Staying Healthy Assessment Questionnaire
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Staying Healthy Assessment Questionnaires - DHCS
(2 days ago) WebStaying Healthy Assessment Questionnaires. Age and language-specific SHA questionnaires can be opened by clicking the links below. Currently all questionnaires are available in a PDF format. Please note: Farsi, and Khmer age-specific SHA questionnaires are available upon request. Please contact the health plan you contract …
https://www.dhcs.ca.gov/formsandpubs/forms/Pages/StayingHealthyAssessmentQuestionnaires.aspx
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State of California Health and Human Services Agency …
(5 days ago) WebBe sure to talk to the doctor if you have questions about anything on this form. Your answers will be protected as part of your medical record. Clinic Use Only: Do you drink or eat 3 servings of calcium-rich foods daily, such as milk, cheese, yogurt, soy milk, or tofu? Yes. No. Skip. Nutrition.
https://www.olehealth.org/wp-content/uploads/2022/05/StayingHealthyAssessment_Adult_English.pdf
Category: Nutrition, Food, Medical Show Health
Staying Healthy Assessment - Premier Pediatrics
(3 days ago) WebState of California — Health and Human Services Agency Department of Health Care Services DHCS 7098 F (06/13) SHA (9 – 11 Years) Page 1 of 2 Staying Healthy Assessment 9 – 11 Years Child’s Name (first & last) Date of Birth Today’s DateFemale Male Grade in School: Person Completing Form Parent Relative Friend Guardian
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Staying Healthy Assessment - Blue Shield of California
(5 days ago) WebState of California — Health and Human Services Agency Department of Health Care Services DHCS 7098 H (Rev 12/13) SHA (Adult) Page 1 of 2 Staying Healthy Assessment Adult Patient’s Name (first & last) Date of Birth Female Male Today’s Date Person Completing Form (if patient needs help) Family Member Friend Other
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Staying Healthy Assessment FAQs - San Francisco Health Plan
(5 days ago) WebStaying Healthy Assessment FAQs What is the Staying Healthy Assessment (SHA)? The SHA is the Department of Health Care Services’ (DHCS) SHA questions may be asked verbally and responses recorded directly in the patient’s EMR Patients have the right to refuse, decline, or skip any or all parts of the SHA
https://www.sfhp.org/wp-content/files/providers/forms/Self_Health_Assessment_FAQs.pdf
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STAYING HEALTHY ASSESSMENT (SHA) - HPSM
(2 days ago) WebGenerally, the “Adult” questionnaire should be completed by all 18-55 year old patients. After 55 years of age, PCP needs to select the assessment (Adult or Senior) best suited for patient based on health status, biological age, chronic conditions, mobility, etc. Senior 0-6 mo. √ 7-12 mo. √ √ 1-2 yrs. √ √ √
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Staying Healthy Assessment FAQs - Partnership …
(5 days ago) WebThe Staying Healthy Assessment (SHA) and IHEBA (Individual Health Education Behavioral Assessment) requirements SHA Questions and Health Literacy Have the pediatric SHA questions been validated as a screening tool for issues in nutrition, safety, mental health, development, etc., with culturally and linguistically diverse populations
http://www.partnershiphp.org/Providers/HealthServices/Documents/Health%20Education/SHA_FAQs.pdf
Category: Nutrition Show Health
DHCS - Staying Healthy Assessment (SHA) Provider Training
(5 days ago) WebIn 2013, DHCS released the new DHCS sponsored IHEBA forms called Staying Healthy Assessment. We will talk about other types of health education behavioral assessment forms later. The SHA also helps to prevent duplication of this information by providing a standardized form. DHCS requires Medi-Cal providers to administer the SHA or other
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Initial Health Assessment (IHA) / Staying Healthy Assessment …
(1 days ago) WebUSING THE STAYING HEALTHY ASSESSMENT The Staying Healthy Assessment is an age‐appropriate questionnaire designed to be self‐administered by the patient or parent. Alternatively, the patient or parent may be asked SHA questions verbally and responses recorded directly in the patient's electronic medical record.
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2022 Optum Initial Health Assessment (IHA) and Staying …
(7 days ago) Webenrolled patients requiring an Initial Health Assessment (IHA) and a Staying Healthy Assessment (SHA) questionnaire. • Identify the necessary components, required timelines and exceptions to completing the IHA and SHA. • Source and implement the Optum SHA resources to ensure that patients successfully complete the SHA questionnaire, providers
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Staying Healthy - DHCS
(3 days ago) WebState of California —Health and Human Services Agency Staying Healthy Assessment Senior Patient’s Name (first & last) Date of Birth Female Male Today’s Date Person Completing Form (if patient needs help) Family Member Friend Other (Specify) Need help with form? Yes No Please answer all the questions on this form as best you can.
https://www.dhcs.ca.gov/formsandpubs/forms/Forms/DHCS_7098_I_ENGLISH_SHA_Senior.pdf
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Staying Healthy Assessment - DHCS
(6 days ago) WebPlease answer all the questions on this form as best you can. Circle “Skip” if you do not know an answer or do not wish to answer. Staying Healthy Assessment Ages 0-6 Months Keywords: SHA,healthy,assessment,DHCS,"managed care" Created Date: 12/5/2014 10:49:35 AM
https://www.dhcs.ca.gov/formsandpubs/forms/Forms/DHCS_7098_A_ENGLISH_SHA_0-6Months.pdf
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Staying Healthy Assessment - Blue Shield of California
(9 days ago) WebState of California — Health and Human Services Agency Department of Health Care Services DHCS 7098 F (Rev 12/13) SHA (9 – 11 Years) Page 1 of 2 Staying Healthy Assessment 9 – 11 Years Child’s Name (first & last) Date of Birth Female Today’s Date Male Grade in School: Person Completing Form Other (Specify)
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Staying Healthy Assessment (SHA) Training - Alameda …
(3 days ago) WebWell-child visits ages 0- 15 months – Health Education/Anticipatory Guidance Age 3-17 years Weight assessment and counseling for nutrition and physical activity Age 12-21 years Adolescent well care – Health Education/Anticipatory Guidance Chlamydia screening HPV vaccination Prenatal care if pregnant (applies at any age)
https://alamedaalliance.org/wp-content/uploads/Staying-Healthy-Assessment_052418-no-notes.pdf
Category: Nutrition Show Health
Staying Healthy Assessment
(1 days ago) WebIf your home has more than one floor, do you have safety guards on the windows and gates for the stairs? Does your home have cleaning supplies, medicines, and matches locked away? Does your home have the phone number of the Poison Control Center (800-222-1222) posted by your phone?
https://prempediatrics.com/wp-content/uploads/updated-SHA-English-0-6Months-1.pdf
Category: Medicine Show Health
Staying Healthy Assessment (SHA) Training
(8 days ago) WebStaying Healthy Assessment . Is the preferred assessment tool for PHC providers. New SHA forms must be implemented by April 1, 2014. Alternate tools must meet specific DHCS • At the end of the last question, the patient writes down any other health concerns or questions he/she may have. Make sure to address these questions or concerns.
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Staying Healthy Assessment
(8 days ago) WebStaying Healthy Assessment 12 – 17 Years DHCS 7098 G (Rev 12/14) SHA (12 – 17 Years) Page 1 of 2 Name (first & last) Date of Birth Yes No Please answer all the questions on this form as best you can. Circle “Skip” if you do not know an answer or do not wish to answer. Be sure to talk to the doctor if you have questions about
https://www.olehealth.org/wp-content/uploads/2022/05/StayingHealthyAssessment_12-17yrs_English.pdf
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Achieving Initial Health Assessment (IHA) & Staying Healthy …
(1 days ago) Web•The DHCS-sponsored and approved IHEBA used is the Staying Healthy Assessment (SHA). Initial Health Assessment (IHA) overview 6 Initial Health Assessment Staying Healthy Assessment Questionnaire Administer Administer/Re-administer Review Age groups Within 120 days of enrollment as part of IHA 1st scheduled exam (after entering
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Staying Healthy - DHCS
(5 days ago) WebState of California — Health and Human Services Agency Department of Health Care Services DHCS 7098 C (Rev 12/13) SHA (1 – 2 Years) Page . 1. of 2. Staying Healthy Assessment . 1 – 2 Years. Child’s Name (first & last) Date of Birth. Female Male. Today’s Date. In Child/Day Care? Yes No. Person Completing Form. Parent . Relative
https://www.dhcs.ca.gov/formsandpubs/forms/Forms/DHCS_7098_C_english_SHA_1-2Years.pdf
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