Entering Service Application Details (CH)

Introduction

The service application page allows the referral source to select the services required for the patient. This page describes the information required for the CH (Community Hospital) services referral application.

Entering the Service Application Details

Proceed as follows:

On the Svc App tab, enter the details as described in the following table:

		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.

Field Name	Description
*Referral Application Type	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: Community Hospital / Transitional Convalescent Facilities (CH/TCF)
*Assigned Service Provider (CH)	Name of the service provider assigned.
*Type of ward preferred	Allows you to select the bed type based on the facilities available at the service provider. For example, 1-bedded, 4-bedded, 5-bedded and so on.
*Reason for Referral	You can select from the following reasons: Rehab Sub-Acute -- You can further specify the reasons from the following (check boxes): > IV Therapy > General medical debility ( i.e Sepsis/Infection/, uncontrolled Sugar, Postural, Hypotension or uncontrolled Hypertension) > Respiratory Care (i.e Pulmonary Rehab, Tracheostomy management) > Acute exacerbation of chronic diseases > Renal Care (ie HD or CAPD) > Wound management > Others

Select the following (check boxes), if applicable:

The applicant was admitted to Community Hospital in this calendar year
A list of community hospitals is displayed. Select the check box adjacent to the CH where the patient was admitted in the calendar year.
The applicant is a CSC card holder
This is an Industrial Accident case
This is a Police case
Is service include COPD ICP
You can enter the COPD coordinator's details, such as, Name, Designation, Phone and Email address.

After selecting the reasons for referral and related details, in the Type of Info for Medical/Dementia/Psychiatric Report section, select the following reports:

a) Medical Report:
Soft Copy or Hard Copy

b) Nursing Procedure:
Soft Copy or Hard Copy

After selecting the services, you can enter the following details:

Service Name

Fields Description

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 -- The patient's NRIC address is populated
  > Non NRIC address -- The 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.

Discharge Planning:
Is patient known to other community services

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

You can provide the attending therapist's details in the Attending Therapist Details text box.

		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 choose the following:

Yes -- You must enter the following details:
> *Clinic/Hospital
> Doctor's Name
> Speciality
> Date Time (dd/mm/yyyy)
> Special
such as clinic/hospital, speciality, doctor name and so on.
To add the OPD/Specialist Clinic details, click Add.
No

Financial Information

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.

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.

After completing the service application page, in the Completed By section, by default, the information of the user logged (for service application, it is Main Hospital Coordinator, Case Worker or MSW) in to IRMS is populated. You can update the name, designation, telephone, email and date, if required.

		Note
		The information (name, telephone number and so on) is based on the details available in the logged-in user’s profile.

In the Coverage for Main Hospital Coordinator/Case Worker/MSW section, enter the details (name, designation, contact) of the coverage personnel.

		Note
		The Coverage for Main Hospital Coordinator/Case Worker/MSW section is optional. These details are entered if the main officer is on leave.

When the service application is ready, you can do one of the following:

Save – to save the biodata as draft.
You may want to use the save option, if the page is partially completed or you do not want to submit it immediately.
Ready – to save and mark the draft as ready to submit (indicated by flag in orange).

		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. You cannot submit the page without completing the mandatory fields. Once the page is submitted (indicated by flag in green), you cannot modify the details.

Entering the Service Application Details for Community Hospital (CH)

Introduction

Entering the Service Application Details