QAPI Program Utilization_Manual

FOCUS AUDIT PATIENT READMITTED TO THE AGENCY Patient #/Name: ___________________________________ Case Manager: ___________________ Episode 1:SOC, DC Date and Diagnoses: _________________________________________________________________________________ Episode 2:SOC, DC Date and Diagnoses: __________________________________________________________________________________________ YES NO N/A COMMENTS Are there diagnoses common to both episodes? EPISODE #1 DISCHARGE REASON: Was the patient stable on discharge? Were there specific goals for all identified problems? Were all goals met? If goals were not met, were plans in place on D/C for follow-up? In your opinion was this an appropriate discharge? EPISODE #2 DISCHARGE REASON: Was the patient stable on discharge? Were there specific goals for all identified problems? Were all goals met? If goals were not met, were plans in place on D/C for follow-up? In your opinion was this an appropriate discharge? What could have been/should have been done during episode 1 to prevent the readmission to the agency: _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ 24