Regulations for TJC and/or CMS

[Guest guest]

I would very much like to know if anyone can direct me to sources for

regulations regarding need to have physicians sign a plan of care and goals for

acute care hospital patients. It has always been my understanding that if I

received a PT eval and treat order, that I must perform the evaluation,

establish my plan of care and goals, and then have the physician sign approval.

I have recently been told that there are no regulations governing Part A acute

hospital patients for that practice. Any guidance offered would be appreciated.

Thank you,

Maddox, PT, MPH

Director of Rehabilitation

Ukiah Valley Medical Center

Ukiah, CA 95482

maddoxrg@...

[Guest guest]

The problem in the hospital scenerio is when a patient is in the hospital for

observation, ED, short stay, day surgery, etc. they are considered an

Outpatient since they are not " admitted " to the hospital. These Medicare

patients should be treated like OP's and have the POC signed. It's difficult

because their charting etc. is usually handled like the inpatients so the

process to get the POC signed is not the usual work flow for our therapists and

physicians.

RSusick PT

PPMC

Portland, OR

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