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Page history last edited by PBworks 14 years, 6 months ago

Welcome to the Continuity of Care Document Project











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Comments (11)

Anonymous said

at 11:53 am on Nov 10, 2006

Welcome stakeholder group...comments are encouraged here!

Anonymous said

at 8:59 am on Nov 22, 2006

Don't be shy - take a look at the pages created to post your ideas about use cases in the 3 categories we discussed on the last teleconference. We greatly appreciate your insight and expertise in suggesting the most appropriate instruments for FSA in the CCR/CCD eletronic messaging environment.

Anonymous said

at 12:45 pm on Nov 22, 2006

I have a few suggestions for additional tools, or at least information to be included in the CCD, but I'm not sure how best to list them because they don't necessarily represent published works. They include - documentation of immunization records, vital signs and advance directives.
Also, in Michigan at least, there are tools required for documenting/reporting an indiviudals mental illness/developmental disability status - these are the DCH 3877 and 3878. I know that these are Michigan specific, but not sure if other states have a similar requirement.

Anonymous said

at 3:03 pm on Nov 28, 2006

The (Physician Orders for Life-Sustaining Treatment) POLST is a standard order form for advance directives & has been adopted by several states. It's not an assessment form, per se, but does contain standard information. www.ohsu.edu/polst Also, the next version of the MDS will have questions regarding immunizations and future versions of OASIS are also likely to include those questions. New versions of MDS and OASIS are currently in proposal/testing phases.

Anonymous said

at 10:06 am on Nov 29, 2006

Thanks Angela, I added to the list the POLST document and website. Also, another Advance Direcetives document from Caring Connections which was referenced on the POLST site.

Anonymous said

at 3:17 pm on Nov 30, 2006

I added a fourth category under use cases called authorization of care. I guess we could put that under coordination of care but since payers don't take care of anybody I inserted an extra category.

Anonymous said

at 11:30 am on Dec 8, 2006

I added a copy of a nursing home to hospital transfer form to the uploaded forms area of the wiki as an example of the type of information that our hospitals wish to receive. I did not, however, add it to the catalog of instruments because many of the areas will probably be covered by other actual tools.

Anonymous said

at 11:14 am on Dec 11, 2006

Did everyone else see the notice of the CMS Open Door Forum to be held on 12/21/06 at 2pm r/t the Post-Acute Care Development of a Patient Assessment Instrument?

Anonymous said

at 4:23 pm on Dec 14, 2006

I would bet that the Open Door Forum is related to the Research Triangle Institute project to create and test a PAC assessment instrument...the award was made in November. I have heard that the draft name of the instrument is the "PAC-PAI." I mentioned this work on one of our calls a few weeks ago.

Anonymous said

at 11:50 am on Dec 15, 2006

From Kathy Bowles: A copy of the Enforced Social Dependcy Scale was faxed 12/15. Additional instruments were also added to the files page including:

Dementia Severity Rating Scale (Clark & Ewbank, 1996); Brief Demential Severity Rate Scales (BDSRS); Enforced Social Dependency Scale (ESDS)(Moinpour, McCorkle, & Saunders (1981). Quality of Life (QoL) Senior's Version.

Anonymous said

at 9:16 am on Jan 25, 2007

The state of Ct utilizes a W-10 interagency referral form for hospital discharges as well as admission to SNF. There is also an MI/MR mandated for to determine appropriate SNF placement for psychiatriatric diseases. I can provide (mail) copies of those evaluation forms if needed.

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