Here are some commonly asked questions and answers about the HRST.
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HRST Security Description-Roles and Scopes
2026-04-03
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For a full description of HRST security and access authorization controls please download the attached PDF.
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Understanding the HRST and SIS-A
2026-04-03
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Understanding the intent and goal of both the HRST and SIS-A is important to ensure proper use and implementation of these tools. Education on the similarities, differences, scoring interpretation, and objectives of the HRST and the SIS-A will help to ensure that the results are interpreted accurately and applied to the person appropriately. It is also important to note how particular items found in each tool relate to one another both in score assignment and scoring interpretation. This guide seeks to encourage a proper understanding of the HRST and the SIS-A, both independently and in relation to one another.
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HRST ICAP Crosswalk
2026-04-03
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Understanding the similarities, differences, scoring interpretation, and objectives of the HRSTand ICAP will help ensure the results are interpreted accurately and applied to the personappropriately.
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A Guide to Choosing Your Raters
2026-04-03
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This document will assist a new client in determining who, based on the structure of your system, would be best suited to complete ratings using the HRST.These individuals are referred to as"Raters".
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Interpreting the SIS Section 1A-1B and HRST
2026-04-03
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This document will assist users in understanding the scoring of the HRST and Section 1A (Exceptional Medical Support Needs) and 1B (Exceptional Behavioral Support Needs) of the SIS-A. Since both tools take a different approach to the person, it is important to understand how to interpret the scoring of each tool independently and in relation to one another.
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HRST Considerations-Definitions
2026-04-03
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This document gives the section definitions for both the HRST Service and Training Considerations, as found in the HRST application.
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HRST Considerations-Process Map
2026-04-03
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This document provides a visual representation of best practices when using the HRST Service and Training Considerations.
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Important HRST Screening Information
2026-04-03
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This document has been re-envisioned to more accurately reflect the required information needed to complete an accurate screening.
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HRST How to Write Quality Notes
2026-04-03
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This document gives the Rater some guidance on how to write a quality note to ensure the rated item and the note are succinct.
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A Visual Guide to Updating An HRST Screening
2026-04-03
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This document provides the users a visual representation of how to make updates to an existing HRST screening.
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Best Practices for Updating the HRST
2026-04-03
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This document provides IntellectAbilities best practices for updating the HRST. Your agency may have more specific guidelines, please refer to those if available.
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HRST Bowel Medications
2026-04-03
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This document providers the Rater and Reviewer a quick overview on common Bowel medications so they can more accurately rate item O. Bowel, in the HRST.
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HRST Expanded Scoring Descriptors
2026-04-03
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This document is intended to guide the Rater and clinical Reviewer in determining that theperson rated has received the correct score. Pleaselook overthe descriptorscarefullyandmake sure that the person you are rating fits the scoring descriptorfor each item
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Bristol Stool Chart
2026-04-03
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Provides the user with access to clear descriptors of the types of stool and how to document
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HRST Raters and Reviewers FAQ's
2026-04-03
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Here are some frequently asked questions and answers for HRST Raters and Reviewers.
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Acute Care Summary
2026-04-03
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A fillable form to be used to facilitate continuity of care when a person has had a hospital stay,emergency department visit, hospital observation period, or other facility stay. This document is extremely useful when updating the HRST after such events.
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Post-Visit Health Risk Screening Tool (HRST) Updating Guidelines
2026-04-03
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This document is designed to specifically assist in relating information in the Acute Care Summary for people with IDD or other acute care stay discharge information to specific Rating Items in the HRST.
