2017 PASRR RFB Appendix D - Time Estimates for Completing Level II Screens.doc

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Attached to
Preadmission Screening and Resident Reviews (PASRR) Level II Screens
Solicitation number
S-0627 DCTS-17
Issued by
Wisconsin

About this file

This appendix document supports a Request for Bid issued by the Wisconsin Department of Health Services to contract with vendors to perform Federally required Preadmission Screening and Resident Reviews (PASRR) Level II screens for prospective and current nursing home residents in Wisconsin. The service involves evaluating individuals with serious mental illness or intellectual/developmental disabilities to determine their need for specialized services and appropriate placement in nursing facilities. The document provides detailed time estimates for completing both full and abbreviated Level II screens, broken down by screening type (Mental Illness or Developmental Disability screen) and by specific task components including initial appointment setup, travel, clinical assessments, family consultations, documentation, administrative processing, and resident communication.

The time estimates provided range from 2.0 to 12.5+ hours for full screens and 1.0 to 3.25+ hours for abbreviated screens, with variable travel time noted as a separate component. The document indicates that these estimates apply to the majority of standard screenings, with provisions for additional assessment time when residents present complex needs requiring specialized evaluation such as neurological exams. The appendix serves as a resource guide for bidding vendors to understand the scope and duration of work involved in executing PASRR Level II screening services under the contract opportunity.

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Preadmission Screening and Resident Review (PASRR) Level II Screens

Appendix D

TIME ESTIMATES* FOR COMPLETION OF A FULL

AND AN ABBREVIATED LEVEL II SCREEN

AMOUNT OF TIME

MI SCREEN
DD SCREEN
1. Receive request for Level II Screen; set up appointment(s) for screening with hospital or nursing facility.
.25 - .50 hrs
.25 - .50 hrs
2. Travel time to the hospital, nursing facility, or person’s home.
VARIABLE
VARIABLE

3. Level II Screening process for persons with a serious mental illness:

a) Medical history and physical exam;

b) Drug history and assessment;

c) Psychosocial evaluation;

d) Functional Assessment;

e) Psychiatric treatment history and evaluation;

f) Discussion with the person’s legal representative and family; and

g) Evaluation report and summary.

0 - 1.5 hrs

0 - 1.0 hrs

.50 - 2.0 hrs

.25 - 1.0 hrs

.25 - 1.0 hrs

0 - .5 hrs

.25 - 1.0 hrs

4. Level II Screening process for persons with an intellectual/developmental disability:

a) Medical history and physical exam;

b) Psychological exam and social history, if necessary;

c) Functional status evaluation;

d) Discussion with the person’s legal representative and family; and

e) Evaluation report and summary.

0 - 1.5 hrs

0 - 4.0 hrs

.5 - 2.0 hrs

0 - .5 hrs

.25 - 1.0 hrs

5. Dictate and type/write-up screen.
.5 - 1.0 hrs
.5 - 1.0 hrs
6. Review screen and make determination of the person’s need for specialized services/specialized psychiatric rehabilitative services and the determination of the person’s need/appropriateness for placement in a nursing facility. Complete the Facesheet.
.25 - .5 hrs
.25 - .5 hrs
7. Clerical responsibilities: a) Scan and upload the Level II Screen and the notification letter to the PASRR data warehouse; b) Mail/fax/email the screens and letters to the appropriate parties; and c) File a copy of the screen and the letters.
.25 - .5 hrs
.25 - .5 hrs
8. Discuss with the resident/legal representative to explain the evaluation summary and the determinations.
0 - 1.0 hrs
0 - 1.0 hrs
TOTAL ESTIMATED TIME FOR A FULL SCREEN
2.5 - 11.5+ hrs
2.0 - 12.5+ hrs.
TOTAL ESTIMATED TIME FOR AN ABBREVIATED SCREEN (Steps 2 - 5 would not be necessary)
1.0 - 3.25+ hrs
1.0 - 3.25+ hrs

* Note: These time estimates are appropriate for the majority of the screens. Additional time for assessment will be required for screens for persons who present additional needs, for example, if a neurological exam is needed.

PAGE

RFB No. S-0627 DCTS-17

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