I concur, it does not to the best of my knowledge. Also admonished my surveyors to develop a scoring system, we did, but it is not automatically generated.
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Original Message:
Sent: 12-03-2014 14:40
From: Dairine Pearson
Subject: Grief Assessments
Hi Caitlin,
I would say having using it for a few years that Allscripts cannot automatically generate a risk score (1, 2 or 3) based on use of the assessment tools found there. The assignment of 1 low, 2 moderate or 3 high has always fallen on the hospice social worker's clinical judgment and comprehensive assessment of situation along with input from the hospice team.
In Allscripts there are a variety of caregiver-related screens that can be completed including primary caregiver issues and coping, and a separate screen for Bereavement/Grief Risk Factors for up to 3 family members total (including PCG). Valuable information can be documented here, however the screens are not very comprehensive. For example if the family member is dealing with serious illness themselves which might significantly affect their grief coping after the death, this is not a Grief Risk Factor offered on the screen. (Comments about such factors can be added in a box). For these and other reasons related to missing variables, I'm glad that the program does not generate a score automatically but that we rely on the IDT input and assessments. Note also that it only covers 3 family members in assessment screens; any number of family and friends can be added to pt's chart.
Our recent survey resulted in surveyor insisting on use of above screens in documenting rationale for score, their limitations notwithstanding.
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Dairine Pearson
Bereavement Counselor, MSW
Visiting Nurse & Hospice Care of Santa Barbara
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Original Message:
Sent: 12-02-2014 10:38
From: Caitlin Mason
Subject: Grief Assessments
Does anyone know if Allscripts is able to automatically generate a risk score based on information in the bereavement risk assessment?
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Caitlin Mason
Bereavement Coordinator
Tabitha Hospice
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Original Message:
Sent: 12-01-2014 09:16
From: Charles Kleinheksel
Subject: Grief Assessments
Thank you Diane.
We offer a bereavement assessment as well.
But the problem we're seeing is that *surveyors are rejecting bereavement assessment tools if the tool doesn't "automatically" score the risk level. But I'm unable to determine why that built-in scoring mechanism is required or even necessary.
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Charles Kleinheksel, LMSW
Support Spec
Consolo Services Group
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Original Message:
Sent: 11-28-2014 14:20
From: Diane Snyder Cowan
Subject: Grief Assessments
Hi -
If you type in bereavement assessment, you will find some old discussion threads. The topic does come up from time to time and we did have a chat on it a few years ago. I know that several Electronic Medical Record software programs come with bereavement assessments. We have Suncoast as our EMR, but have modified the assessment. Allscripts has one too as do others.
NHPCO's Guidelines for Bereavement in Hospice Care includes guidelines for assessments - areas to address - physical, emotional, social, spiritual, economic and intrapersonal. You may find it helpful in developing your own assessment. Many agencies are unable to share their tools or forms.
Best,
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Diane Snyder Cowan, MA, MT-BC, CHPCA
Director of Bereavement Center
Hospice of the Western Reserve, Inc
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Original Message:
Sent: 11-25-2014 09:02
From: Merrie MacHose
Subject: Grief Assessments
Camille, There was an excellent discussion stream on this topic awhile back. If you go back into the digest records, I think you could find it. Not that it's not worth discussing, but there were many ideas shared in that "stream."
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Merrie MacHose, MA
Bereavement Coordinator
Heartland Home Health Care and Hospice
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Original Message:
Sent: 11-24-2014 15:05
From: Camille Evans
Subject: Grief Assessments
This message has been cross posted to the following eGroups: Social Worker and Bereavement Professional .
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I have been doing research on Grief Assessments and am having a very hard time finding something that fits our bereaved population and is not too long. I wondering if anyone would be willing to share what assessments for grief work after the death you are using?
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Camille Evans, LMSW, ACHP-SW
Executive Director/ Social Worker
Heart 'n Home Hospice and Palliative Care, LLC
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