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ADHC Telehealth Tool Kit

ADHC Telehealth Tool Kit

This tool kit is designed to assist and provide information to adult day health care (ADHC) programs in the delivery telehealth services. With the exception of DOH guidance, the forms and protocols contained within this tool kit are not endorsed by the State. The tool kit contents are recommendations and can be adapted to fit the needs or policies of individual programs. The tool kit will be updated as necessary.   

Questions about this tool kit or ADHC services delivered telephonically or two-way audio-visual communication, can be directed to Anne Hill, ahill@leadingageny.org, or 518-867-8836.

July 24, 2020

ADHC Telehealth Tool Kit

Getting Started: Registrant Technology Questionnaire

Use this questionnaire to determine access to technology in the home, preferred method and delivery of telehealth and barriers.

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July 24, 2020

ADHC Telehealth Tool Kit

Risk Assessment Tool

Use this tool to identify and assess risk when registrant is home-bound or ADHC program is temporarily closed.

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July 24, 2020

ADHC Telehealth Tool Kit

Wellness Check Questionnaire

Use this sample or adapt this wellness questionnaire for the delivery of telehealth services.

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July 24, 2020

ADHC Telehealth Tool Kit

Sample Registrant Communication Log
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July 24, 2020

ADHC Telehealth Tool Kit

ADHC Without Walls: Benefits, Barriers and the Business of Telehealth

Click here to access the recording and handout from the June 18th webinar. 

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July 24, 2020

ADHC Telehealth Tool Kit

Documentation: Telehealth Care Plan Template

ADHC programs must create and follow a telehealth care plan for each registrant.

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July 24, 2020

ADHC Telehealth Tool Kit

ADHC Telehealth Protocols
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July 24, 2020

ADHC Telehealth Tool Kit

ADHC Telehealth Policy and Procedure
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July 24, 2020

ADHC Telehealth Tool Kit

ADHC Social Work and Nursing Encounter Form

Keep track of your one-on-one and group encounters with this form.

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July 24, 2020

ADHC Telehealth Tool Kit

ADHC Telehealth Service Tracker

Use this detailed encounter form to help you keep track of daily and weekly utilization (minutes) of telehealth. This form will be very helpful to your billing department. 

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