SN Patient Name

1 ABDULLA WALI
2 MOHAMED NASRALLAH A M EMADADHI
3 UMRA MASUD MUSA UMER
4 SORAYA LEUPI
5 SHAMSI YARMOHAMADI
6 SALAHELDIN MOUSSA
7 MUKESH "MICKY" JAGTIANI
8 HASSAN ALI HASSAN BIN HUSSAIN
9 NASHMEEH
10 YASSEIN MOHAMED ISMAIL BALBAA
11 KHADIJA
12 BUTAN
13 SALEH ALBLOOSHI
14 ADNAN BAHNOO
15 AMMAL SRINIVASAN NADATHUR
16 KEDARNAT GUPTA
17 ABDULRASOOL WALID NASEEB
25 CHLOE FOX
19 ABUL HASNAT
20 BERIT DE MAHIEU
21 LUKE McGOWAN
22 ANTOINETTE KHOZAM
23 RABIA ALASWAD
24 New referral from Barbara
25 FARIBA SHARMA
26 JOSEF FERNANDEZ
27 TAFWIK AHMED FOUAD MORSY ELZARKA
28 AHMED ALI
29 AHMED ABDULLA DAMAJ
30 SAMAIRA SHOAIB
31 MOUSA HASSAN ALI
32 MARWAN SALHA
33 MULANI KANAYO SOBHRAJ
34 HIMANSHA HARSHANA
35 ALI JABER OBAID
36 ADNAN PACHICHI
37 HAMZA SALEM AL HASHMI
38 H.E SAIF MAKTHOUM KHAMIS AL MANSOORI
39 MARIAM OBAID LAFI ALMEHIRI
40 DANA HAREB ALQUBAISI
41 ZAHRA SALEM HADI AWADH ALAMERI
42 ALI HASAN SALEH AL ALI
43 FATMA MOHAMMAD SALEH
44 KHADEEJA ALI ALhAMELI
45 KHAWLAH AL HARTHI
46 SALEM ALBEDWAWI
MOHAMMED AWAD MOHAMMED AHMED AL
47 MURAR
48 MARIAM ALI SAEED AL SHAMSI
49 TAMAA MOHAMMED ALI SALEM AL NUAIMI
50 THEYAB HAMED AL HASSANI
51 OSHA SAEED AL SULAIMAN
52 HEDAYA AL KAABI
53 HABTOUR THEEB SAIF AL DERER
54 SALEM AL SAYARI
55 ALI AL NEYDI
56 SAIF SALEM AL KHAIILI
57 SAEED AL DHARARI
58 FATIMA OBAID ( DAU NASREEN)
59 SAKINA ALBLOOSHI
60 FATIMA SALEM AL SHAMSI
61 DEHAYA SUBAIH KHALFAN
62 MARIAM KHALEFA SAFI ALHAMELI
63 TANIYA SAID AL ALAWI
64 SALEM SAEED SALEM AL NASKARI
65 AHMED AL DAHERI
66 ABDULLA ADNAN JUNAIDI
67 MOHAMMED ABDULLA
68 WALID ( REFUSE TO GIVE SURNAME)
DEBAYA HAMAD RASHED
SAEED HAMDAN ALDEREI
EISSA SALMAN SALEM SALMAN AL HANAEE
JASSMIN (NIECE)
HUSSEIN SAEED SHEIKHALI
DALAL
SALEMA
MUHSEN
AISHA YOUSIF SAID AL KAABI
MOHAMED FAZAL
RASHIDA EELFADLI EL MUNSHID
SAEED SALEM ABDULLA SALEM AL ZAIDI
KHALED JUMA SAIF ZEAIF AL WAHSHI
HAMDAN JUMA SAIF AL WAHSHI
SAFEYA JUMA SAIF ZEAIL ALWAHSHI
MEERA KHALIFA AL NUAIMI
INTESSAR HASAN AL SAEEDI
BUTTI MOHAMAD AL SHAMISI
ZUHOUR SAEED AIDHA ALAMERI
KAITHEM ABDULLA AHMED
ALI MOHAMMED AL BADI
ALAA AL SAMAAN
RADIA HUSSEIN SHEIKH ABDURAHORAN
SUAAD AHMED NUAAMAN
SAEED ABDULLA ALI ALHASSANI
SAIF AL DHAHERI
KHALIFA SLATUAN
DANA NASSET SHAMLAN
MOZAH RASHED SALEM
HAMDAN SAIF
MUNEER AL OUTUBI
ALI MOHAMED ABDULLA AL ALAWI
ABDULLA HUSSAIN AL MANSOURI
MARIAM IBRAHIM
FUTEIRA KHALIFA SAEED
ABDULLA SAEED ALKAABI
MARYAM
SAKINA ALBLOOSHI
ALSGHAIRA MOHAMMED BATI
SAIF MOHAMMED MUBARAK KALTHAM ALKHYELI
SAEED MOHAMED SALEH ALSHEBAANI
WADEEMA MOHAMMAD
NASSER RASHED ALALAWI
SALEM RASHED MOHAMMED ALEISSAEE
ABDULLA ALI SALEM AL KAABI
KHAZINAH SAEED
KHLOUD AHMED AL JABERI
RAYA GHARIB HAMAD
SAEED ABDULLA ALDHAHERI
SHEIKA ALI SAEED AL KHABI
FATIMA MOHAMMED YOUSSEF
ALI AL HAMMADI
ABU BAKER SALEM ALMENHALL
MOUZA ALI GHANEM ATISH AL MAZROUEI
MOHAMMED HAMAD AL AMERI
NOURA AHMED
AL KAABI AL REEM AHMED HAMOOD ABDALLAH
ALI MOHAMMAD SAHL AL THEHLI
HADIA HASSAN
LAILA MOHMMED SALEM
MOHAMMED KHALAF AL MAHAD
JOKHA MOHAMMED SAEED AL MAZYAD
MADAN AL GHALIA SAEED MOHAMMED
TAIF AL HASSANI
Location Status
Dubai Discharged
Dubai Closed
Dubai Closed
Dubai Discharged
Dubai NMC
Dubai Closed
Dubai Active
Dubai NMC
Dubai NMC
Dubai Closed
Dubai NMC
Dubai NMC
Dubai NMC
Dubai Closed
Dubai Active
Dubai Discharged
Dubai Closed
Dubai Closed
Dubai Discharged
Dubai Closed
Dubai Discharged
Dubai Discharged
Dubai Closed
Dubai Closed
Dubai NMC
Dubai Closed
Dubai Closed
Dubai Active
Dubai Discharged
Dubai Closed
Dubai NMC
Dubai Following
Dubai Active
Abu Dhabi Following
Abu Dhabi Following
Abu Dhabi Following
Abu Dhabi Following
Abu Dhabi Following
Abu Dhabi Following
Abu Dhabi Following
Abu Dhabi Following
Abu Dhabi Following
Abu Dhabi Following
Abu Dhabi Following
Abu Dhabi Following
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Al Ain
Criteria Emirates ID DOB Age Gender
784-1931-54916360 1/7/1931 88 Male
784-1957-4609851-6 1/1/1957 62 Male
21/6/1973 45 Female
784-1972-7298510-8 7/11/1972 46 Female
30/12/1941 77 Female
784-1942-0692516-9 26/9/1942 76 Male
28/9/1951 67 Male
784-1985-3720807-0 NA Male
NA Female
784-1997-4709376-5 16/12/1997 21 Male
NA Female
NA Male
784-1944-0953087-3 NA Male
NA Male
17/11/1939 79 Male
NA Male
784-1938-3109053-0 NA Male
16/6/2003 15 Female
NA Male
NA Female
784-2003-29513079-9 20/4/2003 15 Male
784-1945-5382186-2 NA Female
1/7/1932 86 Female
NA
NA
NA Indian/Pakistani
NA Male
784-1953-8079686-2 NA Male
1/1/1950 69 Male
784-2012-9682416-8 30/8/2012 6 Female
NA
784-1962-4168216-8 NA
784-1945-8626526-9 15/3/1945 73 Male
21/3/2013 5 Male
784-1995-5152627-2 5/4/1995 Male
784-1923-8180714-5 14/5/1923 95 Male
784-1939-1062639 19/9/1939 79 Male
784-1940-2541821-4 1/1/1940 79 Male
784-1935-6963819-5 3/5/1935 83 Female
784-2000-3986848-2 14/7/2000 18 Female
784-1994-4104949-3 11/12/1994 24 Female
784-1983-6802079-2 NA Male
784-1945-9576274-4 1/7/1945 73 Female
784-1939-0605852-9 9/3/1939 79 Female
23/7/1992 26 Female
 NA
784- 1964-0646084-8
NA
784194710757413.00 NA
784195062513270.00 NA
784201621761606 NA
784193708307322.00 NA
NA
NA
NA
NA
NA
NA
NA
784-1969-7509020-B NA
784194203513877 NA
NA
784-1941-1305161-2 NA
784194435494854 NA
NA
NA
NA
784 -1988-4306365-0 NA
NA
784-1935-3802806-4 NA
784-2016-0848192.1 NA
784-1971-7935703-9 NA
NA
NA
NA
NA
NA
784-2010-7241424-2 NA
NA
NA
784-2017-4038391-0 NA
NA
784-1996-3042102-4 NA
784-1988-0387243-5 NA
784201703642070 NA
784- 1959- 2513854-7 NA
NA
784-1973-2930402-2 NA
784-1945-3750837-9 NA
NA
NA
NA
784-1956-3651075-2 NA
784-1942-5290981 NA
NA
 NA
NA
unknown NA
unknown NA
784195042817098 NA
NA
NA
NA
NA
NA
NA
NA
78494306302517 NA
NA
784-1937-6280614-4 NA
NA
NA
784-1949-2650637-2 NA
NA
NA
NA
NA
NA
NA
784-19437950690-3 NA
NA
784-1952-1404961-1 NA
784-1934-8652424-7 NA
NA
NA
NA
784-1940-0919153-0 NA
784193290750871 NA
784-1950-748253-3 NA
NA
784-1943-6302832-8 NA
NA
784201228295826 NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Nationality Marital Status Primary Lang. Sec Lang. Religion Refferal Source
Arab Arabic English Muslim SAADA
Arabic (Other) Arabic Muslim Amana Case Manager
African Muslim Amana Case Manager
Western English Arabic Muslim Mediclinic
Iranian Farsi CCAD
Egyptian Arabic Self
Indian/Pakistani English
Family
Family
Egyptian Arabic English Muslim Amana Case Manager
Dubai Hospital
Dubai Hospital
Amana Case Manager
Arabic (Other) Amana Case Manager
Indian/Pakistani hindi English Family
Indian/Pakistani hindi English Hindu Family
Arabic (Other) Amana Case Manager
Western English Amana Abu Dhabi/Al Ain
Indian/Pakistani English Family
Western German English Family
Western English Amana Abu Dhabi/Al Ain
Syrian Arabic Muslim Family
Iraqi Arabic English Family
Family
Family
Indian/Pakistani Amana Case Manager
Arabic (Other) Neurospinal Hospital
Arabic (Other) Arabic Amana Case Manager
Arabic (Other) Arabic Muslim Amana Case Manager
Indian/Pakistani Family
Amana Case Manager
Arabic (Other) Amana Abu Dhabi/Al Ain
Indian/Pakistani Family
Sri Lankan Family
Emirati/Arabic Arabic
Emirati/Arabic Arabic
Emirati/Arabic Arabic
Emirati/Arabic Arabic
Emirati/Arabic Arabic
Emirati/Arabic Arabic
Emirati/Arabic Arabic
Emirati/Arabic Arabic
Emirati/Arabic Arabic
Emirati/Arabic Arabic
Emirati/Arabic Arabic
Referal Hospital Insurance Provider Payer Source Level Of Approval
Cleveland Clinic Self-pay
Rashid Hospital Self-pay
Rashid Hospital Self-pay
Mediclinic Other
Self-pay
Rashid Hospital Self-pay
Mediclinic Self-pay
Saudi German SAADA

Burjeel Hospital Self-pay

Dubai Hospital
Dubai Hospital
Cleveland Clinic SAADA
Dubai Hospital Self-pay
International Modern Hospital Self-pay
Saudi German Self-pay
Dubai Hospital
Self-pay
Sharjah Self-pay
Mediclinic Self-pay
Rashid Other
Dubai Hospital Self-pay
None Self-pay
-
Other
Dubai Hospital
Neurospinal Hospital Nil Self-pay
Dubai Hospital Other
Dubai Hospital Nil Self-pay
Mediclinic Other
Dubai Hospital Other
Saudi German Nil
Mediclinic Other Self-pay
Al Baraha Other Other
Thiqa 1
Thiqa 1
Thiqa 1
Thiqa 1
Thiqa 1
Thiqa 1
Thiqa 1
Thiqa 1
Thiqa 1
Thiqa 1
Thiqa 1
Primary Hospital Referral Date Month Initial contact Date Last Contact Date
Cleveland Clinic 10/5/2018 May18
Rashid Hospital 6/2/2018 Feb18
Rashid Hospital 7/2/2018 Feb18
Mediclinic 29/1/2018 Jan18
19/2/2018 Feb18
Rashid Hospital 25/2/2018 Feb18
Dec99
Saudi German 12/03/2018 Mar18
11/03/2018 Mar18
Burjeel Hospital 21/3/2018 Mar18
Dubai Hospital 25/3/2018 Mar18
Dubai Hospital 25/3/2018 Mar18
Cleveland Clinic 4/4/2018 Apr18
Dubai Hospital 25/4/2018 Apr18
International Modern Hospital 15/05/2018 May18
Saudi German 26/05/2018 May18
Dubai Hospital 28/05/2018 May18
24/7/2018 Jul18 23/8/2018
Sharjah 4/06/2018 Jun18
Mediclinic 10/06/2018 Jun18
Rashid 2/7/2018 Jul18 7/4/2018 30/10/18
Dubai Hospital 8/7/2018 Jul18
None 11/7/2018 Jul18
- 18/7/2018 Jul18
1/09/2018 Sep18 1/09/2018 1/09/18
Dubai Hospital 5/09/2018 Sep18 5/09/2018 5/09/18
Neurospinal Hospital 5/09/2018 Sep18 6/09/2018 6/09/18
Dubai Hospital 25/09/2018 Sep18 25/09/2018 27/09/18
Dubai Hospital 26/09/2018 Sep18 26/09/2018 4/10/18
Mediclinic 9/10/2018 Oct18 9/10/2018 11/10/18
Dubai Hospital 14/10/2018 Oct18 14/10/2018 14/10/18
Saudi German 13/11/2018 Nov18 13/11/2018 14/11/18
Mediclinic 14/11/2018 Nov18 14/11/2018 14/11/18
Al Baraha 18/11/2018 Nov18 18/11/2018 21/11/2018
SKMC
CCAD Dec99
American Centre Dec99
Self Referral Dec99
Mediclinic Dec99
American center Dec99
Cambridge Outpatients/Mafraq Dec99
Dec99
SZM hospital Dec99
SKMC Dec99
SKMC Dec99
Dec99

Dec99

Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Dec99
Asst. Date (1) Submission Date Approval Date Commenced Service Discharged Date
13/5/2018 13/05/2018 29/05/2018
6/2/2018
8/2/2018
30/1/2018 30/1/2018 2/1/2018 2/1/2018 26/04/2018
21/02/2018
25/02/2018

14/3/2018

22/03/2018 22/03/18

26/4/2018
15/05/2018 N/A 18/05/2018
27/05/2018 N/A 28/05/18 30/05/18

25/07/2018
5/06/2018 6/6/2018 20/06/2018

4/7/2018 30/07/18 7/8/2018 30/10/18

8/7/2018 13/7/2018
12/7/2018
-
1/09/2018
6/09/2018
6/09/2018
26/09/2018 8/10/2018
30/09/2018 2/10/2018
10/10/2018

14/11/2018
14/11/2018 15/11/2018
19/11/2018
4-Apr-18 8-Mar-18
13-Dec-17 12-May-17
8-Feb-18 8-Feb-18
15-Aug-18
13-Jun-18 18-Jun-18
6-Jun-18 18-Jun-18
31-Jul-18
8-Feb-18 8-May-18
10-Aug-18
30-Aug-18 18-Aug-18 18-Aug-18
12-Aug-18 26-Aug-18
Rehab. Program PT Sessions OT Sessions SLT Dieitican Physician Nursing Service
Nursing & Therapy 2
Nursing & Therapy
Nursing & Therapy 24
Nursing & Therapy 84
Therapy
Nursing 28
1 2

Therapy 0
3 0 3

168
Nursing 84
Therapy 5 0 0
5
0
2

Therapy
3 12

Therapy

12

12
3

5 1

Therapy 2 1
Therapy & Nursing 2 2 24 hours
Therapy 2 1 NA
Therapy & Nursing 2 0 0
Therapy 3 0 0
Therapy 2 0 0
Therapy 2 2 0
3 0 0
2
1 0 24hr (12)
Therapy 3
Episodic Nursing ADL Nursing IV Therapy Wound and Ostomy Care
Yes No No
Yes No No
Yes No No
Yes No Both
No No No

No No

No
No No

Wound
Yes IV Infusion/Medication No
No No

No
Yes No
No
No

No
Yes
Yes
Episodic 4-12 Hrs Yes
Episodic up to 4 Hrs No
Episodic 12 Hrs No
NA
Episodic 4-12 Hrs

No
Continence Diabetes Management Caregiver Training
Yes No Yes
Type 2
Yes No
Yes No
No No

No

No No

Yes No
No No

Yes No

No
 132 4 7

Media Month Active Discharged

1 Jun-17 0 0 0
1 Jul-17 0 0 0
1 Aug-17 0 0 0
1 Sep-17 0 0 0
1 Oct-17 0 0 0
1 Nov-17 0 0 0
1 Dec-17 0 0 0
1 Jan-18 1 0 1
1 Feb-18 4 0 0
1 Mar-18 5 0 0
1 Apr-18 2 0 0
1 May-18 4 1 2
1 Jun-18 2 0 1
1 Jul-18 5 0 2
1 Aug-18 0 0 0
1 Sep-18 5 1 1
1 Oct-18 2 0 0
1 Nov-18 3 1 0
1 Dec-18 0 0 0
Total 33 3 7

Gender Male Female

24 16
60% 40%

Age Group Male Female Total

0-5 0 Err:504 Err:504
6-17 Err:504 Err:504 Err:504
18-40 Err:504 Err:504 Err:504
41-65 Err:504 Err:504 Err:504
66-85 Err:504 Err:504 Err:504
>85 Err:504 Err:504 Err:504
Unknown Err:504 Err:504 Err:504

Payer Thiqa 1 Thiqa 2 Daman gold

11 0 0
Reimbursement level
Simple 0 0
Intermediate 0 0
Intesiue 0 0
Complex 0 0

NMC
Patient medically unstable 0
Patient required Acute Care 0
Patient requires Long Term Care 0
Patient Required Inpatient post-acute rehabilitation 0
Patient requires outpatient care 0
Patient with mental health condition, substance abuse
or other behauioral conditions that pose an
unmanageable safety risk to staff 0
Lack of compliance from patient family or care giuer 0
Patient /family cannot prouide a safe home
enuironment to carry out necessary care 0
Patients haue meet or do not display any achieuable
goals of care 0
Patients without a means of payment 0
Patient liues outside of licensing area 0

Declined
Patient/family wanted care from two different company’s 0
Patient/family requesting seruices not funded by
insurance prouider 0
Patient/family unwilling to self pay 0
Patient/Family requesting long term care 0
Patient/Family requesting PAR 0
Patient/family went ouer seas 0
Patient/family want another HHC prouider. 0

Closed cases
Patient/Family failed to engage 0
Patient/Family failed to get necessary documentation for
insurance submission 0
Patient Died before entering seruice 0

Still following
Awaiting assessment 0
Awaiting documentation for submission to insurance
prouider 0
Family requested to delay submission 0
Family requested to delay commencing care 0
Patient still in acute care 0
Patient still in Amana Facility 0
Patient still with another HHC prouider 0
Patient family refused the service 0

Discharges
No seruice required 0
Outpatients 0
Ouerseas 0
Long term care facility 0
Rehabilitation facility 0
Acute Care 0
Another HHC prouider 0
Physician uisits (purpose)
Initial assessment 0
Monthly reuiew 0
Required medical reuiew/interuention 0

Status
Discharged
8/15/2018 Closed
Active
Closed
Discharged
Assesment to submission NMC
Closed
Following
Following
Following
0
0
0
 13 0 0 0 13 8

following up Ins.Aprv.Pend. Submitted Declined Closed NMC

0 0 0 0 0 0
0 0 0 0 0 0
6
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 5
0 0 0 0 0 0
0 0 0 0 0 0
4
0 0 0 0 0 0
0 0 0 0 3 1
0 0 0 0 1 4 3
0 0 0 0 1 1
0 0 0 0 1 0
2
0 0 0 0 1 0
0 0 0 0 3 0
0 0 0 0 0 0 1
0 0 0 0 2 1
0 0 0 0 1 1
0
2 0 0 0 0 0 Jun-17 Jul -17 A
0 0 0 0 0 0
2 0 0 0 13 8

Male / Female
10

9
40.00%

60.00% 8

Gender Mal e Femal e 6

Payers 5

Self-Pay Saada 2 4
18 2
11 3

1
18

0
Payer Thi qa 1 Thi qa 2
Da man gol d Sel f-Pay Sa ada
 1
18

0
Payer Thi qa 1 Thi qa 2
Da man gol d Sel f-Pay Sa ada

N ot Me eti ng C

Declined Ca
Patient/fa mi l y want another HHC proui der. 0
Patient/fami l y went ouer s ea0s
Patient/Fa mi l y requesting PAR 0
Patient/Fami l y requesting l ong term ca 0re
0
Patient/fami l y unwi l l i ng to s el f pay
Patient/fa mil y requesting s erui ces not funded by i nsurance proui der 0
Patient/fa mil y wanted ca re from two di fferent compa ny’s 0
0 0.1 0

Closed Cas
Patient Di ed before enteri ng s e
Patient/Fa mi l y fai l ed to get neces sa ry documentation for ins urance s ubmi s
Patient/Fa mi l y fa i l ed to en

Following Ca
0
Patient stil l wi th a nother HHC proui der

Patient stil l i n Ama na Faci l i 0ty

0
Patient stil l i n acute care

0
Fa mi l y requested to del ay commenci ng ca re

0
Fa mi l y requested to del ay submi s s i on

0
Awa i ting documentation for s ubmis s i on to ins ura nce proui der

0
Awa i ting a ss es s ment

0 0.1 0.2

Discharge
0
Another HHC proui der
0
Acute Care
Rehabil i tation faci l i0ty
Long term ca re faci l i0ty
0
Ouers eas
 Discharge
0
Another HHC proui der
0
Acute Care
Rehabil i tation faci l i0ty
Long term ca re faci l i0ty
0
Ouers eas
0
Outpatients
0
No s erui ce requi red
0 0.1 0.2 0.3 0.4

Name
ABDULLA WALI
UMRA MASUD MUSA UMER
MUKESH "MICKY" JAGTIANI
BERIT DE MAHIEU
LUKE McGOWAN
FARIBA SHARMA
TAFWIK AHMED FOUAD MORSY ELZA
MARWAN SALHA
ALI JABER OBAID
ALI HASAN SALEH AL ALI
TAMAA MOHAMMED ALI SALEM AL N
HABTOUR THEEB SAIF AL DERER
WALID ( REFUSE TO GIVE SURNAME)
Referal D. To initial Contact Initial contact Date to Asses Submition Date to Approval D
Err:502
1 months, 8 days
0 months, 0 days
0 months, 0 days
2 months, 27 days
0 months, 0 days
0 months, 0 days
0 months, 1 days
0 months, 0 days
0 months, 0 days
0 months, 0 days
0 months, 0 days
0 months, 0 days
4 months, 13 days 0 months, 0 days
1 months, 8 days 0 months, 0 days
0 months, 0 days 0 months, 0 days
0 months, 0 days 0 months, 0 days
2 months, 27 days #VALUE!
0 months, 0 days 0 months, 0 days
0 months, 0 days 0 months, 0 days
0 months, 1 days 0 months, 0 days
0 months, 0 days Err:502
0 months, 0 days Err:502
0 months, 0 days 0 months, 0 days
0 months, 0 days 0 months, 0 days
0 months, 0 days 0 months, 0 days
 No. Of Pati ent Monthly with Median
6

0
Jun-17 Jul -17 Aug-17 Sep-17 Oct-17 Nov-17 Dec-17 Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul -18 Aug-18 Sep-

Age Group
10

0
0-5 6-17 18-40 41-65 66-85 >85 Unknown
 1

0
0-5 6-17 18-40 41-65 66-85 >85 Unknown

N ot Me eti ng Crite ria

0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1

Declined Cases
er HHC proui der. 0
went ouer s ea0s
y requesting PAR 0
g l ong term ca 0re
0
l l i ng to s el f pay
urance proui der 0
erent compa ny’s 0
0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1

Closed Cases
Patient Di ed before enteri ng s erui ce
umentation for ins urance s ubmi s si on
Patient/Fa mi l y fa i l ed to enga ge
0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1

Following Cases
0
proui der

Faci l i 0ty

0
ute care

0
i ng ca re

0
mi s s i on

0
roui der

0
s s ment

0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1

Discharged
 Discharged

0.3 0.4 0.5 0.6 0.7 0.8 0.9 1

Submition Date to Approval Date Length of Service

0 months, 0 days #VALUE!
0 months, 0 days 0 years, 0 months, 0 days
0 months, 0 days 0 years, 0 months, 0 days
0 months, 0 days 0 years, 0 months, 0 days
#VALUE! #VALUE!
0 months, 0 days 0 years, 0 months, 0 days
0 months, 0 days 0 years, 0 months, 0 days
0 months, 0 days 0 years, 0 months, 0 days
Err:502 Err:502
Err:502 Err:502
0 months, 0 days 0 years, 0 months, 0 days
0 months, 0 days 0 years, 0 months, 0 days
0 months, 0 days 0 years, 0 months, 0 days
 Median

y-18 Jun-18 Jul -18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18

Gender Refferal
Female SAADA
Male PHC
Family
Self
NA Amana Abu Dhabi/Al Ain
Yes Rashid Hospital
No Dubai Hospital
Neurospinal Hospital
TPN American Hospital
IV Infusion/Medication Mediclinic
No Medcare
NA Al Jalila Children's Hospital
Amana Case Manager
No Burjeel Hospital
Wound CCAD
Ostomy
Both
Not meeting criteria Declined
Patient/family wanted care from two
Patient medically unstable
different company’s

Patient/family requesting services not

Patient required Acute Care
funded by insurance provider

Patient requires Long Term Care Patient/family unwilling to self pay

Patient Required Inpatient post-acute rehabilitation Patient/Family requesting long term care

Patient requires outpatient care Patient/Family requesting PAR

Patient with mental health condition, substance
abuse or other behavioral conditions that pose an Patient/family went over seas
unmanageable safety risk to staff

Lack of compliance from patient family or care giver Patient/family want another HHC provider.
Patient /family cannot provide a safe home
Patient family refused the service
environment to carry out necessary care
Patients have meet or do not display any
achievable goals of care
Patients without a means of payment
Patient lives outside of licensing area
Payer Nationality Age Group
SAADA Emirati 0-5
Thiqa 2 Arab 6-17
Thiqa 1 Iranian 18-40
Daman Gold American 41-65
Self-pay Indian 66-85
Other Pakistani >85
IPC Asian Unknown
Presidential Affairs African
Sheks office Caribbean
Zayed Military Hispanic
Dubai Police European
Aus/NZ
Other

Closed cases Still following Discharges

Patient/Family failed to engage Awaiting assessment No service required

Patient/Family failed to get

necessary documentation for
insurance submission
Patient Died before entering
service
Awaiting documentation for
Outpatients
submission to insurance provider
Family requested to delay
Overseas
submission
Family requested to delay
Long term care facility
commencing care
Patient still in acute care Rehabilitation facility

Patient still in Amana Facility Acute Care

Patient still with another HHC

Another HHC provider
provider
Marital Status Languages Service Case Status Religion
Single Arabic Therapy Active Muslim
Married English Nursing Discharged Christian
Divorced Hindi/Urdu Therapy&Nursing Closed Hindu
Widowed Persian Following Buddhist
Unknown Malayalam Declined Others
IV Therapy NMC
Antibiotics Ins.Aprv.Pend.
Chemotherapy Submitted
Immunotherapy
Hydration
Blood Products

Physician Visits (purpose)

Initial assessment

Required medical review/intervention

Monthly review

Other
Refferal Source Level Of Approval Nursing Diabetes Mang.
Amana Rehab Simple Basic 24 Type 1
Amana LTVU Intermediate Complex 24 Type 2
Amana Case Manger Intesive 12 Hrs Nursing No
Hospital Complex NA
PHC NA Episodic
Family Episodic up to 2 Hrs
Self Episodic 2-4 Hrs
others Episodic 4-12 Hrs
Actions taken Wound Care Diagnosis of Cognitive Impairment
Referral for Diagnosis Surgical Wound Dementia (Mixed Or Unknown Type)
Referral for reassessment Pressure Inj G1 Alzheimers
Commenced congnitive Rehab. Prog. Pressure Inj G2 Lewy Body
Pressure Inj G3 Vascular Dementia
Pressure Inj G4 Frontotemperal Dementia
Burn Korsakoff Syndrome
Diabetic Ulcer Posterior Cortical Atrophy
Arterial Ulcer Normal Pressure Hydrocephalus
Venous Ulcer Huntington's Disease
Creutxfeldt- Jakob Disease
Undiagnosed with Positive Screening.
Stage of diagnosis Location
Mild Al Ain
Moderate Dubai
Sever Abu Dhabi
NA