Page 164 - Business Development Orientation Binder
P. 164
CAREGIVER SUPPORT:
ADVANCED CARE PLANNING PERFORMED?
PALLIATIVE PERFORMANCE SCALE SCORE:
OTHER NOTES:
======================================
SPECIAL INITIATIVES/CARE TYPES (PLEASE MARK “X” NEXT TO CARE TYPE NEEDED FOR PATIENT):
ADR:
AUR:
ADU:
ANTEPARTUM:
BEHAVIORAL HEALTH:
BP3:
BP2 (NYU):
INFUSION:
INTENSIVE REHAB:
MT. SINAI VISITING MD:
TELEHEALTH:
TOTAL JOINT REPLACEMENT:
PEDIATRICS:
POSTPARTUM:
OTHER:
NOTES RELATED TO SPECIAL INITIATIVES:
