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STATE OF NEVADA
DIVISION FOR AGING SERVICES
SERVICE
SPECIFICATIONS
ALZHEIMER’S
DIAGNOSTIC SERVICE
(Revised
1/01)
Any exception to
these Service Specifications must be requested in advance in writing and
approved by the Administrator.
SERVICE
DEFINITION:
This service provides a comprehensive medical
and social evaluation for patients 60 years of age, or older, with suspected
dementia.
SERVICE CATEGORIES AND
UNIT MEASURES:
Diagnosis:
The process of determining, by examination and analysis, the nature and
circumstances of a disease condition. Patients will be provided a comprehensive
medical and social evaluation and from that, a case plan will be developed which
may include treatment, prescriptions, and referrals for other medical and social
services.
One unit equals one diagnostic or follow-up visit.
GENERAL
REQUIREMENTS:
A.
Pursuant to NRS 632.010-632.500, grantees must meet all applicable
statutes pertaining to nursing.
B.
Pursuant to NRS 630.003-630.411, grantees must meet all applicable
statutes
pertaining to physicians and assistants.
SPECIFICATIONS:
1.
Required Services:
1.1
Provide patients with a complete diagnostic physical evaluation.
This evaluation must, at a minimum, include a review of past medical
history, a physical examination and a treatment plan.
1.2
Provide referral assistance to any patient requiring medical
consultation or care beyond the scope of services offered by the
program.
1.3
Provide in-home evaluation when deemed necessary by the medical services
team.
1.4
Perform autopsy services. A pathological examination of the brain will be
performed when appropriate approvals have been secured.
2.
Optional Services:
2.1
Provide community and professional education programs.
3.
Documentation Requirements:
3.1
Client file documentation must include the following information.
3.1.a
An individual patient chart indicating the results of the physical
examination and other specialized services received by
the patient.
3.1.b
Results of any in-home evaluation performed.
3.1.c
Referrals of the patient to other services for which they may
qualify. Results of these referrals should also be annotated
or recorded.
3.1.d
Follow-up of referrals must be completed and documented within thirty
(30) days.
4.
Quality Improvement:
4.1
Conduct at least one quality assurance review annually. The review must
evaluate the quality of medical service provided by the program and the
adequacy of documentation. The results of the review must document any
program deficiencies and contain a plan of correction.
