Gentler Journeys: Easing Transitions of Care: Pre-Test

Please provide a response to the following questions. Thank you for valuable input and time.

1. Essential information to include regarding the care of patients with serious mental illness during transitions of care from acute to post-acute settings include_________________.*
2. When the Pre-Admission Screening and Resident Review (PASRR) Level I screening indicates possible concerns for potential serious mental health issues or intellectual disabilities, a PASRR Level II comprehensive evaluation is required for residents being admitted to long-term care facilities.*
3. If a nursing home community receives a referral from an acute setting for a resident with serious mental illness who requires behavioral health management, the facility should__________________.*
4. Most post-acute, long-term care facilities and behavioral health providers are able to receive summary of care information from acute care hospitals electronically, in real-time.*