Entering the Service Application Details for Nursing Homes (NH)  

Note

Click View Case Info to obtain an overview of the patient's current and previous referrals created. Also, the telephone and FAX numbers are provided for the healthcare professionals to make any enquiry pertaining to the referral services.

Service type selected at the time of referral creation is auto-populated in this field.

For community hospital service application, it is displayed as follows:

Nursing Home (NH)

Does the applicant/family have any preference in terms of the following?

You can select the preferences for following:

• *Diet

• *Location

• Preferred Service Provider

• *Religion

		Note
		You can select the applicant/family's preferences for Day Rehabilitation / Dementia Day Care / Social Day Care/Nursing Home/SPICE service only

*Amount of fees that the Applicant / Person-in-charge can afford to pay

Current Location of Patient:
*Location of Patient

You can select the current location of the patient as follows:

• Home -- You must select one of the following for home address:
    > NA -- not applicable
    > NRIC Address -- Patient's NRIC address is populated.

            > Non NRIC Address -- Patient's non-NRIC address needs to be entered.                               

• Hospital -- You must provide the following details:  
   > Expected Discharge Date
   > Hospital Type

• Institution -- You must select the institution from the list provided.

You can specify if the patient is known to other community services as follows:

• NA -- Not Applicable.
  You are not required to fill any details.
• Yes -- You are required to mention the community services in the text box provided.
• No -- The patient is not known to any community services.

Known to MSW / CM/ ACTION TEAM

Is patient known to :

a) You can select if the patient is known to the following:

• MSW
• Case Manager
• Action Team
• Others

b) You can further provide the *Name, *Telephone, *Designation, *Email and so on.

c) To add the details, click Add.

Rehab
Referral

Has patient been referred for therapy

You can choose from the following therapies:

• Physiotherapy
• Occupational Therapy
• Speech Therapy

		Note
		Selecting these therapies, enables the PT, OT and ST tabs for entering further information.

Patient's TCU

Patient requires follow up at OPD/Specialist Clinic?

You can select Yes or No:

Patient requires follow up at OPD/Specialist Clinic.

Financial Information

a) You can select one of the following:

• Not applicable --- You are not required to enter further information.
• The applicant is on Public Assistance (PA Ref no.) -- Patient is on public assistance and you can provide the PA Ref no. and CDC.
• The applicant is on Medical Fee Exemption Card (MFEC No.) -- Patient is exempted from medical fees payment. You can provide the MFEC No.

b) Has MOH ILTC Means Test initiated?:

• Yes -- The For Residential (NMTS) section is enabled. You need to enter the following details:

          > *Subsidy Type
          >  Scheme Type
          > *NMTS subsidy level           
          > *Submission Date (dd/mm/yyyy)
          > *Valid until

• No -- The following options are enabled:
  > Initiated/Partial Completion
  > Keen to be Means Tested
  > Not keen to be Means Tested

• Pending HHMT

• AIC Internal Use

Brief Social History

Under social history, you can enter the patient's biography, family history / social support and issues.

Also, you can enter current care management, primary caregiver and experience of care giving.

Additional Information

Any additional information required to be mentioned in the service application can be entered in the Other Remarks textarea.

Note

Note

Note

The mandatory fields that are not entered properly are indicated with asterisks (**). A message is displayed on the top of the page to enter the required fields.