Page 319 - QAP Manual 2020
P. 319

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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