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Extended Acute Care Referral Process Northampton County Consumers Acute Inpatient Hospital Treatment team completes the Extended Acute Care Referral Form and submits to NHS Human Services, Northampton

How to fill out extended acute care referral

How to fill out extended acute care referral:

1. Begin by filling out the patient's personal information, including their full name, date of birth, address, and contact information. This will ensure that the referral is properly attributed to the correct individual.
2. Next, provide detailed information about the patient's medical condition. Include any relevant diagnoses, symptoms, and medical history that may influence the need for extended acute care. This information will help healthcare providers assess the patient's suitability for this level of care.
3. Specify the reason for the referral and the desired outcomes. Clearly explain the medical necessity for extended acute care and outline the goals that the referring healthcare provider hopes to achieve through this referral. This will help guide the receiving healthcare provider in developing an appropriate treatment plan.
4. Include any pertinent supporting documentation, such as lab results, imaging studies, or specialist consultation notes. This additional information can provide valuable insights into the patient's medical condition and assist the receiving healthcare provider in making informed decisions regarding their care.
5. Finally, ensure that the referral is signed and dated by the referring healthcare provider. This confirms that they have reviewed the information and have determined that extended acute care is necessary for the patient's well-being.

Who needs extended acute care referral?

1. Patients who require specialized medical interventions or treatments that cannot be adequately provided in a standard acute care setting may need an extended acute care referral. This could include individuals with complex medical conditions, chronic illnesses, or those who require ongoing monitoring and management.
2. Patients who are not yet ready for discharge from acute care but no longer require the intensity of services provided in a traditional hospital setting may benefit from extended acute care. This level of care can bridge the gap between acute care and a lower level of care, such as a rehabilitation facility or home healthcare.
3. Individuals who require a multidisciplinary approach to their care, involving several healthcare professionals and services, may also be candidates for extended acute care. This level of care can provide a coordinated and comprehensive treatment plan that addresses all aspects of the patient's condition.

In summary, filling out an extended acute care referral involves providing detailed patient information, explaining the medical necessity for extended care, attaching supporting documentation, and obtaining the referring healthcare provider's signature. This level of care may be appropriate for patients with complex conditions, individuals not yet ready for discharge, or those requiring a multidisciplinary approach to their care.

For pdfFiller’s FAQs

What is extended acute care referral?

Extended acute care referral is a process in which a patient is referred to a specialized care facility for continued treatment and monitoring.

Who is required to file extended acute care referral?

Extended acute care referral can be filed by the attending physician or healthcare provider responsible for the patient's care.

How to fill out extended acute care referral?

Extended acute care referral form must be completed with patient's medical history, current condition, treatment plan, and reason for referral.

What is the purpose of extended acute care referral?

The purpose of extended acute care referral is to ensure the patient receives appropriate and specialized care beyond the acute care setting.

What information must be reported on extended acute care referral?

Information such as patient's medical history, current condition, treatment plan, and reason for referral must be included in extended acute care referral.

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