Drug Regimen Review - MDS/SNF QRP

3601P serves as a record for documenting the Drug Regimen Reviews that are conducted at the admission of a resident for skilled Part A PPS services as well as throughout that skilled stay.   The form includes:

     Specific data as to date and time of admission DRR, etc.
     Identification when no issues are identified during DRR and no further action is needed
     Reason(s) for identification of potential or actual clinically significant medication issues
     Clinician comments re: reason for referral to physician/physician designee
     Specific data as to date and time of physician notification and response
     Specific data as to Recommended/Prescribed Action
     Specific data as to completion of prescribed action
     Back side of form provides for 2 additional Drug Regimen Reviews during the resident's skilled stay, as needed/appropriate.

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