{"ref":"DC-HH-CS-03","title":"Therapy, Nutritional Support, and Medical Social Services","category":"Clinical tasks","summary":"Sets out the qualifications, orders, evaluations, documentation, and supervision for occupational therapy, physical therapy, speech language pathology, medical social services, and nutritional support services, including the summary statement to the physician every 62 calendar days for nutritional support.","inShort":["Occupational therapy, speech therapy, and social services need a physician’s order (or an APRN or PA order DC Health allows) before they start.","The physical therapist evaluates the patient before giving any therapy.","Each therapist and social worker writes a note for every visit and a progress note at least every 30 days.","For nutritional support, a summary goes to the physician at least every 62 calendar days.","Therapy assistants and aides work only under the supervising therapist’s instructions."],"primaryCitation":"22-B DCMR §3923","citations":["22-B DCMR §3907.9","22-B DCMR §3914.2","22-B DCMR §3915.7","22-B DCMR §3916.1","22-B DCMR §3916.2","22-B DCMR §3921.1","22-B DCMR §3921.2","22-B DCMR §3921.3","22-B DCMR §3921.4","22-B DCMR §3922.1","22-B DCMR §3922.2","22-B DCMR §3922.3","22-B DCMR §3922.4","22-B DCMR §3923.1","22-B DCMR §3923.2","22-B DCMR §3923.3","22-B DCMR §3925.1","22-B DCMR §3925.2","22-B DCMR §3925.3","22-B DCMR §3926.1","22-B DCMR §3926.2","22-B DCMR §3926.3","22-B DCMR §3999.1"],"federalCitations":["42 CFR §484.75","42 CFR §484.115(f)","42 CFR §484.115(g)","42 CFR §484.115(h)","42 CFR §484.115(i)","42 CFR §484.115(l)","42 CFR §484.115(m)","42 CFR §484.115(n)","42 CFR §484.80(g)","42 CFR §409.44(c)"],"surveyorAsks":["Show me the physician order for this patient’s occupational therapy, speech language pathology, or social services.","Show me the physical therapist’s initial evaluation. Was it done before therapy started?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (22-B DCMR §3921 to §3926)","5. Qualifications","6. Orders and the Plan of Care","7. Occupational Therapy","8. Physical Therapy","9. Speech Language Pathology","10. Medical Social Services","11. Nutritional Support Services","12. Documentation and Reassessment","13. Supervision of Assistants and Aides","14. Coordination","15. Responsibilities","16. Records and Compliance Monitoring","17. Staff Training","18. References","19. Related Policies and Forms","20. Approval","21. Revision History"],"version":"1.0","sample":false,"pack":"dc-hha","state":"Washington, DC","service":"Home health","guides":[{"path":"/guides/home-health-agency-policies/","h1":"What policies and procedures are required for home health agencies?"},{"path":"/guides/home-health-conditions-of-participation/","h1":"Home health Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}