| Name | Value |
|---|---|
| NAME | VA-HOMELESSNESS SCREENING |
| PRINT NAME | Homelessness Screening |
| CLASS | NATIONAL |
| SPONSOR | HOMELESSNESS OFFICE |
| USAGE | * |
| EDIT HISTORY |
|
| DESCRIPTION | The Secretary of the Department of Veterans Affairs has made it a will guide staff to refer Veterans for further assessment and the appropriate intervention to prevent or quickly end homelessness. priority to eliminate homelessness in our Veteran population. The objective of the VA-Homelessness Screening Clinical Reminder is to: (a) identify Veterans and their families who are at imminent risk of homelessness or who have very recently become homeless; (b) ensure that those who are at-risk or who are currently homeless are referred for the appropriate assistance; and (c) update the current living situation for Veterans. Information collected by the VA-Homelessness Screening reminder |
| FINDINGS |
|
| FUNCTION FINDINGS |
|
| TECHNICAL DESCRIPTION | The reminder applies to all Veterans, EXCEPT any Veteran where one of
3. Those that have had a Progress Note written with a SPECIFIC Title (that
is already entered into the logic of the Computed Finding [VA-PROGRESS
NOTE]) by a provider in a NON-Homelessness Stop Code clinic, who provided
those services.
Entering a Beginning Date/Time of T-6M on that Reminder Term is a logic
trick to ensure that only visits in those locations, or the Specific
Health Factor, or the specific Progress Note Title IN THE PAST 6 MONTHS
are evaluated.
the following findings in the Reminder Term (Finding #1) apply:
This reminder's frequency is set to 1 year, but this required somewhat
complex resolution logic so that various findings and conditions resolve
the reminder for different time frames.
Negative Screens result in resolution for 6 Months. This was accomplished
by creating a Function Finding - FF(#1), that sets the frequency.
---- Begin: FF(1) ----------------------------------------------
Function String: MAX_DATE(3,5)'<MAX_DATE(2,4)
Expanded Function String:
1. Those who have had a visit in one of the specific Stop Code Clinics
MAX_DATE(POSITIVE - HAS WORRIES ABOUT HOUSING,
POSITIVE - HAS NO STABLE HOUSING)'<MAX_DATE(
NEGATIVE - HAS STABLE HOUSING,NEGATIVE - HAS NO HOUSING CONCERNS)
Match Frequency/Age: 6 months for all ages
Found Text: Positive Screen more recent than Negative
Screen. Frequency changed to 6M.
---- End: FF(1) ----------------------------------------------
Finding #9 - NURSING HOME RESIDENT - resolves the reminder for 2 years
(Frequency set on that finding, but Beginning Date/Time set to T-2Y, so
(Homelessness-related) listed in the Reminder Location List ; or
that after 2 years, the finding no longer applies, and normal frequency
(1Y) applies), until and if that living arrangement is documented again.
Findings #2 & #4 - NEGATIVE - HAS STABLE HOUSING and NEGATIVE - HAS NO
HOUSING CONCERNS - are BOTH Required for Negative Screen. If BOTH are
found, the reminder is resolved for 1 year, but if 3 consecutive screens
are negative, and the Computed Finding that looks at the Reminder
Definition VA-HOMELESSNESS FREQUENCY 2Y is evaluated as TRUE, it is
resolved for 2 years.
A Positive Screen (Finding #5 - POSITIVE - HAS NO STABLE HOUSING; or
Finding #3 -POSITIVE - HAS WORRIES ABOUT HOUSING ) resolves for 6 months,
as does documenting UNABLE TO PERFORM HOMELESS SCREEN (Finding #7).
Finding #6 (Declines Homeless Screen) Resolves for 1 year.
Customized RESOLUTION LOGIC defines findings that resolve the Reminder:
FI(9)!(FI(2)&FI(4))!FI(6)!FI(3)!FI(5)!FI(7)
Expanded Resolution Logic:
2. Those who have had the Health Factor, ALREADY RECEIVING ASSIST WITH
FI(NURSING HOME RESIDENT)!(FI(NEGATIVE - HAS STABLE HOUSING)&
FI(NEGATIVE - HAS NO HOUSING CONCERNS))!FI(DECLINES HOMELESS SCREEN)!
FI(POSITIVE - HAS WORRIES ABOUT HOUSING)!
FI(POSITIVE - HAS NO STABLE HOUSING)!
FI(UNABLE TO PERFORM HOMELESS SCREEN)
HOUSING entered into a visit by using the corresponding option in the
dialog; or
|
| INTERNAL PATIENT COHORT LOGIC | (SEX)&(AGE)&'FI(1) |
| PATIENT COHORT FINDINGS COUNT | 3 |
| PATIENT COHORT FINDINGS LIST | SEX;AGE;1 |
| CUSTOMIZED RESOLUTION LOGIC | FI(9)!(FI(2)&FI(4))!FI(6)!FI(3)!FI(5)!FI(7) |
| INTERNAL RESOLUTION LOGIC | FI(9)!(FI(2)&FI(4))!FI(6)!FI(3)!FI(5)!FI(7) |
| RESOLUTION FINDINGS COUNT | 7 |
| RESOLUTION FINDINGS LIST | 9;2;4;6;3;5;7 |
| AGE FINDINGS COUNT | 3 |
| AGE FINDINGS LIST | 9;10;FF1 |
| # OF GEN. COHORT FOUND LINES | 0 |
| # GEN. COHORT NOT FOUND LINES | 0 |
| # GEN. RES. FOUND LINES | 0 |
| # GEN. RES. NOT FOUND LINES | 0 |
| BASELINE AGE FINDINGS |
|
| # SUM. COHORT FOUND LINES | 0 |
| # SUM. COHORT NOT FOUND LINES | 0 |
| # SUM. RES. FOUND LINES | 0 |
| # SUM. RES. NOT FOUND LINES | 0 |