTA to continue treatment instead of

coming in to do the eval. We are in a rural area where PT's are

scarce and weekend hours are always overtime for evals? This is

another topic I will bring up later. Thanks in advance for your

thoughts.

Darrin Taullie, PT,MS

Director of Rehab

AVRMC

La Junta, CO

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