***DRAFT***

September 3, 1998

Children’s Elements

Considered but Not Included

V. CHILDREN’S ELEMENTS FILE [Elements Considered but Not Included.]:

Item

FN-11

Source

Other

¬ ¾ ¾ ¾ ¾ ¾ ¾ ¾ ¾ Committee Recommendation ¾ ¾ ¾ ¾ ¾ ¾ ¾ ¾ ®

#

Data Element

Document

Name

Definition

Workgroup Comments

1

History of Use of MH Services

FN-10 p.45

CC p.22

History of use of mental health services prior to most recent admission to the organization ­ Previous treatment by a mental health organization of any kind (yes/no)

­ If yes, previous treatment within the past year (yes/no)

­ If yes, previous treatment by this organization (yes/no)

­ If yes, program elements in which previous services were received:

-Inpatient

-Residential

-Partial day

-Outpatient

-Case Management

-Emergency

-Screening/evaluation

-Supportive services

-Prevention

-C & E

 

2

Referral upon discontinuation

FN-10 p.46

CC p.23

  ­ No referral (self, family, friend took responsibility

­ Inpatient/residential care (indicate specific type)

­ Other referrals(indicate specific type)

 

3

Staff member(s) participating

CC p.26

  Organization staff present during the time of treatment.  

4

Average age of receivable, by payor source

CC p.27

  The ending net patient accounts receivable figure divided by an average day’s net patient service revenue.