Page 30 - Culture Change is QAPI Slides.pptx
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Documentation to be communicated to receiving health care entity (implemented in Phase 2):
• contact information of practitioner,
• resident representative contact information,
• advance directive information,
• special instructions/precautions for ongoing care,
• the resident’s comprehensive care plan goals,
• all other necessary information, including a copy of the residents discharge summary.
Resident assessments §483.20
• Resident assessment instrument. A facility must make a comprehensive assessment of a resident's needs, strengths, goals, life history and preferences, using the resident assessment instrument (RAI).