All potential residents should be medically and psychiatrically stable. Placements made by one medical center into another medical center's program will be coordinated through the follow-up medical center. All arrangements will be made prior to placement. The program coordinator will assure that each resident and provider is visited at least monthly by a VA health care professional. Residents who have special needs should be seen more frequently as determined in their statements of needed care, or as their care needs change.
All followup visits require documentation of visit and appropriate statistical accounting.
A successful placement discharge occurs when the veteran has become integrated into the home and the community to the degree that a new set of social supports have replaced the monitoring activities of VA staff. Recommendations for a successful placement discharge will be initiated by the program coordinator in consultation with other team members. A review of the veteran's need for continued monitoring should occur annually in conjunction with the annual physical examination, described in paragraph 7.03b.