Source: The Transition of Care Guide (Appendix 10) document is available at Preventative Health Care Standard 3 requirements for preventative health screening by Preventative Health DDA’s Documentation: age and gender are found on the Annual Preventive Health Care: Annual Preventive Preventative health Screening Report. The Annual Preventive Health Screening Health Screening Report, which is the care focuses on Report offers male and female versions which list the required form for optimizing a recommended screenings from the U.S. Preventative person’s documentation of potential for health, Screening Task Force (USPSTF) Guidelines. All preventative health function, and overall preventative screenings should be recorded on the Annual screenings, is to be wellbeing. Unless a Preventive Health Screening Report. (See Appendix.) maintained in the variance can be Health Record. documented, health If a person requires a variance from the USPSTF practitioners must recommended screenings, its rationale must be documented adhere to the USPSTF in the record by a PCP. Guidelines. (Direct Observation) and Health Form 2 Health Form 3 (Diagnostic Review) are supplemental forms used to ensure Applies to: that people receive quality care. (Direct Required for: Health Form 2 People residing in Observation) is generally completed by the direct support ICFs/IID. professionals to assist in the recording of health-related People enrolled in a information, and for communicating recent health changes to Home and Community a supervisor or healthcare provider. (See Appendix) Based Waiver receiving residential (Diagnostic Review) offers an instrument to Health Form 3 habilitation, supported organize a systematic review of a current person’s living, and host home assessments, physical and medical exam, specialists’ reports, services. intervention in a systemic way. (See Appendix) While the use of the Annual Preventive Health Screening Report is required, the use of is Recommended for: Health Forms 2 and 3 Preventative health optional, but highly recommended. care is recommended for people living Annual Preventive Health Screening Report (male & independently or in a are available at: female), Health Form 2, and 3 family home. The Glasgow Depression Scale Questionnaire is designed to screen for depression in people with an intellectual disability by assessing behavioral symptoms of clinical depression. There are two versions of the questionnaire (self-reporting
Source: The Transition of Care Guide (Appendix 10) document is available at Standard 3 Preventative Health Care: Preventative health care focuses on optimizing a person’s potential for health, function, and overall wellbeing. Unless a variance can be documented, health practitioners must adhere to the USPSTF Guidelines. Applies to: Required for: People residing in ICFs/IID. People enrolled in a Home and Community Based Waiver receiving residential habilitation, supported living, and host home services. Recommended for: Preventative health care is recommended for people living independently or in a family home. Preventative Health Care DDA’s requirements for preventative health screening by age and gender are found on the Annual Preventive Health Screening Report. The Annual Preventive Health Screening Report offers male and female versions which list the recommended screenings from the U.S. Preventative Screening Task Force (USPSTF) Guidelines. All preventative screenings should be recorded on the Annual Preventive Health Screening Report. (See Appendix.) If a person requires a variance from the USPSTF recommended screenings, its rationale must be documented in the record by a PCP. Health Form 2 (Direct Observation) and Health Form 3 (Diagnostic Review) are supplemental forms used to ensure that people receive quality care. Health Form 2 (Direct Observation) is generally completed by the direct support professionals to assist in the recording of health-related information, and for communicating recent health changes to a supervisor or healthcare provider. (See Appendix) Health Form 3 (Diagnostic Review) offers an instrument to organize a systematic review of a person’s current assessments, physical exam, specialists’ reports, and medical intervention in a systemic way. (See Appendix) While the use of the Annual Preventive Health Screening Report is required, the use of Health Forms 2 and 3 is optional, but highly recommended. Annual Preventive Health Screening Report (male & female), Health Form 2, and 3 are available at: The Glasgow Depression Scale Questionnaire is designed to screen for depression in people with an intellectual disability by assessing behavioral symptoms of clinical depression. There are two versions of the questionnaire (self-reporting Documentation: Annual Preventive Health Screening Report, which is the required form for documentation of preventative health screenings, is to be maintained in the Health Record.
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