D4.6_Admission Referral Tracker Spreadsheet.xlsx

XLSX spreadsheet 13 KB Posted

Attached to
G004--Transitional Housing Services for VAGLAHS 30 Bed Low Demand Safe Haven SPA 5
Solicitation number
36C26226R0083
Issued by

About this file

This is a spreadsheet template designed to track admission referrals for a transitional housing program. The Admission Referral Tracker is structured as a data collection tool with column headers for recording essential information about individuals referred to the 30-bed low-demand safe haven facility operated by the VA Greater Los Angeles Healthcare System. The spreadsheet appears designed to document client intake data, referral sources, admission dates, and related tracking metrics necessary for program management and reporting purposes for the transitional housing services contract (Solicitation #36C26226R0083).

The tracker serves as an operational management tool for the Veterans Health Administration's Veterans Integrated Service Network 22 to monitor and document the flow of referrals and admissions into the safe haven program. This type of administrative documentation is typical for performance monitoring and service delivery verification under federal transitional housing service contracts, enabling the contractor to maintain records required for contract compliance, outcome reporting, and federal oversight of services provided to eligible veterans in the Greater Los Angeles area.

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Other files

File Type Posted
36C26226R0083 0001_1.docx DOCX document
D4.5_SQUARES.pdf PDF
D.4.2_Contractor Rules of Behavior Agreement Form.pdf PDF
D4.8_Quality Assurance Surveillance Plan.docx DOCX document
D4.7_Discharge Form.doc DOC document
D4.4_Request for Extension of Per Diem Form.docx DOCX document
D.4.3_Incident Reports.docx DOCX document
D.4.1_Americans with Disabilities Act.pdf PDF
36C26226R0083_Transitional Housing 30 Bed LDSH SPA.pdf PDF

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Text version

Denial List

Veteran Declined Placement
Unable to Contact Veteran
Program Denied: Reason Specify in Column H

May 23 Last Name First Name Last Four Date of Referral Time of Referral Date of Admission Date of Denial Reason for Denial/Disposition Specify Reasoning When Selected Program Denied

File details come from the government source that posted it. Updated .