Acute Hospitalization Tracking Tool

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Thu, 07/11/2024 - 09:11
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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 

  1. Documentation Requirements: 

  • Each resident transfer to the hospital must be documented using the Acute Hospitalization Tracking Tool. 

  1. Tracking Tool Information: 

ACUTE HOSPITALIZATION TRACKING TOOL Facility Name:_______________________________ Month:_____________________, 2010 

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 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  1. Completion and Review: 

  • Staff must complete the tracking tool for each resident transfer to an acute hospital. 

  • 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. 

  1. Data Usage: 

  • The information gathered from the tracking tool will be used to: 

  • Monitor and analyze hospitalization trends. 

  • Identify potential areas for improvement in resident care. 

  • Ensure timely communication and follow-up with hospitals. 

  • Assist in care planning and quality improvement initiatives. 

  1. Retention of Records: 

  • The completed tracking tools must be retained according to the facility’s record-keeping policies and in compliance with CMS regulations. 

References: 

  • Centers for Medicare & Medicaid Services (CMS), State Operations Manual (SOM) 

  • Requirements of Participation for Nursing Homes, CMS 

 

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