Workflow: Registration

1. Workflow: Registration Appraisal RN or Evaluator registers the patient (“Referred” short reg) & prints face sheet Patient presents onsite or offsite evaluation requested Disposition determined by Evaluator: Not Admission/not referral to BHC Outpatient Referred to BHC Outpatient Admission On-site Evaluator obtains authorization/contacts patient. Outpatient Registration staff responsible for completing Recurring registration if patient will attend program After business hours/night shift; Patient face sheet with disposition left for Registration staff- if Reg. staff onsite, give to them Registration completes full registration that day or the following morning After business hours/night shift; Patient face sheet with disposition left for Registration staff- if Reg. staff onsite, give to them

2. Workflow: Intake (Evaluation and Appraisal) Patient needs evaluation; onsite or in the field Pt. registered by Evaluator or RN (Referred short reg) Pre-Admission SOC added to pt. chart RN Appraisal/Evaluation conducted Pt. for admission: Evaluator completes Precert in Registration routine Pt. needs placement elsewhere? Evaluator adds “Outside Facility Placement” to Worklist & documents placement attempts RN obtains orders & arranges transport (if in field) Pt. referred/other resources: Evaluator completes and prints form Suggestions for Further Care Upon patient arrival onsite, RN adds appropriate Inpatient SOC (& possibly Tx Problem) Evaluator or RN indicate Disposition with face sheet & gives it to Registration staff. IF patient is referred to BHC Outpatient, leave face sheet/Disposition for on-site Evaluator

3. Workflow: Adding Treatment Problems & Outcomes Patient arrives onsite for admission, RN begins Nursing Assessment Assessment may trigger Problems- add or do not add Problem(s) as appropriate for patient RN selects Outcomes on each Problem that are goals for that patient by leaving the status of the chosen Outcomes as “Active” RN adds “DSM 5 Axis Diagnosis” Problem & also may add any medical Problems that are a focus of treatment, and/or one or two behavioral Problems requiring treatment focus Case Manager accesses Plan of Care to view already-selected Problems and Outcomes that were placed on “Hold” Next, RN changes the status to “Hold” on all Outcomes not chosen by the RN for all Problems Case Manager changes status of any Outcomes they’ve chosen for patient from “Hold” to “Active”. CM then changes all other Outcomes to “Inactive” Recreational Therapist or CM may add Problem(s) at this time if necessary for treatment, leaving “Active” the Outcomes they select. Rec. Therapists or CM then must change status on all other Outcomes to “Hold” and inform RN, who is responsible for either selecting Outcomes- by “Activating” them-, and/or “Inactivating” inapplicable Outcomes Doctor now can review treatment plan and document on “DSM 5 Axis Diagnosis”