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State Operations Manual - CMS

State Operations Manual Appendix AA - Psychiatric Hospitals Interpretive Guidelines and Survey Procedures (Rev. 149, 10-09-15) Transmittals for Appendix AA Part I Investigative Procedures Survey Protocol - Psychiatric Hospitals I - Principal Focus of Surveys II - Task 1 - Representative Sample of Patients - Selection Methodology A - Purpose of the Sample B - Sample Size C - Sample Selection D - Program Audit Approach III - Task 2 - Record Review of Individuals in the Sample A - Introduction B - Other Pertinent Information IV - Task 3 - Other Record Reviews A - Death Records B - Discharge Records C - Complaint Investigations V - Task 4 - Direct Patient Observations A - Purpose B - Documentation VI - Task 5 - Interviews A - Patient Interviews B.

integrated into multidisciplinary evaluations and treatment plans. Do not spend an excessive amount of time looking at fine details in the record review of the selected sample. The primary purpose is to determine what the hospital has committed itself to do for the patient under that patient’s treatment plan, whether the treatment plan is being

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