Hospital Challenging Placements Survey 2018 Question Title * 1. What region of South Dakota is your hospital located? Region 1 (Butte, Lawrence, Meade, Pennington) Region 2 (Bennett, Custer, Fall River, Jackson) Region 3 (Haakon, Hughes, Hyde, Perkins, Potter, Walworth) Region 4 (Brule, Gregory, Mellette, Tripp) Region 5 (Brown, Clark, Codington, Day, Deuel, Edmonds, Grant, Hamlin, Marshall, McPherson, Roberts) Region 6 (Aurora, Beadle, Brookings, Davison, Faulk, Hand, Jerauld, Kingsbury, Lake, McCook, Miner, Moody, Sanborn, Spink) Region 7 (Bon Homme, Charles Mix, Clay, Douglas, Hutchinson, Union, Yankton) Region 8 (Lincoln, Minnehaha, Turner) OK Question Title * 2. Please rate resident conditions from least difficult to most difficult (1-9) in regard to discharge/placement: 1 2 3 4 5 6 7 8 9 Bariatric individuals 1 2 3 4 5 6 7 8 9 Individuals requiring dialysis and/or transportation to dialysis 1 2 3 4 5 6 7 8 9 Individuals with challenging behaviors 1 2 3 4 5 6 7 8 9 Individuals requiring intravenous medications for extended periods of time 1 2 3 4 5 6 7 8 9 Individuals requiring tracheostomy care/suctioning 1 2 3 4 5 6 7 8 9 Individuals with traumatic brain injury 1 2 3 4 5 6 7 8 9 Individuals with a criminal background history 1 2 3 4 5 6 7 8 9 Individuals without a payment source 1 2 3 4 5 6 7 8 9 Residents who are incompetent and are without a guardian OK Question Title * 3. Are you familiar with Dakota at Home (South Dakota's free information referral service)? Yes No OK Question Title * 4. Are you familiar with the Add-Pay program and how an individual qualifies to participate in the Add-Pay program? Yes No OK Question Title * 5. Do you know who to contact to initiate an application for Medicaid for follow up on a pending Medicaid application? Yes No OK Question Title * 6. Please provide any additional information that affects your facility's ability to discharge or find placement for individuals that has not previously been noted. OK DONE