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MED-PASS - Forms
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| HC1300H | | | Comprehensive Adult Assessment, 485 P.O.C. Worksheet and Outcome and Assessment Information Set – START OF CARE VERSION & Resumption of Care | | This form is currently being updated to reflect the Process Measures Indicators (P) based on the March 2010 CMS Process-Based Quality Improvement Manual and to add new features based on suggestions and comments from our customers and product development partners that will make the form more valuable and easier to use. To learn more, contact the MED-PASS Home Care Team at 800-438-8884.
Click here to learn more about the form enhancements.
A CMS clarification released December 17, 2009, indicates that the fall risk assessment used in this form does not fully meet the requirement for a standardized and validated tool.
MED-PASS is providing a supplement and instructions to help ensure that your agency meets the requirements of a multi-factorial standardized validated falls risk assessment. To learn more and access the supplement – click here.
The MED-PASS Ultimate OASIS-C form can be used for Start of Care and Resumption of Care . The two-forms-in-one design promotes consistency between 485 and OASIS documents and saves valuable staff time by eliminating repetitious documentation that the use of separate forms often requires.
The 14-page, color-coded booklet fully integrates:- OASIS elements – printed in Green
- 485 elements – printed in Red and include LOCATOR NUMBERS in a universal format compatible with all 485 software programs
- Comprehensive assessment – printed in Black
Easy Order Option - Print and Fax Order Form | | | Features: | - Content Includes:
- Easy usage instructions for Start of Care or Resumption of Care
- Patient Tracking Sheet
- Updated with NEW OASIS-C Data Sets
- Generous narrative space
- Fall Risk Assessment
- Designed for and by HHA professionals
- Custom imprinted versions available - contact the MED-PASS home health team for details
- Click on the link beneath the image at left to see a detailed page with additional features
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| Specifications: | | 8-5/8 x 11, 14 pages, handwritten, 100 per package | | | Related Products: | | |
| Click for information about our custom forms service | |
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