Grampians Region HACC Assessment Services - Recording Tool for Living at Home Assessors/MDS Reporting Date Client Name Assess Review Re Care Phone Contact Contact Contact Report Secondary Case Travel Client Assess Coord Call Other Client INhouse Notes Consult Conference Client Related – Provider Family/Carer eg CCW Writing client Related not a time HACC NOT client MDS NOT MDS PLEASE NOTE: Do not include either of the grey shaded sections in your MDS reporting they are only on this page for your own records/information! – You must only report to MDS time do not average your time when you are reporting. ‘actual – If you have any suggestions for IMPROVEMENT of this tool please send them to Robyn Fletcher, Grampians Region HACC Project Worker –
Grampians Region HACC Assessment Services - Recording Tool for Living at Home Assessors/MDS Reporting Date Client Name Assess Review Re Assess Care Coord Phone Call Contact Other Provider Contact Client Family/Carer Contact INhouse eg CCW Report Notes Writing Secondary Consult Case Conference client time Travel Client Related NOT MDS Client Related – not a HACC client NOT MDS PLEASE NOTE: Do not include either of the grey shaded sections in your MDS reporting – they are only on this page for your own records/information! You must only report to MDS ‘actual time – do not average your time when you are reporting. If you have any suggestions for IMPROVEMENT of this tool please send them to Robyn Fletcher, Grampians Region HACC Project Worker –
Recording-Tool-for-LAHA-0210131.docx