Question: Henry Williams Mos COPD Rehabilitation Gender DOD Height Male 1/3/1952 183 Cm (72 In) 88 Kg (194 Lbs) Allergies Adim On Penttiin 3/14/2021 Weight Diagnostics Clinical Observations MAR Radiology Orders Assessment Tools Patient Patient Log Information Assessment Tools Transitional Care Model (TCM Moderate To Severe Functional Deficits (e…. HARP Score …

Henry Williams Mos COPD rehabilitation Gender DOD Height Male 1/3/1952 183 cm (72 in) 88 kg (194 lbs) Allergies Adim On Penttiin 3/14/2021 Weight Diagnostics Clinical Observations MAR Radiology Orders Assessment Tools Patient Patient Log Information Assessment Tools Transitional Care Model (TCM Moderate to severe functional deficits (e…. HARP score 2, KATZ < 4, Lawton 5) S An active behavioral and/or physical health issue (e.g. GDS »5) Four or more active co-existing health conditions Slx or more prescribed medications ✓ Two or more hospitalizations within the past 6 months S A hospitalization within the past 30 days OS inadequate support system Inw health it ELECTRONIC HEALTH RECORD с (@ % # 3 5 & 7 6 00 W cu t у u р S d f g h k 2 VOC Tools Assessment Tools Transitional Care Model (TCM) Moderate to severe functional deficits (e.g., HARP score >2, KATZ < 4, Lawton < 5) An active behavioral and/or physical health issue (e.g. GDS >5) ✓ Four or more active co-existing health conditions Six or more prescribed medications Two or more hospitalizations within the past 6 months A hospitalization within the past 30 days Inadequate support system ✓ Low health literacy 1 AAR