Weekly Weight Variance QI Log - DIGITAL FORM
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Briggs Weekly Weight Variance QI Log allows clinicians to track potential resident weight changes and record information pertinent to weight, including:
•Current Weight
•Weight Variance Percentage - 1, 3 & 6 month periods
•Weekly Weight - 4 weeks
•Diet
•Supplements
•Physician and Family Notifications
•Care Plan Updates
•Significant Change in Status Assessment (MDS)
•Follow-Up
•Data Collection Items for Weight Loss
•Calculation Instructions for Facility Weight Loss
•NEW: Clinician Comments/Notes area provided on reverse side of log
The information collected and recorded on this Log provides the information needed to initiate a PIP (Performance Improvement Project).
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*SUBSCRIPTION: Form access is licensed for 1-year per agency/facility location. Multiple sites require a quote. This digital form is delivered as a form-fillable PDF and includes 1-year of updates. To receive your electronic file and updates you must complete and return a content license agreement and provide an end-user email address and contact name for file delivery (please allow 2-3 business days for order fulfillment) and provide the facility/agency address. After 1- year, your subscription will automatically renew.
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Briggs Healthcare does not allow use of any of its intellectual property without a valid license and payment of fees.
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*SUBSCRIPTION: Form access is licensed for 1-year per agency/facility location. Multiple sites require a quote. This digital form is delivered as a form-fillable PDF and includes 1-year of updates. To receive your electronic file and updates you must complete and return a content license agreement and provide an end-user email address and contact name for file delivery (please allow 2-3 business days for order fulfillment) and provide the facility/agency address. After 1- year, your subscription will automatically renew.
All Briggs Digital on Demand products require a credit card payment (or pre-payment) to receive digital files electronically.
Briggs Healthcare does not allow use of any of its intellectual property without a valid license and payment of fees.