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Uniform Assessment Instrument

Department for Aging and Rehabilitative Services December 2015 Adult Protective Services Division User s Manual: UAI DARS Adult Protective Services Division Page 1 of 91 13 UAI 13 Uniform Assessment Instrument TABLE OF CONTENTS Introduction Screenings for children Legal basis Definitions Short Assessment Full Assessment Consent and Confidentiality Interview Process Asking questions Using probes Assessment process Changing Assessment information ALF reassessments Section 1 of the UAI: Identification/Background Name and vital information Demographics Marital status Race Education Communication of needs Primary caregiver/emergency contact/primary physician Initial contact Presenting Problem/Diagnosis Department for Aging and Rehabilitative Services December 2015 Adult Protective Services Division User s Manual: UAI DARS Adult Protective Services Division Page 2 of 91 13 UAI Current formal services Financial resources Annual monthly/income Income sources Legal representatives Benefits/entitlements Health insurance Physical environment Living arrangement Problems Section 2 of the UAI: Functional Status Levels of functioning Activities of daily l

application for admission to a certified nursing facility as defined in § 32.1-123, are eligible for medical assistance or will become eligible within six months following admission. For community-based screening, the screening team shall consist of a nurse, social worker or

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CRISIS ASSISTANCE APPLICATION PLEASE …

www.dss.virginia.gov

5. Are all people in your household United States citizens? ___YES ___NO If NO, who is not a citizen? _____

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STANDARDS FOR LICENSED CHILD DAY CENTERS

www.dss.virginia.gov

STANDARDS FOR LICENSED CHILD DAY CENTERS Adopted By The Child Day-Care Council July 8, 1993 Effective: November 1, 1993 …

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VIRGINIA DEPARTMENT OF SOCIAL SERVICES

www.dss.virginia.gov

General Services W0405 Division Director Donald Rainey VIRGINIA DEPARTMENT OF SOCIAL SERVICES VDSS Overview 2018 Rev. Jan. 19, 2018 Child Care & Early

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Commonwealth of Virginia Department of Social …

www.dss.virginia.gov

SPECIAL INFORMATION FOR SNAP APPLICANTS You may apply for SNAP benefits by leaving a completed Application for Benefits at …

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Applying for Medical Assistance - Virginia

www.dss.virginia.gov

Applying for Medical Assistance Do I need a paper application form to apply for Medical Assistance? There are easy ways to apply for Medical Assistance if you don’t want to fill out a paper application

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CompetenciesforEarlyChildhoodProfessionalsAreaII ...

www.dss.virginia.gov

CompetenciesforEarlyChildhoodProfessionalsAreaII: Understanding Child Growth and Development. 18 Childrenareactivelearnerswhodrawontheirdirectphysical/sensoryandsocial

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Facts About ESTABLISHING PATERNITY

www.dss.virginia.gov

Page 2 Establishing paternity creates a legal relationship between the father and the child. zEstablishing paternity is required for the …

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Virginia’s Medicaid Waivers for

www.dss.virginia.gov

Virginia’s Medicaid Waivers for Persons with Disabilities, Their Parents, and Caregivers Introduction Medicaid Waivers were developed to encourage people …

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STANDARDS FOR LICENSED ASSISTED LIVING …

www.dss.virginia.gov

standards for licensed assisted living facilities effective february 1, 2018 department of social services commonwealth of virginia

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ANNUAL OPERATING BUDGET - Virginia

www.dss.virginia.gov

Annual Operating Budget Instructions Page 3 d. Taxes: Annual amount of all taxes which must be paid this year by the facility. This would include VEC taxes and Federal Unemployment Taxes which must be

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A0100: Facility Provider Numbers - CMS

www.cms.gov

Complete if A0310A = 01, 03, 04 or 05 (admission assessment, annual assessment, significant change in status assessment, significant correction to prior comprehensive assessment). 2. Review the Level I PASRR form to determine whether a Level II PASRR was required. 3. Review the PASRR report provided by the State if Level II screening was required.

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Level One Nursing Facility Pre-Admission Screening for ...

health.mo.gov

a Level 2 screening, the hospital can email the Return Code and Application link to the SNF for review. The SNF would complete the remainder of the application (Nursing Facility Level of Care Assessment) and submit to COMRU for processing. If the submitter is a hospital and the application triggers a Level 2 screening, the hospital would

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GERIATRIC FUNCTIONAL ASSESSMENT

www.med.umich.edu

Screening for Cognitive Impairment 5 ... Completing brief assessment of older patients requires effective use of a broad ... and the patient’s capacities at home just prior to hospital admission. During the interview, you will be expected to appropriately screen for impairments in:

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Guideline: Newborn baby assessment (routine)

www.health.qld.gov.au

for screening by home visiting midwife or GP Yes No Repeat screen normal? • Admission to neonatal unit o Consider investigations for sepsis, other respiratory/ vascular problems • If respiratory distress or cardiac signs o SpO 2 and cardio-respiratory monitoring • Consider CXR, 4 limb BP, echocardiography • Delay discharge

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Implementation of modified admission MRSA screening ...

assets.publishing.service.gov.uk

individuals will be detected by screening those known to be previously MRSA positive and high risk specialty admissions. For acute and teaching trusts, the most cost effective of the screening strategies is screening high risk specialties only, at both the current prevalence and up to 4 times current prevalence (~5%).

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Tuberculosis Symptom Screening Questionnaire ml

www.tbcontrollers.org

Test (TST). This form is to be used for persons who are required to have TB screening for employment, post-secondary educational institution admission, long term residential care admission, correctional facility intake, or fulfillment of other statute or regulation. Part A should be completed by the person for whom the TB Skin Test is required.

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Preadmission Screening and Resident Review (PASRR) Level I ...

ahca.myflorida.com

A Level II PASRR evaluation must be completed prior to admission if any box in Section I.A. or I.B. is checked and there is a ‘yes’ checked in Section II.1, II.2, or II.3, unless the individual meets the definition of a provisional admission or a hospital discharge exemption.

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Infection Prevention and Control Assessment Tool for …

www.cdc.gov

Infection Prevention and Control Assessment Tool for Long-term Care Facilities This tool is intended to assist in the assessment of infection control programs and practices in nursing homes and other long-term care facilities. If feasible, direct observations of infection control practices are encouraged. ... and provide screening to residents ...

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NEW JERSEY DEPARTMENT OF HUMAN SERVICES PRE …

www.state.nj.us

PRE-ADMISSION SCREENING AND RESIDENT REVIEW (PASRR) LEVEL I SCREEN LTC-26 FEB 19 Page 1 of 6 Please print and complete all questions. This form must be completed for all applicants PRIOR TO nursing facility (NF) admission in accordance with Federal PASRR Regulations 42 CFR § 483.106.

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Appendix B. Tuberculosis (TB) risk assessment worksheet

www.cdc.gov

Appendix B. Tuberculosis (TB) risk assessment worksheet This model worksheet should be considered for use in performing TB risk assessments for health-care facilities and nontraditional facility-based settings. Facilities with more than one type of …

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Admission assessment, Assessment, Screening, Admission Screening, Admission, Screening Questionnaire, Infection Prevention and Control Assessment Tool, PRE-ADMISSION SCREENING AND RESIDENT REVIEW, Tuberculosis (TB) risk assessment worksheet