Acute Hospitalization Tracking Tool
Acute Hospitalization Tracking Tool
Policy
To systematically track and document all resident transfers to acute hospitals, ensuring compliance with CMS Requirements of Participation and the State Operations Manual (SOM) guidelines for long-term care facilities (LTC). This tool aids in monitoring patterns, identifying trends, and enhancing the quality of care.
Procedure
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Documentation Requirements:
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Each resident transfer to the hospital must be documented using the Acute Hospitalization Tracking Tool.
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Tracking Tool Information:
ACUTE HOSPITALIZATION TRACKING TOOL Facility Name:_______________________________ Month:_____________________, 2010
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# |
Date of Transfer to Hospital |
Day of the Week |
Time |
Resident Name |
Unit
|
Initial Admission Date to Facility |
Primary Dx to Facility |
If Admis-sion Date is < 30 Days, Enter # Days |
Reason forTransfer to Hospital
|
Admitting Dx to Hospital
|
Discharge Dx From Hospital |
Date of Return to Facility or Reason Not Returned
|
# Days in the Hos-pital |
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Completion and Review:
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Staff must complete the tracking tool for each resident transfer to an acute hospital.
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The completed form should be reviewed monthly by the nursing supervisor and the Administrator to identify any patterns or trends that may require attention or intervention.
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Data Usage:
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The information gathered from the tracking tool will be used to:
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Monitor and analyze hospitalization trends.
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Identify potential areas for improvement in resident care.
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Ensure timely communication and follow-up with hospitals.
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Assist in care planning and quality improvement initiatives.
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Retention of Records:
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The completed tracking tools must be retained according to the facility’s record-keeping policies and in compliance with CMS regulations.
References:
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Centers for Medicare & Medicaid Services (CMS), State Operations Manual (SOM)
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Requirements of Participation for Nursing Homes, CMS
