Copy of Keystone First CHC SC Process Training - 09/18/2018

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* 1. First Name

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* 2. Last Name

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* 3. Phone Number

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* 4. Email Address

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* 5. Job Title

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* 6. Service Coordination Entity Name

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* 7. I attest that I attended today’s Keystone First Community HealthChoices SC Process Training

Yes

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* 8. A trigger event consists of all of the following except:

A significant health care event

A change in home setting/environment

A change in caregiver or informal support

A new diagnoses or change n functional status

All of the above

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* 9. Service Coordinators are not responsible for assisting Participant’s in identifying members of their Person Centered Planning Team

True

False

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* 10. The comprehensive needs assessment consists of all of the following except:

InterRAI HC

Plan of Care

Service Providers

Person Centered Planning Team

Service Authorizations

Progress note

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* 1. First Name

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* 2. Last Name

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* 3. Phone Number

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* 4. Email Address

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* 5. Job Title

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* 6. Service Coordination Entity Name

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* 7. I attest that I attended today’s Keystone First Community HealthChoices SC Process Training

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* 8. A trigger event consists of all of the following except:

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* 9. Service Coordinators are not responsible for assisting Participant’s in identifying members of their Person Centered Planning Team

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* 10. The comprehensive needs assessment consists of all of the following except:

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* 11. Comments