6212 Nursing Home Transition Mandatory Documentation | Access to Services 5200 Manual
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Georgia Division of Aging Services |
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Chapter: |
6000 Community Transitions |
Effective Date: |
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Section Title: |
Nursing Home Transition Mandatory Documentation |
Reviewed or Updated in: |
MT 2018-02 |
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Section Number: |
6212 |
Previous Update: |
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Summary Statement
Nursing Home Transition (NHT) agencies will provide, at minimum, the mandatory documentation required by the Division of Aging Services.
Basic Considerations
The following documentation standards must be followed for Nursing Home Transitions to ensure accurate record keeping, and allow quality assurance and analysis:
DAS Data System
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NHT Screening
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Determination of Need/Revised (DON-R)
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Triage Risk Assessment (Attached in Notes)
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Monthly Contact Script (when required)
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Care Plan, Planned Services, & Authorizations
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Care Plan Activities
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Quality of Life Assessment
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Notes (when required)
DAS Procedures
DAS NHT Staff reserves the right to review all NHT documentation for monitoring and quality assurance purposes at any time, without prior notification to the NHT agency.
NHT Agency Procedures
NHT agency staff are to complete documentation at the appropriate benchmark in the transition process. Benchmarks and associated documentation are listed below:
Client Intake / Eligibility Determination
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NHT Screening
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DON-R
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Triage Risk Assessment
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Release of Information (Form 5459, Appendix D, Manual 5600)
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Legal Status Affidavit (Appendix D, Manual 5600)
Transition Planning
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Pre-Transition Contacts
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Care Plan
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Planned Services
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Authorizations
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Activities
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Quality of Life Assessment (Baseline)
Post-Transition
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Additional Planned Services, Authorizations, and/or Activities
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Monthly Contact Scripts
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Quality of Life Assessment (1-Year)
DAS may require additional documentation/information on a case-by-case basis.