Performance Audit Report, Medicaid Home And Community-Based Services Program, Department of Social And Rehabilitation Services 1985

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Positive ratings are achieved by being able to function alone.
20 Examples would include taking medication alone, being able to answer the telephone or use public transportation. A score of less than 20 would indicate the person should be placed in some sort of institutional care.
We found that specialists use the GFRS differently. For example, one specialist uses the form as an indicator of possible future care requirements. Another uses the form as a tool to set present needs.
Long-Term Care
...Abstract The nurse coordinator is required to complete a long-term care abstract for each individual seeking long-term care. The long-term care abstract has 18 variables that account for approxi- mately 95 percent of the nursing care required by long-term patients. Each variable has a time factor assigned to it. These time factors are called management minutes. Using the assigned management minutes as the amount of care necessary, the nurse coordinator sets the level of care at intermediate or skilled nursing care.

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