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(i.e. hospital discharge papers; work release form; prescriptions) Please complete this block prior to submitting for other types of incidents and describe the incident and corrective actions in the space provided at the end of this report. ...

http://artis.apexcos.com/HealthSafety/HS_New/Forms/Blank%20Incident%20Report%20Form.doc

Date added: June 3, 2014 - Views: 4

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Pennsylvania - Ernst Publishing

... recording and access to copies of military discharge papers. ... real property); Section 35-4-130 (lis pendens and hospital liens); Sections 36-5-3 ... of it shall be printed in the form of discharge papers, with sufficient blank lines for the recording of such dates as may be ...

http://www.ernstpublishing.com/public/State%20Statutes.doc

Date added: October 7, 2011 - Views: 32

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www.courts.ca.gov

The decedent was transferred within the hospital the following day and later that day signed discharge papers acknowledging that he ... operative complaint. (Blank v. Kirwan ... the decedent was permitted to sign discharge papers so the hospital and the health care professionals ...

http://www.courts.ca.gov/opinions/nonpub/B234051.DOC

Date added: July 12, 2013 - Views: 10

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CHAPTER V: - Maine Health Information - mehima

... miscarriages, induced abortions, and deaths. All hospitals should have as references the "Hospital Vital Statistics Handbook" and "Vital Statistics ... a blank form will be sent to the ... -- The person who "assembles the discharge papers" will check that a specimen has been ...

http://www.mehima.org/legalmanual/Ch%205%20Reporting%20April%202006.doc

Date added: May 23, 2013 - Views: 29

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Organized Form The Start, Inc - Baby Briefcase

... how much paperwork her new baby would bring. Birth certificate, discharge papers, immunizations and vaccinations, social-security card, gift cards, thank-you notes: the towering pile kept growing. “As a new parent, you come home from the hospital laden with ... 9 blank folders for ...

http://www.babybriefcase.com/downloadable_files/BabyBriefcasePressRelease0704.doc

Date added: November 23, 2011 - Views: 6

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FAMILY INFORMATION GUIDE - wells-financial

location of discharge papers: in home other _____ spouse vital ... other insurance (ad&d, hospital, rx, vision, dental, ... left blank. intentionally. compliments of: wells financial services, curtis j wells, president, ...

http://www.wells-financial.com/uploads/4_FAMILY_INFORMATION_GUIDE_updated_062408.docx

Date added: August 18, 2013 - Views: 3

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1

Work Opportunity and Employment & Training Administration. Welfare-to-Work Tax Credits. 1. CONTROL NO.

http://www.doleta.gov/Performance/guidance/docs/ETA%209061%20Fina%20Rev%20wInstrs%206-05-05Rev6-24.doc

Date added: December 5, 2013 - Views: 7

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Sample Promissory Note - HowStuffWorks

Borrower agrees that until the principal and interest owed under this promissory note are paid in full, ... modification, waiver, or other indulgence or discharge or release of any obligor hereunder or exchange, substitution, ...

http://static.howstuffworks.com/pdf/samp-promissory.doc

Date added: September 15, 2011 - Views: 366

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Introduction

The database search was limited to English-language papers. ... FS Blank, HA Smithline, EA Henneman. Journal of Emergency Medicine Jun 2011;40(6):613-616. ... Accuracy of medication documentation in hospital discharge summaries: ...

http://www.medicinesresources.nhs.uk/upload/documents/Evidence/Medicines%20Management/mm-reconciliation-2011-final.doc

Date added: August 2, 2013 - Views: 7

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M21-1, Part 3, Change Document 131 - VA - Veterans Benefits ...

Clinical records are filed by the military hospital or other military medical facility which provided treatment. ... O27 RESERVED Blank – reserved for later use. ... discharge papers, MABMC-11 (discharge order) and service records usually provided Pages 3, 5-6, 8-9, 12-13, and 17 included ...

http://www.benefits.va.gov/warms/docs/admin21/m21_1/part3/chg131.doc

Date added: October 9, 2011 - Views: 65

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Massachusetts - Mass.Gov

Commonwealth of Massachusetts Regulations. ... the hospital discharge planner, ... The Administrative Assistant, or designee, makes 2 copies of the original "Local Certification" papers, the attached documentation reports and the police form.

http://www.mass.gov/eohhs/docs/dph/cdc/tb/nursing-case-protocols.doc

Date added: May 28, 2012 - Views: 40

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PACE Contract Boilerplate - California Department of Health ...

... to inspect any and all working papers related to the preparation of the audit report. ... and coordinated hospital discharge planning that includes necessary post ... This Attachment Intentionally Left Blank 1 page M. Exhibit A, Attachment 13 - Member Services 7 pages N. Exhibit A ...

http://www.dhcs.ca.gov/services/ltc/Documents/PACE%20Boilerplate%20Contract.Updated%2012.2012.doc

Date added: April 19, 2013 - Views: 44

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INSTITUTE FOR THE ADVANCMENT OF SOCIAL WORK RESEARCH

CALL FOR PAPERS: THE IMPACT OF INSTITUTIONS ON ADULT ... at the University of Michigan has recently released the dataset “National Hospital Discharge Survey, 2003 (#4220)” which may be of interest ... Send email to [email protected] Leave subject line blank and type in ...

https://www.naswdc.org/research/call/041405.doc

Date added: May 23, 2013 - Views: 14

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DATA DICTIONARY - Iowa Hospital Association

Length of time patient stayed in hospital. From admission to discharge. 10 sex code: (UB-04 ... If SSN was not supplied the patient ID will be blank. ... e.g. SCHIP otherwise known as HAWK-I) 03 Iowa State Government (e.g. Mental Health State Papers, Iowa Cares, etc.) 04 County/Local ...

http://www.ihaonline.org/imis15/Images/IHAWebPageDocs/infoservices/Inpatient%20and%20Outpatient%20Services/IP%20Data%20Dictionary%202011%202Q.doc

Date added: October 17, 2013 - Views: 22

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COURSE DESCRIPTION - Council on Social Work Education

Papers will be marked down for being below ... M., Fitzgerald, L., Haesler, E., & Manfrin, M. (2009). Hospital discharge planning for frail older people and their family. Are we delivering best practice? A review of the evidence. Journal of Clinical Nursing, 18(18), 2539-2546. Blank,T., Asencio ...

http://www.cswe.org/File.aspx?id=55792

Date added: May 6, 2013 - Views: 3

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Birth3 - Texas Department of State Health Services

... may be used in requesting completion of any item left blank on the original birth certificate or to correct any errors made during the ... hospital, military or social security records. Types of Documents ... Military Discharge (DD-214) A copy of official discharge papers of the ...

http://www.dshs.state.tx.us/vs/handbooks/birth/birth3.doc

Date added: September 15, 2011 - Views: 50

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NURSERY ENDORSEMENTS

You have a have a lab coat over the scrubs to go around the hospital. However, ... Early in the morning, the nurses bring all the babies for discharge into the AV/Lecture room next to the nursery. Potential Discharge List: ...

http://lincolnpediatrics.org/guidenx.doc

Date added: January 16, 2014 - Views: 3

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DATA DICTIONARY - Iowa Hospital Association

DISCHARGE DATE : The month, day, and ... The condition established after study to be chiefly responsible for occasioning the admission of the patient to the hospital for care. (Use ICD-9-CM ... E-Codes). Decimals are assumed, for example, E-Code of E849.0 is recorded E8490. Field will be blank ...

http://www.ihaonline.org/imis15/Images/IHAWebPageDocs/infoservices/Inpatient%20and%20Outpatient%20Services/OP%20Data%20Dictionary%202011%202Q.doc

Date added: August 21, 2013 - Views: 23

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C2005 Evidence Evaluation Template - Oct.14, 2003

... (dose, route); specific outcomes (ROSC vs. hospital discharge). ... the Cochrane Database of Systematic Reviews on 2/2/04 using search terms “ventilation before naloxone.mp” yielded 0 papers, “naloxone.mp” yielded 27 papers, ...

http://www.circ.ahajournals.org/content/suppl/2005/11/09/CIRCULATIONAHA.105.170522.DC26/W18_Scalzo.doc

Date added: December 10, 2013 - Views: 10

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APACHE GAMING COMMISSION - Delaware Nation

Copy of DD 214 (Military Discharge Papers) ... Complete the application form in it’s entirely (no questions should be left blank). ... lending institutions, medical institutions, hospital and health care professionals.

http://delawarenation.com/Portals/0/PDF/gamingcommission/NewPDF1/INIITIAL%20VENDOR%20COMPANY_Prinicpal%20Application.docx

Date added: January 8, 2014 - Views: 4

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J - Independence Seaport Museum

... charts for determining ballast requirements; blank inspection report forms; a blank checklist for official ... Materials related to John MacDonald include: discharge papers from the U.S. Coast Guard-Merchant ... crew lists for SS Pine Bluff Victory; a hospital ledger book and ...

http://www.phillyseaport.org/images/Archives/ISM-WWII.doc

Date added: May 4, 2013 - Views: 29

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Family Information - Operation We Are Here

Hospital Tracker Special Care Organization Record ... This page intentionally left blank Medical Bill Tracker Special Care ... of All Contracts and Loans Pet Health/Vaccination Records Birth Certificates Adoption Papers Death Certificates Divorce Papers Discharge Papers (DD 214) Car Title ...

http://www.operationwearehere.com/SCOR_2.doc

Date added: April 26, 2012 - Views: 18

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Attachments - New York State Department of Health

It has produced several issue papers explaining the conceptual framework for ... summary Comments Home to acute care and acute care to nursing home Acute care and Nursing home staff Pertinent hospital admission/discharge information to including a complete medication list ... Blank line and/or ...

http://www.health.ny.gov/funding/rfa/inactive/0903160302/attachments.doc

Date added: July 4, 2012 - Views: 18

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C2005 Evidence Evaluation Template - Oct.14, 2003

The remainder were general discussion papers or studies relating to other aspects of early ... Pittard 2003 E 1 2 3 4 5 6 7 8 Level of Evidence A = Return of spontaneous circulation C = Survival to hospital discharge E = Other ... REMEMBER TO SAVE THE BLANK WORKSHEET TEMPLATE ...

http://circ.ahajournals.org/content/suppl/2005/11/09/CIRCULATIONAHA.105.170522.DC214/W128B_Parr_Cretikos.doc

Date added: March 19, 2014 - Views: 1

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A PROJECT REPORT ON - Projects Org

Hospital Management System provides the benefits of streamlined operations, ... Doctor, Wards, , Admin, Store, Patient appointment, bill payment, record modification, discharge details etc. TABLE OF CONTENT. ... All these works are done on papers.

http://projectorg.files.wordpress.com/2012/10/hospital-management_project-report.doc

Date added: October 7, 2013 - Views: 255

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Ob/Gyn Intern Orientation and Survival Guide

Ob/Gyn Intern Orientation and Survival Guide ... If you are to use a blank ... Discharge Orders SVD- 24-48 hr postpartum; c-sections 48-72hr ...

http://slfp.net/uploads/internsurvive.doc

Date added: December 1, 2012 - Views: 14

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www.daltonwealth.com

Hospital (preferred): Human resources contact (current or prior employment): ... Adoption papers. Birth certificate. Driver’s license. Marriage certificate. ... Military discharge papers. Pre-paid funeral documentation. Other:

http://www.daltonwealth.com/new/daltonwealthmanagement/content.asp?contentid=2017685715

Date added: June 28, 2014 - Views: 2

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SECTION 16 - Western New York Law Center

J. Hospital indemnity or other fixed dollar ... Original or notarized copy of the veteran’s discharge papers. Date Entered the Country . Documentation ... The plan must send a blank Growing Up Healthy or Access New York Health Care application and a letter to the family informing them that ...

http://wnylc.com/health/afile/93/121/

Date added: September 23, 2011 - Views: 23

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M21-1, PT V, Chapter 23, Change 9 - Veterans Benefits ...

please get it for us as soon as possible? Enclosure: VAF 21-4138. Drop-in: Name of hospital or doctor, as entered (40 positions) ... separation papers (DD214 or other document) from service. Enclosure: ... the end of the month of your hospital discharge; or a subsequent evaluation (2) ...

http://www.benefits.va.gov/warms/docs/admin21/m21_1/part5/ch23.doc

Date added: October 22, 2011 - Views: 31

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Managing Hospital Records - International Records Management ...

Hospital Records INTERNATIONAL. COUNCIL ON ARCHIVES. INTERNATIONAL RECORDS . ... Minutes and papers of major committees and of the governing body, ... Records procedures on the discharge or death of a patient are described in Lesson 4.

http://www.irmt.org/documents/educ_training/public_sector_rec/IRMT_hospital_recs.doc

Date added: October 25, 2011 - Views: 108

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Fayetteville State University Institutional Review Board ...

Data already collected for administrative purposes (e.g., Medicare data, hospital discharge data) Medical records (custodian may also require form, ... You may keep a blank copy of this form for your records ... Do you plan to use the waiver from the FSU IRB to justify disclosure or use of ...

http://www.uncfsu.edu/Documents/Research/2012-2013_Application_for_the_Use_of_Human_Subjects_in_Resea%5B1%5D.doc

Date added: May 9, 2013 - Views: 20

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AAP Screening-ScreenMaterials-NBScatergorizedcompend.doc

All selected papers were read by two or three experts and were critically appraised using a standard format. Seven criteria for a screening programme, ... (55 324 infants) were screened for hearing acuity before hospital discharge, ...

http://www.medicalhomeinfo.org/downloads/docs/NBScategorizedcompend.doc

Date added: September 30, 2011 - Views: 49

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SECTION 1 - American Legion

discharge or honorable separation, or continued honorably after any of said periods; ... An unmarked (blank) ballot is just a scrap of paper and is not counted in ... orders and other process and papers of the subcommittee or the Department organization of The American Legion may be served ...

http://www.legion.org/documents/word/pogsection4_06.doc

Date added: January 11, 2013 - Views: 42

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Employment outline - Free Law School Outlines Professor Subject

Employment outline . Chapter 1 Skipped. Chapters 2 &3 Information Gathering and the Hiring Process. Hiring process – this subsection talks about employers restricting the applicant pool

http://www.outlinesumo.com/outlines/download.php?outline_id=4495&action=download

Date added: May 5, 2013 - Views: 1

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Handbook on Death REgistration - Texas Department of State ...

A long-term care facility is not a hospital but provides patient care beyond custodial care (e.g., nursing home, skilled nursing facility, long-term care facility, ... Leave blank if injury was not a transportation injury. 40a. Date of ... Serial number of discharge papers or adjusted service ...

http://www.dshs.state.tx.us/vs/handbooks/death/chapter-4.doc

Date added: May 8, 2013 - Views: 15

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www.castonline.ilstu.edu

Physical Medicine and Rehabilitation Treatment/Rehabilitation Hospital Based Inpatient Day Treatment Outpatient Treatment ... Discharge planning Quality assurance ... Enclosure Checklist Blank copy of the client assessment Copy of the ...

http://www.castonline.ilstu.edu/klitzing/internship%20papers/Therapeutic%20Recreation%20Internship%20Site%20Info%20Form%202011.doc

Date added: June 29, 2013 - Views: 4

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Chapter 1

Stem Cell Transplant Program. Candidate/Patient Handbook Table of Contents. ... Upon discharge from the hospital, you will be given medications to prevent infection. ... Blank forms left to be filled out by the office staff may take longer to process. ...

http://www.stemcell-immunotherapy.com/pdfs/handbook.doc

Date added: September 5, 2011 - Views: 49

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METHODIST HOSPITALS OF DALLAS

4.2.7 Primary System Hospital Affiliation 4. 4.2.8 Applicant’s Obligations 4. 4.2.9 Participation in Teaching Programs as Teaching Staff 4. 4.2.9.1 Appointment Process 4. 4.2.9.2 Degree of Care/Management of Patient by House Staff 5.

http://www.methodisthealthsystem.org/documents/08%2D25%2D05%20MHS%20Policies.doc

Date added: December 16, 2013 - Views: 2

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... Document Retrieval - The United States Social Security ...

Memorial Hospital discharge summary dated July 1, ... Use blank SSA letterhead (SSAL-951/SSAL-8052). For a child's claim, ... The ALJ also can require people to bring important papers to your hearing and give facts about your case.

http://www.ssa.gov/disability/Documents/Prototype_Operating_Instructions.doc

Date added: October 2, 2011 - Views: 88

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Improving Care Transitions - Welcome to Aging and Disability ...

... any medication lists you have, and the discharge summary from the hospital. Great—I’ll see you in [days/time]. ... medications lists and papers from the hospital? ... You should see a blank spot for questions. Patient: Okay, ...

http://communitychoices.info/adrc/docs/ADRC%20CTI%20Booklet%20June%202009%20updated%2011-12-09.doc

Date added: August 18, 2013 - Views: 1

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ENVIRONMENT OF CARE CLARIFICATIONS - United States Navy

Is Joint Commission requiring hospitals to provide information and credentials on non-hospital personnel? Joint Commission standards required ... must be interrupted (stopped) at the level of discharge by partitions ... The best practice may be to fill out the top part of a blank part 4, and ...

http://www.med.navy.mil/sites/nmcp/EduTrain/Documents/FacMgmt/EnvironmentOfCareClarificationsSept2002.doc

Date added: April 14, 2012 - Views: 65

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TABLE OF CONTENTS - Health Level Seven International

In most cases, court papers will accompany the client or be submitted to the facility. ... it allows staff to be involved in the linkage for hospital discharge plans; (4) ... The Staff ID field may be left blank when reporting Community Based Structured Crisis Care and Day Program services.

http://www.hl7.org/documentcenter/public/wg/homehealth/ICIS%20Manual%20FY%2006.doc

Date added: January 29, 2012 - Views: 44

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A Cardiologist's View - Health Professions Institute

Acute care hospital dictation consists chiefly ... and it is usually dictated just before or after the patient is discharged from the hospital. The Discharge Summary contains the ... or you may not be able to find it in your references. When this is the case, leave a blank (or blanks) and ...

http://www.hpisum.com/Campbell,%20Introduction%20to%20Cardiology%20Transcription.doc

Date added: May 2, 2013 - Views: 17

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ALDEN7 SHERMAN - Sherman Roots

Nellie Sherman died at Hurley Hospital Flint MI; ... He recorded his Civil War discharge at the Tuscola Co Clerk's Office in 1866. He had enlisted in 1861 (age ... discharged 1865 (MSS v37p120). His discharge papers indicated he was a farmer, 5 foot 6 1/2 inches tall, fair complexion ...

http://sherman-roots.com/sherman/pioneers/sp%27tus.doc

Date added: October 5, 2011 - Views: 26

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DRAFT REPORT

Leaving Hospital – (discharge assessment) Both Social Care and Health (Social Services) and Health Departments work together to ensure that if you are leaving hospital and require care and support to live in your own home, you can do so.

http://www.southtyneside.info/applications/2/councillorsandcommittees/viewdocument.aspx?id=4691

Date added: May 8, 2013 - Views: 1

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Acute flaccid paralysis - College of Paediatricians

Standard Treatment Guidelines and Essential Drug List for South Africa Hospital Level ... Food refusal can have different implications depending on the extent: many children, for instance, point-blank refuse to ... He also had seizures after birth that persisted after discharge. Letitia says ...

http://www.collegepaeds.ac.za/past%20papers/2006-09/DCH%20Aug%202006.doc

Date added: May 13, 2013 - Views: 3

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Introduction - Disability Rights Center

There are blank pages at the end of the manual for your own notes. ... 34-B MRSA §3873-A (9) Involuntary Hospitalization Statutory Timelines. EVENT. ... Discharge against medical advice. The chief administrative officer of a psychiatric hospital may discharge, ...

http://www.drcme.org/uploads/Commitment__5th_Ed_-_Rev_Nov_2013.docx

Date added: December 16, 2013 - Views: 5

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Key Point Health

Blank Encounter Form (sample) Patient Rights and Responsibilities. Termination of Services. Informed Consent. Grievance Policy. Grievance Form. Psychiatry. Psychiatric Consultation. Physical Examination. Laboratory Reports. Psychiatric Consultation Sheet (for page form)

http://www.keypoint.org/Policies/DunPandP12-06.doc

Date added: August 5, 2013 - Views: 2

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www.maine.gov

The state had just released their first reports of hospital-specific sentinel events. ... These patient safety advocates and subject matter experts were invited to contribute papers that address specific topics ... Continuity of Care and Patient Outcomes After Hospital Discharge. Journal of ...

http://www.maine.gov/dhhs/reports/sentinel_events_report.doc

Date added: November 29, 2012 - Views: 28

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Community Care Service Care Management Manual

This includes agreed protocols and timescales for hospital discharge. (See hospital discharge policy and protocols). iii Timescale for allocation. Agreed Level of Priority. Category 1a: Highest Priority. Response within 24 hours. ... but you can leave it blank if you have no more information to add.

https://www.whatdotheyknow.com/request/70763/response/180371/attach/2/1.1a%20Community%20Care%20Service%20Care%20Mgt%20Manual.doc

Date added: May 5, 2013 - Views: 8