Page 318 - QAP Manual 2020
P. 318

Background Information

                                         Q#      Q                      Indicator/Intent       Other Notes                        Field Appropriate (Y/N)
                                         BI-72   If this person required in-  Where person went after                             N
                                                 patient hospitalization   leaving hospital
                                                 due to COVID-19, where
                                                 did this person go after
                                                 leaving the hospital?

                                                                                  BEHAVIORAL SUPPORT NEEDS

                                         BI-73   What was the source(s)   The source(s) of     This question attempts to capture the   N
                                                 for the Background     information used to    various sources where information is
                                                 Information for this   gather information for the  coming from (e.g., case managers, family,
                                                 survey?                Background Information   State records)—not to identify the person
                                                                        section                inputting the data.



























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