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STATE OF NEVADA SERVICE
SPECIFICATIONS ALZHEIMER’S
DIAGNOSTIC SERVICE Any exception to
these Service Specifications must be requested in advance in writing and
approved by the Deputy Administrator. PURPOSE: To promote quality of service, Aging and Disability Services Division (ADSD) has established service specifications that contain general guidelines. ADSD will use these service specifications as the basis for assessing program performance. The service specifications that each grantee must follow consist of GENERAL REQUIREMENTS, according to the funding source, and SERVICE-SPECIFIC REQUIREMENTS established for each funded service. 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 632.005-632.500, 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. 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.
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