OH PASRR Evaluation Summary 2010 free printable template

Ohio Department of Developmental Disabilities PARR EVALUATION SUMMARY (Please use the fillable form or Print legibly) Last Name First Name Middle Name/Initial Gender M Date of Birth (MM/DD/YYY) Social

How to fill out OH PASRR Evaluation Summary

How to fill out OH PASRR Evaluation Summary

1. Gather necessary patient information including personal details, admission reasons, and mental health history.
2. Review relevant medical and psychiatric documentation to ensure all information is current.
3. Complete the demographic section with accurate details about the individual.
4. Fill out the clinical assessment section, including mental status evaluation and summary of any existing diagnoses.
5. Include information regarding the individual's functional capabilities, particularly in relation to living and social skills.
6. Assess any previous services received and their effectiveness.
7. Provide relevant information regarding family history and support systems available.
8. Sign and date the evaluation summary before submission.

Who needs OH PASRR Evaluation Summary?

1. Individuals being admitted to a nursing facility who have mental illness or developmental disabilities.
2. Care coordinators and case managers involved in the referral and admission process.
3. Healthcare providers responsible for evaluating patients for long-term care.
4. Regulatory agencies that require documentation for compliance with mental health standards.

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What is OH PASRR Evaluation Summary?

The OH PASRR Evaluation Summary is a document used in Ohio to assess individuals with mental illness or intellectual disabilities before their admission to a nursing facility. It aims to ensure that individuals receive appropriate care and services.

Who is required to file OH PASRR Evaluation Summary?

The evaluation summary must be filed by the nursing facility or the referring agency for individuals who are seeking admission to a nursing facility and have known mental illness or intellectual disabilities.

How to fill out OH PASRR Evaluation Summary?

To fill out the OH PASRR Evaluation Summary, providers should gather the required personal and medical information, complete the assessment forms accurately, and submit the documentation according to the state guidelines.

What is the purpose of OH PASRR Evaluation Summary?

The purpose of the OH PASRR Evaluation Summary is to evaluate the individual's needs and determine the appropriateness of nursing facility placement, as well as to identify necessary services and supports.

What information must be reported on OH PASRR Evaluation Summary?

Information that must be reported includes the individual's demographics, medical history, mental health diagnosis, functional status, and any required accommodations or services needed in the nursing facility.