{"ref":"FL-HH-ASM-01","title":"Comprehensive Assessment, Reassessment, Drug Regimen Review, and OASIS","category":"Service delivery","summary":"Sets how the Agency assesses every patient: the Florida assessment of the patient's needs within 48 hours after the start of services, the registered nurse's review and reconciliation of all medicines before an aide assists with self-administration or is delegated medication administration, and, if the Agency is Medicare-certified, the comprehensive assessment no later than 5 calendar days after the start of care with its required content (including a drug regimen review and OASIS), updates in the last 5 days of every 60 days, within 48 hours of return home from a hospital admission of 24 hours or more, and at discharge, and OASIS encoding and transmission within 30 days.","inShort":["Every skilled care patient's needs are assessed within 48 hours after services start.","Review every medicine in the home, prescribed and over the counter, and report any serious problem to the practitioner the same day.","A registered nurse must review and reconcile all medicines before an aide helps with them.","Reassess when the patient's condition changes, after a hospital stay, before recertification, and at discharge.","Tell the case manager the same day about any big change in a patient's condition."],"primaryCitation":"42 CFR §484.55","citations":["s. 400.487(1), F.S.","Rule 59A-8.002(5), F.A.C.","Rule 59A-8.022(5)(c), F.A.C.","Rule 59A-8.022(5)(h), F.A.C.","Rule 59A-8.0095(5)(m), F.A.C.","Rule 59A-8.0219(1)(c), F.A.C.","Rule 59A-8.0095(3)(a), F.A.C.","Rule 59A-8.008(1), F.A.C.","Rule 59A-8.008(2), F.A.C."],"federalCitations":["42 CFR §484.55","42 CFR §484.55(a)","42 CFR §484.55(b)","42 CFR §484.55(c)","42 CFR §484.55(c)(5)","42 CFR §484.55(d)","42 CFR §484.45","42 CFR §484.40","42 CFR §484.50(a)(1)(iii)"],"surveyorAsks":["Show me the assessment for this patient. When did services start, and when was the assessment done?","Show me the drug regimen review. What did you find, and what did you do about it?"],"forms":[{"ref":"FL-HH-ASM-01-A","title":"Medication Profile and Drug Regimen Review Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 CFR §484.55)","5. Assessments at a Glance","6. The Florida 48-Hour Assessment","7. Content of the Comprehensive Assessment","8. Drug Regimen Review and Medication Reconciliation","9. Updating the Assessment","10. OASIS","10.1 Collecting OASIS","10.2 Accuracy, encoding, and transmission","10.3 Confidentiality","11. Using the Assessment","12. Responsibilities","13. Records and Compliance Monitoring","14. Staff Training","15. References","16. Related Policies and Forms","17. Approval","18. Revision History"],"version":"1.0","sample":false,"pack":"fl-hha","state":"Florida","service":"Home health","guides":[{"path":"/guides/home-health-agency-policies/","h1":"What policies and procedures are required for home health agencies?"},{"path":"/guides/home-health-conditions-of-participation/","h1":"Home health Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}