English French Notes Complete/Exclude 1. STATION NO. 2. NAME OF RCH 3. & 4. HOME CITY STATE ZIP 5. DATE OF LAST ASSESSMENT 6. LICENSED BY STATE 7. NO. OF VETS REMAINING AT END OF QTR. 8. NO. OF DAYS OF CARE FOR VETERANS DURING QTR. 9. NO. OF BEDS IN HOME 10. HOME FOR VETERANS ONLY 11. AVERAGE MONTHLY RATE PAID NO DAYS OF CARE FOR Task Queued to Print !! SOCIAL WORK DIVISIONAL RESOURCES/REFERRALS REPORT WHAT WORKER TO DELETE ? WORKER HAS CASES ASSIGNED, MUST REPLACE WITH ANOTHER WORKER BEFORE DELETING ! WORKER IS IDENTIFIED AS SUPERVISOR, PLEASE REPLACE WITH ANOTHER SUPERVISOR ! ARE YOU SURE YOU WANT TO DELETE THIS WORKER LIST OF SOCIAL WORKERS LIST TO PRINT AT SELECTED TIME WORKERS LIST IMMEDIATE SUPERVISOR 1 Edit Site Parameters 2 Enter/Edit a Reporting Site Enter 1, 2 or to exit 1// SOCIAL WORK SITE PARAMETERS MUST BE ADDED FIRST !! HIV+/AIDS^02 NATIVE AMERICAN^03 is a duplicate code value for RCH REGISTRY FOR ALL OPEN CASES FOR A SUPERVISOR SELECT RCH PATIENT: INCOMPLETE TRANFER INFORMATION - PATIENT WAS NOT TRANSFERED is not a valid code ! Select CDC Account: ***Environment is fine*** This account is missing some SPN routines! This is not the current version of Spinal Cord! is missing patch SPN*2*15 is missing patch SPN*2*19 This account is missing some DG routines! This is not the current version of DG! is missing patch DG*5.3*415 is missing patch SPN*2*16 is missing patch SPN*2*20 SCD Outcomes Date Of Birth Date Of Death Care Type Care Start Date Care End Date Score Type Respondent Type Eating Grooming Bathing Dressing Upper Body Dressing Lower Body Toileting Bladder Management Bowel Management Xfer To Bed/Chair/Wheelchair Xfer To Toilet Xfer To Tub/Shower Walk/Wheelchair Method Of Walk/Wheelchair Stairs Comprehension Method Of Comprehension Expression Method Of Expression Social Interaction Problem Solving Memory Get To Places Outside Of Home Shopping Planning And Cooking Own Meals Doing Housework Handling Money Method Ambulation (Walking) Method Ambulation (Wheelchair) Help During Last 2 Weeks Number Of Hours Of Help Hours Of Help Within Last Day Sensory (Kurtzke) Cerebral (Kurtzke) Cerebellar (Kurtzke) Bowel & Bladder Funct (Kurtzke) Visual (Kurtzke) Other (Kurtzke) Pyramidal (Kurtzke) Brainstem (Kurtzke) Physical Independence (CHART) Mobility (CHART) Occupation (CHART) Social Interaction (CHART) Economic Self Sufficiency (CHART) Cognitive Indep (CHART) CHART Total Score Swallowing (FAM) Car Transfers (FAM) Community Access (FAM) Reading (FAM) Writing (FAM) Speech Intelligibility (FAM) Emotional Status (FAM) Adjustment To Limitations (FAM) Employability (FAM) Orientation (FAM) Attention (FAM) Safety Judgement (FAM) Diener Composite Score DUSOI Composite Score Motor Score (FIM) Cognitive Score (FIM) Total Score (FIM) Length of Rehab in Days ASIA Impairment Scale Total Motor Score Total Pin Prick Score Total Light Touch Score Neurolevel-Sensory Right Neurolevel-Sensory Left Neurolevel-Motor Right Neurolevel-Motor Left ASIA Complete/Incomplete Partial Preservation-Sensory R Partial Preservation-Sensory L Partial Preservation-Motor R Partial Preservation-Motor L ASIA Highest Neuro Level Self Report of Function move around inside of house Registration Registration Date Registration Status Date Of Last Update Last Updated By SCI Network SCI Level VA SCI Status Amount VA is Used Primary Care VAMC Annual Rehab VAMC Additional Care VAMC Non-VA Care Etiology Date Of Onset Describe Other Onset Of SCD Cause By Trauma MS Subtype Had Brain Injury? Had Amputation? Memory/Thinking Affected Eyes Affected One Arm Affected One Leg Affected Both Arms Affected Both Legs Affected Other Body Part Affected Describe Other Body Part Extent Of Movement Extent Of Feeling Bowel Affected Bladder Affected Extent of SCI Annual Rehab Eval Offered Annual Rehab Eval Received Next Annual Rehab Eval Due Last Annual Rehab Eval Offered Last Annual Rehab Eval Rcd Last Annual Rehab Eval Due Primary Care Provider SCD-Registry Coordinator Referral Source Referral VA Initial Rehab Site Init Rehab Discharge Date Bowel Care Reimbursement BCR Date Certified BCR Provider Sensory/Motor Loss Classification of Paralysis Type Of Injury This option prints an aggregate Outcomes report, based on your selection of Care Type and range of Care End Dates. Care Type: Enter the desired Care Type 1-4 Record Type: Enter the desired Record Type 0-8 Score Type: Enter the desired Score Type 0-11 BEGINNING DATE Ending date: ENDING DATE SPN* AGE* MIN* MAX* LOR* TF* SEX* SL* COMD* ASIA* Continuum of Care Outcomes MF* Annual Eval Outcomes Inpt Rehab Outcomes Outpt Rehab Outcomes CONTINUUM OF CARE Outcomes Report Based on Care Dates from HI TETRA LO TETRA ASIA D # and % of Patients Age (yrs) Age Range Gender (% Male pts) Length of Stay (days) Length of Stay Range Total FIM Change FIM Efficiency FIM Goal Attainment % Discharged to Community FIM Durability Diener SWLS Change Diener SWLS Durability ANNUAL EVALUATION Outcomes Report Based on Observations from Total FIM Score Motor FIM Score Cognitive FIM Score CHART Physical Indep CHART Cognitive Indep CHART Mobility CHART Occupation CHART Social Interaction CHART Economic Diener SWLS INPATIENT Rehabilitation Outcomes Report Based on Care End Dates from Length of Rehab (days) Length of Rehab Range MSCIS Total FIM Change MSCIS FIM Efficiency OUTPATIENT Rehabilitation Outcomes Report Include the sort criteria in the header Do not queue this report if you used up-front or user selectable filters. Please re-enter your selection. , 'abc' indicates order chosen Someone else is currently using this macro !! Sort criteria in report header: SPNMAXOP( SPNMENU( SPNOPTN( SPNMACRO( TO( Check/update macro checksums. Checksum: Checksum is OK. Change checksum to Building the Ad Hoc macro export routine(s)... ' to install the exported Ad Hoc macros. ;HISC/DAD-AD HOC REPORTS: EXPORTED MACROS ; ;;0.0;Package Name;;Mmm DD, YYYY === Ad Hoc Macro Installer === Install macros? EXIT ; *** Clean-up and quit PROCESS ; *** Process a macro Skipping Ad Hoc macro ' ', already exists. Adding Ad Hoc macro ' Could not add Ad Hoc macro ' MACRO ;;Macro data === Ad Hoc Report Macro Export Compiler === Ad Hoc Report Macro Routine: Another macro Select MACRO TO EXPORT Select a macro name or number, to deselect a macro Enter ALL to select all macros. ALL may be followed by SORT or PRINT to select only sort/print macros. ALL may also be followed by FILE to select macros for a particular file. Or, use any combination of the above. for a particular file SPNNAME? ;HISC/DAD-AD HOC REPORTS: INTERFACE FOR THE MACRO ; *** Check/update macro checksums LABEL;MULTIPLE-VALUED;POINTER;SPECIFIER;TYPE Sort from/to look-up screen: SPECIFIER;TYPE === Ad Hoc Report Interface Compiler === Ad Hoc Report Interface Routine: MULTIPLE SCLEROSIS SPNL SCD COORDINATOR G.SPNL SCD COORDINATOR@ Ward Unknown Missing date Date Admitted : Date Discharged : Admitted to : #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### ####################