Bed Program Encounters

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Program Encountering Scorecard

Provider Initials
Date
Bed Program Encounters
Face to Face
Phone Calls/Emails
Weekly Meds review
Outreach Encounters
Face to Face
Phone/Email
Meds Review
Procedures
Examination
Lab Work
Venipuncture
EKG
Invasive Procedures
Diagnostics
Review of Results
Emergency Diversion
Diversion
AAH Diversion (OICH)
AAH Diversion (CS)
Sent to Emergency
AAH Emerg (OICH)
AAH Emerg (CS)
Volunteers/Students
Number
Hours
Group Sessions
Number of Sessions
Number of Attendees
Number of Individual Visits
Training
Hours

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