Welcome to the ePASRR level 2 training for nursing facilities. In this video
we will show you how to complete a level 2 evaluation in the ePASRR application.
If a patient in the nursing facility was admitted with an exemption and the exemption timeframe is expiring or the patient had a
Significant change in condition requiring a resident review. You must complete a level 2 evaluation in ePASRR.
To complete the level 2 evaluation in ePASRR use the right navigation bar and select search for patients.
Enter the patient's name or ID number and select search.
Locate the correct patient in the grid below and select the patient if the patient does not exist in ePASRR
Use the link to add a new patient.
Once you select an existing patient or create a new patient profile the patient management page will open.
You will see the patient demographic information,
Options for completing a PASRR packet and all the PASRR packets that have previously been completed for the patient.
You have two options to complete a level 2 evaluation.
Level 2 with ePASRR
1178 will allow you to use a level 1 PASRR screening form that is already an ePASRR if you choose that option
You will see the packets available for copying in the grid below
Select the copy button next to the appropriate packet.
Level 2 without ePASRR
1178 will require that you scan and upload a hard copy version of the level 1 PASRR screening form.
If you choose the second option you must then select create packet.
Before beginning the level 2 evaluation, please provide the patient with a copy of the pre-admission screening notice.
This can be found under the resources and instructions tab.
For this example,
we will select the Level 2 with ePASRR
1178 option and select copy next to the corresponding ePASRR packet.
The packet management page will open up enter the name and phone number of the designated contact person at the nursing facility.
Under the referring entity contact information section.
You will see that the Level 1 PASRR screening form has been copied into the Level 2 evaluation
packet you can select view form to view the Level 1 screening.
Next use the drop down list to select the type of Level 2 evaluation required.
After you choose an option select begin Level 2 entry.
There are two options for completing a Level 2 evaluation.
You can create a new Level 2 packet or use an existing Level 2
Determination. Use the drop down list to make a selection and then select save packet option.
To see step-by-step instructions for using an existing Level 2 determination
Please watch the video titled using existing Level 2 evaluations within ePASRR.
After selecting the option to create a new Level 2 packet
You will see all the forms required to complete the evaluations.
If you need the mental-health authority to make a determination quickly, you can check the Rush priority box.
Depending on the form type you will have different options for completing the forms.
The Edit form button allows you to data enter the information
into a web template the upload button allows you to search for a file saved on your computer and upload it if
You select the view form button next to DHS
1147 it will automatically import the most recent approved
1147 from HILOC
To upload a form select the Browse button and search for your saved file.
Select the upload button and you will see the file appear in the grid below.
After uploading the form make sure you select the complete form button at the bottom of the page.
All required forms must be in a complete status before the evaluation
Can be sent to the mental health Authority for determination or to place the patient at a nursing facility
If you would like to add any additional information for the Mental Health Authority
You can enter a note in the Level 2 notes section. Once you are finished select the complete Level 2 button.
Level 2 evaluations for serious mental illness may or may not be sent to adult mental health division for determination.
This will depend on the answers in the AMHD psyche 2 form. If the Level 2 evaluation
requires a determination by AMHD the forum status will show required next to AMHD determination
if the site to forum shows no for serious mental illness a
determination by am HD is not required and the forum status will change to not applicable next to am HD determination
If a level 2 determination is not required
You will see two options for completing the packet if you feel that AMHD should make a determination
Even though it is not required
You must enter a note stating why you want it reviewed and then select the send to AMHD button
You will see that the Level 2 packet status changed to pending Level 2 determination
If you do not need AMHD to make a determination
Select the complete level 2 button you will see that the level 2 packet status changed to complete.
When the mental health authority has completed the determination you will see the PASRR packet status change to complete.
Open the packet and you will see a reminder note to provide the determination letter to the patient and physician.
Scroll down and you will see the determination form is in a complete status.
Under the actions column you can view and print the determination letter and the determination form
Review the determination to ensure that the patient is appropriate for continued nursing facility placement.
Thank you for watching. The ePASRR Level 2 training for nursing facilities.
If you have any questions an ePASRR
our frequently asked questions guide with step-by-step instructions is available under the resources and instructions tab in ePASRR, or
Feel free to call us at 1.808.941.1444 or email ePASRR support at HSAG.com