{"ref":"GA-HSP-ASM-01","title":"Initial and Comprehensive Assessment and Hospice Outcome Data","category":"Hospice care","summary":"Sets the time frames and content for the initial assessment, the comprehensive assessment (no later than five days after admission under Georgia rules and 5 calendar days after election under Medicare), the referrals the comprehensive assessment must trigger, updates at least every 15 days, reassessment when the patient’s condition changes, outcome data elements measured the same way for all patients, and the standardized patient assessment data reported to CMS.","inShort":["The RN does the initial assessment at the admission visit, and always within 48 hours after the election.","The team completes the comprehensive assessment within five days of admission (5 calendar days of election, whichever is first).","It must cover medical, nursing, psychosocial and spiritual needs, the family’s ability to care, and the need for bereavement services.","Make the referrals it shows: counseling, spiritual care, bereavement, dietitian and therapies.","Update the assessment at least every 15 days, and reassess within 24 hours of any significant change or hospital stay.","Aides and volunteers: call the nurse before you leave the home if you see a change or the caregiver cannot cope."],"primaryCitation":"Ga. Comp. R. & Regs. 111-8-37-.15(3)","citations":["Ga. Comp. R. & Regs. 111-8-37-.15(3)","Ga. Comp. R. & Regs. 111-8-37-.14(2)(b), (g)","Ga. Comp. R. & Regs. 111-8-37-.16(3)","Ga. Comp. R. & Regs. 111-8-37-.17(2)(d)-(e)","Ga. Comp. R. & Regs. 111-8-37-.19"],"federalCitations":["42 CFR §418.54","42 CFR §418.312","42 CFR §418.104(a)(1), (4)"],"surveyorAsks":["Show me the initial assessment for this patient and when it was done in relation to the election and the admission.","Show me the comprehensive assessment. Was it completed within five days, and does it include medical, nursing, psychosocial and spiritual evaluations, the family’s ability to care for the patient and the need for bereavement services?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (Ga. Comp. R. & Regs. 111-8-37-.15(3); 42 CFR §418.54)","5. Time Frames","6. Initial Assessment","7. Comprehensive Assessment Content","8. Referrals the Assessment Must Trigger","9. Updates and Reassessment","10. Outcome Data and Quality Reporting","11. Responsibilities","12. Records and Compliance Monitoring","13. Staff Training","14. References","15. Related Policies and Forms","16. Approval","17. Revision History"],"version":"1.0","sample":false,"pack":"ga-hospice","state":"Georgia","service":"Hospice","guides":[{"path":"/guides/hospice-policies/","h1":"What policies are required for hospice?"},{"path":"/guides/hospice-conditions-of-participation/","h1":"Hospice Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}