{"ref":"LA-HSP-ASM-01","title":"Initial and Comprehensive Assessment and Quality Reporting Data","category":"Hospice care","summary":"Sets out the registered nurse assessment within 48 hours of referral (Louisiana) and of election (Medicare), the IDT comprehensive assessment within 5 calendar days with its required content (drug profile, psychosocial, spiritual, bereavement), reassessment at least every 14 days, the referrals an assessment must trigger, and outcome and HOPE quality data.","inShort":["A registered nurse assesses the patient within 48 hours of referral, starting with pain and symptoms.","The whole team completes the comprehensive assessment within 5 calendar days after election.","The RN reassesses the patient at least every 14 days, and sooner after any big change.","Refer at once for uncontrolled symptoms, safety risks, or suspected abuse.","Record assessment data the same way for every patient, and put notes in the record within one week of the visit."],"primaryCitation":"LAC 48:I §8219.C.1","citations":["LAC 48:I §8219.C.1","LAC 48:I §8217.O.2","LAC 48:I §8217.H.3.d","LAC 48:I §8221.C.1","LAC 48:I §8221.B","LAC 48:I §8217.B.2.a, C.2, D.2, J.2","LAC 48:I §8233.H.1","Louisiana Medicaid Services Manual, Chapter 24 (Hospice), §24.5"],"federalCitations":["42 CFR §418.54","42 CFR §418.312","42 CFR §418.104(a)"],"surveyorAsks":["When was this patient referred, and when did the registered nurse make the assessment visit?","Show me the comprehensive assessment. When was it completed relative to the election?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (LAC 48:I §8219.C.1)","5. Time Frames","6. The Initial Assessment Visit","7. Content of the Comprehensive Assessment","8. Referrals the Assessment Must Trigger","9. Reassessment and Updates","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":"la-hospice","state":"Louisiana","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}}