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Readmissions
Readmissions
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Created by Qualaris Staff
Critical Access Hospital
Case Management
Table of Contents
Audit Form
Audit Form
Readmissions
Description
All inpatient/Observation readmissions < 30 days
Required
Observed Date
Days from previous admission?
Do not enter protected health information (PHI)
Readmissions Checklist
Mark all as...
Is this a planned readmission?
Yes
No
N/A
Is this a related readmission?
Yes
No
N/A
Was this readmission related to non compliance with medication or treatment?
Yes
No
N/A
Was this readmission related to caregiver support?
Yes
No
N/A
Was this readmission related to complications from original stay?
Yes
No
N/A
