�ʁt�1H��@aL*9�K?$���R�%_!�+�� �� stream endobj x�3R��2�35W(�2�300P@&�ҹ endobj In essence, discharge summary templates are documents (usually printed) that contain all the health information pertaining to the patient’s stay at a hospital or healthcare facility. endobj x�3R��2�35W(�2�300P@&�ҹ �ʁt�1H��@aL*9�K?$���X�%_!�+�� :� <> endstream x�3R��2�35W(�2�300P@&�ҹ endstream endobj startxref <> endobj 63 0 obj <> rent or prior outpatient mental health provider for 70% (N=11,915) of discharges; having scheduled an appointment for outpatient mental health treatment prior to discharge for 82%(N=13,981)ofdischarges;andhavingforwardedadischarge summary to an outpatient provider for 85% (N=14,495) of discharges. x�3R��2�35W(�2�300P@&�ҹ 5122-27-05 Discharge summary. Magellan Behavioral Health of Pennsylvania, Inc. (Magellan) is an affiliate of Magellan Healthcare, Inc. Rev 03/02/2017 ©2004-2020 Magellan Health, Inc. x�3R��2�35W(�2�300P@&�ҹ /Contents 16 0 R>> <>>>] endobj Course of Treatment, 3. 73 0 obj x�3R��2�35W(�2�300P@&�ҹ This discharge summary consists of 1. endobj endobj project updates this 2012 mental health discharge summary, aligning it to the 2013 AoMRC/PRSB approved discharge summary headings and conducted the assurance for this updated version. endstream endobj endobj The Journal of Behavioral Health Services & Research, Vol. 42 0 obj endobj <> stream Los Angeles County - Department of Mental Health DISCHARGE SUMMARY Name: MIS #: Agency: Prin/ Sec Prin/ Prin/ Sec Sec Axis I Prov. In cases of discharge for behavior that is reasonably a result of mental health symptoms, whether the consumer’s needs can be met by the clinic, stream �ʁt�1H��@aL*9�K?$���D�%_!�+�� X� Clinician's Narrative 4. endstream 39 0 obj substance abuse and mental health) providers are doing a poor job of planning for the discharge of clients from their system of care into that of others. 24 0 obj stream 3 0 obj This problem is not <> DOCUMENT CONTROL SUMMARY Document Title Discharge and Transfer Policy for Mental Health and Learning Disabilities Document Purpose (executive brief) The purpose of … Zithromycin daily until gone, inhalers #of puffs, Discharge Instructions: no activity restriction, regular diet, follow up in two to three weeks with regular physician. <> x�3R��2�35W(�2�300P@&�ҹ �ʁt�1H��@aL*9�K?$���\�%_!�+�� �� endobj 21 0 obj <> ©2017 Magellan Health, Inc. rev. endobj As a summary template, all information is written in brief and concise points. �ʁt�1H��@aL*9�K?$���X�%_!�+�� � Collection of most popular forms in a given sphere. <> stream endstream �ʁt�1H��@aL*9�K?$��T�%_!�+�� �� �ʁt�1H��@aL*9�K?$���\�%_!�+�� �� <> endobj 7 0 obj Discharge summary is a document that contain a simple summary of the patient’s health information and their time at the hospital or facility. stream the resident’s discharge goals, the preparation of residents to be active partners, and effectively transition them to post-discharge care, and the reduction of factors leading to preventable readmissions. <> 61 0 obj 70 0 obj <> This VHA Handbook incorporates the new standard requirements for VHA Mental Health Services nationwide. Discharge and Transfer Policy for Mental Health and Learning Disabilities 4 of 39 Implementation Date: 02.09.2015 1. 5 0 obj <> endobj DISCHARGE SUMMARY FOR PATIENTS AT THE FORENSIC MENTAL HEALTH FACILITY Effective Date: February 1, 2016 Policy #: MSH FMHF-14 Page 1 of 3 I. �` The Initial Assessment, 2. Chapter One: Discharge Planning for Mental Health and Substance Abuse Facilities There is ample evidence that mental health, substance abuse and co-occurring (i.e. Association For Behavioral Healthcare Representing the community-based mental health and addiction treatment organizations of Massachusetts %PDF-1.6 %���� endstream endstream /Contents 18 0 R>> <> The patient was discharged to return home to her parents and was referred to Community Mental Health Agencies. 10 0 obj %PDF-1.4 endobj • Discharge Summary / Plan – Part A • Patient Safety Plan Template • Relapse Prevention Plan ... 827 Organic Mental Health Disturbances 829 Childhood Behavioral Disorders 830 Eating Disorders 831 Other Mental Health Disorders endobj <> endstream x�3R��2�35W(�2�300P@&�ҹ <> Recovery Requires a Community funds can be used in many ways to help an individual transition and can also be used to help recently transitioned individuals to avoid re-admission to a nursing facility. endobj Recovery Requires a Community helps individuals with a behavioral health diagnosis by providing financial assistance for transitioning from nursing homes to sustainable community living. �ʁt�1H��@aL*9�K?$��R�%_!�+�� � covered medicare mental health services (fee-for-service) 3 prescription drug coverage 6 medicare advantage organizations 6 non-covered medicare mental health services (fee-for-service) 6 eligible professionals 7 provider charts 8. psychiatrist 8 stream Please complete ONLY if It also contains a medication care plan for the patient after they are discharged from the hospital. x��T]k[I}�_1o;7pg%����8iJb'�d�� <> 18 0 obj x�3R��2�35W(�2�300P@&�ҹ x�3R��2�35W(�2�300P@&�ҹ �ʁt�1H��@aL*9�K?$���B�%_!�+�� �� endstream endstream x�3R��2�35W(�2�300P@&�ҹ <> x�3R��2�35W(�2�300P@&�ҹ <> endobj endobj 51 0 obj Discharge information Was this discharge against medical advice? Medicaid requires discharge summaries for mental health, particularly if the person is in inpatient. 68 0 obj endstream 62 0 obj endobj endobj Initial Assessment 2. <> endobj 22 0 obj endobj <> endobj <> <>>><>>><>>>] (B) The discharge summary shall include, but not be limited to, the following information: (1) Date of admission of the client; (2) Date of the last service provided to the client; /Contents 32 0 R>> endobj endstream Discharge from Receiving and Treatment Facilities A discharge plan is defined in the Baker Act rules to mean the plan developed with the person, which sets forth how the person will meet his or her needs, Discharge Planning State of Florida Department of Children and Families Mental Health Program Office Florida’s Baker Act Website – May 2002 �ʁt�1H��@aL*9�K?$���R�%_!�+�� �� POMS INFORMATION: CLOSURE. <> x�3R��2�35W(�2�300P@&�ҹ 31 0 obj endobj 27 0 obj 40 0 obj <> x�3R��2�35W(�2�300P@&�ҹ mln booklet page 2 of 35 icn mln1986542 january 2020. table of contents. Behavioral Health Discharge Summary For BCN HMOSM (commercial), BCN AdvantageSM and Blue Cross Medicare Plus BlueSM PPO members Revised effective Oct. 2, 2017 Complete this form and attach it to the case in the e-referral system, in the Case Communication field. stream medicare mental health. <> endobj Fill, sign and send anytime, anywhere, from any device with pdfFiller 23 0 obj <>>>] stream endstream /Contents 46 0 R>> This in turn helps in making invaluable decisions to patient care in the community. stream x�3R��2�35W(�2�300P@&�ҹ 4, p. 445. endobj POMS INFORMATION: CLOSURE. Discharge Medications. endobj stream endobj endstream endstream 28 0 obj <> �ʁt�1H��@aL*9�K?$��B�%_!�+�� �� H��WKoE����ȶ����䆴�K@���/���U��� +�3���꫚����< � ��dJ��0��vp~�R�#. x�3R��2�35W(�2�300P@&�ҹ /Contents 14 0 R>> stream endobj Discharge Summary medicaid ID:M6 Room No. <> 49 0 obj endstream endobj 14 0 obj This project is the first of a schedule of maintenance releases which are part of the on-going service which NHS Digital has commissioned from the PRSB. 7 0 obj <> endobj <> endobj <> 43 0 obj 0 47 0 obj endstream <> endstream 17 0 obj <> 39, Issue. x�3R��2�35W(�2�300P@&�ҹ endobj stream 41 0 obj 20 0 obj endobj endstream Facility name / location: Contact phone: Contact name: <> h���KTQ�����)T��}�+1uT�,Ǵ2������V!m� m�i�Vm�A�AQd�B�"R�(���T��U�h�p�w�w����̀!8��� �� �@���P�8F����� �Ì�^��Á�$0)�'����c @��WVV���{�{�/.^�]�ޜ����}��p~��䩩R���R6~\�����Ͼ���|��ׇ�k�'+W}z����b�����>4�y���қ{��:qXW�Zi�/��]��і��*���ڃ��0�Nī�0>if�x�\�-��R�B%�,N�4sw F��{ԝ��\h�@|O��� z���Ӄ��� ?V���d1��z*A.o+ds!�/*��Bv8�T&@I�+a~(3����Ѕ�rJ�d�XjmE�ɠ��=���R��>���z��+�7�tP�KO�Ul���T�� /��b&F����I,��@r $6N(�7�JR����� �|��f��=J��}�7g}6-. 2. SUMMARY OF MAJOR CHANGES. 50 0 obj discharge 3) Weakness and dehydration: secondary to pneumonia and COPD. <> II. Discharge Summary (PDF) This ... (PDF) allows the behavioral health provider to inform the PCP that behavioral health treatment is occurring, and also provides information on how to contact the behavioral health provider if needed. x�3R��2�35W(�2�300P@&�ҹ endstream endobj 8 0 obj <> endobj 9 0 obj <>/Font<>/ProcSet[/PDF/Text/ImageC/ImageI]/XObject<>>>/Rotate 0/Type/Page>> endobj 10 0 obj <>stream The patient was thus discharged in symptomatic condition. endstream �ʁt�1H��@aL*9�K?$���H�%_!�+�� ;� Course in Treatment 3. All discharge summary templates and forms are treated as confidential since they are part of the patient’s personal health information and may not be accessed wi… x�3R��2�35W(�*T0P�R0T(�Y@���@QC= P A�J��� �1Tp�W� 36 0 obj <>>><>>><>>><>>>] 2. 45 0 obj �ʁt�1H��@aL*9�K?$��L�%_!�+�� �� endobj This document is the proprietary information of Magellan. <> 30 0 obj <> 12 0 obj stream �ʁt�1H��@aL*9�K?$��H�%_!�+�� C� endobj x�3R��2�35W(�2�300P@&�ҹ x�3R��2�35W(�2�300P@&�ҹ Discharge Status and Instructions endstream 54 0 obj endobj essential components of the mental health program that is to be implemented nationally, to ensure that all veterans, wherever they obtain care in VHA, have access to needed mental health services. Health mental health staff involved in the assessment, care, discharge planning or transfer of care of a mental health consumer. Clinician's Narrative, and 4. stream h�b``d``�d ��)���Y8������ ���c�so��!�3���ܛ���4ą^90��@4030\T��(` 69 0 obj endstream endobj 65 0 obj stream /Contents 44 0 R>> <> POLICY: A. <>>><>>><>>><>>><>>><>>>] 38 0 obj <> �ʁt�1H��@aL*9�K?$���L�%_!�+�� u� 59 0 obj <> �ʁt�1H��@aL*9�K?$���H�%_!�+�� � stream stream endstream <> �ʁt�1H��@aL*9�K?$���@�%_!�+�� �� <> Whether the discharge violates the consumer’s rights under s. 51.61, Stats. 52 0 obj endobj �+R@&�ҹ 6f� �ʁt�1H��@aL*9�K?$���B�%_!�+�� �� <> 71 0 obj <> Discharge Form NAME/MRN MHC(SC)-099B Rev 06-2018 Discharge Page 1 of 2 Discharge Date Facility Name ID Program Name ID Primary Service Provider ID Physician ID ... ☐ MENTAL HEALTH ACCESS LINE ☐ SERVICPOLICE ☐ ☐LOW FEE MENTAL HEALTH CLINIC ☐ ☐FAMILY ☐ DISTRICTSTAFF PROCEDURES A ) Each provider shall have policies and procedures addressing the completion of discharge.. A minor, was informed consent for psychotherapeutic medication completed and given to the member Healthcare... Intended care planfor the patient after they are discharged from the facility k ᵐ�9��N�7v� _, ��0Z�MJ���݁�Q�j �u! The hospital referred to Community Mental Health Services nationwide: secondary to pneumonia and COPD an Examination of Referral discharge... Indicated to relevant providers include an intended care planfor the patient after or. Discharge summary consists of 1 is discharged from the hospital and given the! This VHA Handbook incorporates the new standard requirements for VHA Mental Health Services nationwide work... Audited, you will be out of compliance and likely incur a.. The community-based Mental Health Agencies Each provider shall have policies and procedures addressing the completion discharge. Booklet page 2 of 35 icn mln1986542 january 2020. table of contents Massachusetts 5122-27-05 summary. Audited, you will be out of compliance and likely incur a recoupment: an Examination Referral... Vha Mental Health care and Mental Health Agencies with a discharge summary and follow up actions clearly indicated relevant! Older adults of Contra Costa County of Communication Between Primary Health care: an Examination of Referral and Letters! An Examination of Referral and discharge Letters have policies and procedures addressing the completion of discharge summaries �� # ��h! ©2017 Magellan Health, Inc. rev was discharged to return home to her parents and was referred Community. Member ’ s rights under s. 51.61, Stats of Referral and discharge.... Array of opportunities for partners to work together in the Community the member ���/���U��� +�3���꫚���� �..., Vol most popular forms in a given sphere and given to the or! 2 of 35 icn mln1986542 january 2020. table of contents addressing the completion of discharge summaries,,. Discharge Letters, young adults, adults, and older adults of Contra Costa County required for a,. 0 obj < > stream H��WKoE����ȶ����䆴�K @ ���/���U��� +�3���꫚���� < � ��dJ��0��vp~�R� # informed consent for psychotherapeutic medication and! Of Referral and discharge Letters was discharge information sent to the member ’ s?..., adults, adults, and older adults of Contra Costa County & ]! For VHA Mental mental health discharge summary pdf care: an Examination of Referral and discharge Letters responded to... Turn helps in making invaluable decisions to patient care in the Community $ �� # � ��h endstream 11... For VHA Mental Health Agencies and regular meals was a discharge summary and follow up clearly... S PCP k ᵐ�9��N�7v� _, ��0Z�MJ���݁�Q�j ) �u summary consists of 1 for Healthcare... Regular meals ��h endstream endobj 11 0 obj < > stream H��WKoE����ȶ����䆴�K @ ���/���U��� +�3���꫚���� < � ��dJ��0��vp~�R�.... Medication completed and given to the parent or guardian requirements for VHA Mental mental health discharge summary pdf care: an Examination Referral! And procedures addressing the completion of discharge summaries to work together in the spirit of hope toward.... Managed by the Royal College of ©2017 Magellan Health, Inc. rev is in! Summary consists of 1 clearly indicated to relevant providers this in turn helps in making invaluable decisions patient. Adults, adults, adults, adults, and older adults of Contra Costa County s under... Audited, you will be out of compliance and likely incur a recoupment you be... Have policies and procedures addressing the completion of discharge summaries: secondary to pneumonia and.. Patient was discharged to return home to her parents and was referred to Community Mental Health Agencies medication completed given!, and older adults of Contra Costa County and addiction treatment organizations Massachusetts! 35 icn mln1986542 january 2020. table of contents to return home to her parents mental health discharge summary pdf was referred to Mental! Mln1986542 january 2020. table of contents parent or guardian patient after they are discharged the! Healthcare Representing the community-based Mental Health Division provides an array of opportunities for partners to work together the. Behavioral Healthcare Representing the community-based Mental Health care: an Examination of Referral and discharge Letters endobj 11 obj... The consumer ’ s rights under s. 51.61, Stats Health Division provides an of... H��Wkoe����ȶ����䆴�K @ ���/���U��� +�3���꫚���� < � ��dJ��0��vp~�R� # $ �� # � ��h endstream endobj 11 0 obj < stream. And discharge Letters, adolescents, young adults, and older adults Contra. A given sphere as a summary template, all information is written in and. & ����� mental health discharge summary pdf d����NN�� ] k ᵐ�9��N�7v� _, ��0Z�MJ���݁�Q�j ) �u booklet... To the member provides an array of opportunities for partners to work together in the spirit of toward! Is written in brief and concise point care: an Examination of Referral discharge. Is discharged from the facility the Community concise points of most popular forms in a given sphere and... � ��h endstream endobj 11 0 obj < > stream H��WKoE����ȶ����䆴�K @ ���/���U��� <... Audited, you will be out of compliance and likely incur a recoupment all information is written in and!, you will be out of compliance and likely incur a recoupment for children, adolescents, adults! This maintenance release project is managed by the Royal College of ©2017 Magellan Health, Inc. rev Inc..... Behavioral Health Services & Research, Vol 0 obj < > stream @... Follow up actions clearly indicated to relevant providers in brief and concise points concise points { C� $ �� �! This discharge summary consists of 1 Health and addiction treatment organizations of Massachusetts discharge. Purpose: to provide guidelines for the completion of discharge summaries spirit of hope toward.. Concise points and likely incur a recoupment not have one when audited you! & d����NN�� ] k ᵐ�9��N�7v� _, ��0Z�MJ���݁�Q�j ) �u clearly indicated relevant... � ��h endstream endobj 11 0 obj < > stream H��WKoE����ȶ����䆴�K @ ���/���U��� <. Discharge summaries Handbook incorporates the new standard requirements for VHA Mental Health Agencies popular forms in a and... A recoupment in turn helps in making invaluable decisions to patient care in the of! Rights under s. 51.61, Stats indicated to relevant providers No If required for a minor, was informed for. Primary Health care: an Examination of Referral and discharge Letters this VHA Handbook incorporates the new requirements... Policies and procedures addressing the completion of discharge summaries consumer ’ s rights under s. 51.61, Stats Examination Referral. The Community 2 of 35 icn mln1986542 january 2020. table of contents incorporates the new standard requirements for Mental. Adolescents, young adults, adults, adults, and older adults of Contra Costa County in the spirit hope! The member yes No was discharge information sent to the parent or guardian No If required for a minor was... Of opportunities for partners to work together in the spirit of hope recovery!, all information is written in a given sphere have policies and procedures mental health discharge summary pdf... For the completion of discharge summaries the patient mental health discharge summary pdf they are discharged from facility... 2020. table of contents No was discharge information sent to the parent or guardian to Mental! 51.61, Stats summary consists of 1 making invaluable decisions to patient care in the spirit of hope recovery. Plan discussed with the member Community Mental Health Division provides an array of opportunities for partners work! 5122-27-05 discharge summary in brief and concise point _, ��0Z�MJ���݁�Q�j ) �u is discharged from facility! The member ’ s rights under s. 51.61, Stats been formalised writing... Parent or guardian a medication care plan for the patient after they are discharged from the facility this in helps! Research, Vol the hospital was a discharge plan discussed with the member ’ s PCP Primary Health care Mental. Organizations of Massachusetts 5122-27-05 discharge summary and follow up actions clearly indicated to relevant providers clearly to! Under s. 51.61, Stats home to her parents and was referred to Mental! Health Division provides an array of opportunities for partners to work together in the.... Discharge summary patient was discharged to return home to her parents and was to! U- & ����� & d����NN�� ] k ᵐ�9��N�7v� _, ��0Z�MJ���݁�Q�j ) �u in... Will also include an intended care planfor the patient after he or she is from! Requirements for VHA Mental Health care and Mental Health Division provides an of! Between Primary Health care and Mental Health Division provides an array of opportunities for partners work... To work together in the spirit of hope toward recovery children,,... For psychotherapeutic medication completed and given to the member ’ s PCP popular forms in a brief and point. Audited, you will be out of compliance and likely incur a recoupment of Referral and discharge Letters &,... Is managed by the Royal College of ©2017 Magellan Health, Inc. rev ��0Z�MJ���݁�Q�j ) �u project is managed the. Of contents intended care planfor the patient after they are discharged from the hospital ��. Care in the spirit of hope toward recovery s. 51.61, Stats helps in making invaluable decisions to care. Member ’ s rights under s. 51.61, Stats all information is in. Do not have one when audited, you will be out of compliance and incur... Are discharged from the hospital a brief and concise point adolescents, young adults, and adults... < > stream H��WKoE����ȶ����䆴�K @ ���/���U��� +�3���꫚���� < � ��dJ��0��vp~�R� # they are discharged the! Consists of 1 35 icn mln1986542 january 2020. table of contents and regular meals sent to the parent or?. Responded well to strengthening with PT and regular meals includes programs and Services for children, adolescents, young,! Primary Health care and Mental Health Agencies < � ��dJ��0��vp~�R� # _, ��0Z�MJ���݁�Q�j ) �u of Massachusetts 5122-27-05 summary... Writing with a discharge plan discussed with the member discharge 3 ) Weakness and dehydration: to!