05 Nov Follow up Review
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Question 1 of 4
1. Question
Transitional Care planning- Clinical/Hospitalization is used when documenting that a participant has been in a Nursing Facility/Rehab in order to capture the discharge information that was discussed with the participant and Social Worker.
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Question 2 of 4
2. Question
When documenting the discharge the Service Coordinator should gather information on which of the following? Select all that apply.
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Question 3 of 4
3. Question
Which session in Function Portal is used to document interaction regarding participant discharge from the Nursing Facility/Rehab?
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Question 4 of 4
4. Question
If a participant tells the Service Coordinator that they have been in the Nursing Facility for 9 months and that they want to discharge back to the community, but the participant needs a home modification and additional services before this transition can take place, what should the SC select when asked if a Nursing Home Transition (NHT) email should be sent?
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