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question on 3 hour rule

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My question is about the intensity on the final days. here's the scenario:

first 7 day period---patient received 15 hours (5/7 days)

second 7 day period----same as above

next period---patient discharges on the 4th day of this period. Is the patient

suppose to receive 3 hours a day for each of these days? To meet the 3 hour

rule?

Even if you exclude the day of discharge, what about the other 3 days? If they

don't receive 3 hours each day in the final days, would you consider them as

meeting the 3 hour rule for the entire stay?

I've been told that each of the final days must meet the 3 hour rule. That's

what we strive for it but sometimes get caught on this because we gave the

patient a day off (over the weekend).

For example--The beginning of their cycle (7 day period) is a Saturday and they

discharge on Wednesday. My understanding is that they must receive 3 hours on

Saturday, Sunday, Monday, Tuesday, and Wednesday.

We rarely provide therapy on day of d/c.

I would really appreciate any insights, references, guidance you can provide.

Lori Stoddart, OTR/L

Inpatient Therapy Manager

Physical Rehabilitation Services

Henry Ford Wyandotte Hospital

2333 Biddle Avenue

Wyandotte, MI 48192

734/246-8963

lstodda1@...

Be kinder than necessary because everyone you meet is fighting some kind of

battle

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