Purpose: To examine clinical issues or problems that possibly affect different sites of the UCLA Multicampus Program in Geriatric Medicine and Gerontology, review possible solutions, and disseminate what the Committee feels would be clinically useful between sites.

CIS FILE ORGANIZATION

1. Geriatric Assessments -- Forms/Templates used for comprehensive assessment, nursing facility admission, annual H&P, or to facilitate those purposes
   • Comprehensive Assessment (JHA)
   • Geriatric Medical Assessment (WLAVA)
   • Nursing Facility Admission Summary (JHA)
   • Pre-Visit Questionnaire (CHS)
     
     
2. Transfer Summaries -- Forms/Templates used to facilitate transfers/orders between facilities
   • Inpatient Transfer Orders (CHS)
   • Medical Transfer Summary (JHA)
     
     
3. Episodic Visits -- Forms/Templates used acute or periodic routine visits
   • Nursing Home Follow-Up Note (UCLA)
   • Nursing Monthly Visit Note (JHA)
     
     
4. Special Clinical Assessments --- Forms/Templates used for specialized clinical assessments
   • Fall Safety Assessment (JHA)
   • GYN Clinic Evaluation (JHA)
   • Urinary Incontinence Evaluation (JHA)
   • Preoperative Evaluation (JHA)
     
     
5. Clinical Summaries -- Forms/Templates used to summarize clinical information
   • Medical Face Sheet (JHA)

Last Updated: May 14, 2007 © 2000 UCLA GeroNet