VistA-WorldVistAEHR/r/AUTOMATED_MED_INFO_EXCHANGE.../DVBCATC1.m

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DVBCATC1 ;ALB ISC/THM-TEXT FOR A&A/HOUSEBOUND EXAM ; 5/17/91 9:18 AM
;;2.7;AMIE;;Apr 10, 1995
;
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TXT10 ;;A veteran who is in receipt of the highest level of basic
;; special monthly compensation for multiple service-connected
;; disabilitites causing need for regular aid and attendance may
;; be entitled to a higher rate if, because of the service-connected
;; conditions, the veteran requires the daily health-care services
;; of a skilled provider, without which he/she would require hospital,
;; nursing home, or other institutional care. These services may be
;; provided by a family member or other individual under the
;; supervision of a physician or other health-care professional.
;;
;; Personal health-care services include, but are not limited to,
;; physical therapy, administration of injections, placement of
;; indwelling catheters, and the changing of sterile dressings, or
;; like functions which require professional health-care training
;; or the regular supervision of a trained health-care professional
;; to perform. A licensed health-care professional includes, but
;; is not limited to, a doctor of medicine or osteopathy, a
;; registered nurse, a licensed practical nurse, or a licensed
;; physical therapist. Only a VA physician may certify the need
;; for higher level of care.
;;
;; Special note: Veterans with potential entitlement to higher
;; level of aid and attendance are commonly unable to travel except
;; by ambulance. Before calling a veteran in for examination, a
;; physician should review treatment records, if available, and
;; determine whether need can be determined by record review and
;; telephone contact with the veteran and/or the skilled provider.
;;
;;
;;A. Indicate if the veteran requires the daily health-care services of a
;;skilled provider, without which the veteran would require hospital, nursing
;;home, or other institutional care, specifying the services required (if
;;the veteran does not require daily health-care services of a skilled
;;provider, state "daily services not required" and go to the end of the
;;exam):
;;|TOP|
;;B. Indicate if the veteran is actually receiving the required daily
;;skilled services and if they are being provided by a licensed health-care
;;professional:
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;; 1. If not by a health-care professional, indicate who is providing
;;the daily skilled services and idendify the health-care professional under
;;whose supervision the services are being provided -
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;; 2. Note how often and under what conditions the non-professional
;;provider is supervised by a health-care professional (Example: weekly
;;visit by home health-care nurse, monthly visit and weekly telephone
;;contact by family physician) -
;;END