Increasing Vocational Rehab Services Monthly Project
Facility Contact First Name:
Facility Contact Last Name:
Facility Contact Email:
Facility Contact Phone Number:
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Examples of PHI include patient name or initials, birthdate, SSN, etc.
Next Step: Problems/Barriers
What was the biggest problem/barrier you identified in the previous reporting month?
Problem/Barrier if 'other' specify what problem/barrier was discovered
What did you do to try to impact barriers?
Did you ensure that CROWNWeb was updated for
to indicate their Current VR status?
Referred to VR
Currently in VR
Not eligible for VR
Only patients 18-54 can have their VR/EN status documented in CROWNWeb. However, we are also focusing on engaging and referring patients age 55-64. This reporting month how many patients within the 55-64 age range have you referred to VR/EN services?
What MEANINGFUL patient engagement activities did you do?
Please use this space to provide additional information or comments you'd like the Network to know.
Next Step: Submit
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