{"ref":"MI-HH-ASM-01","title":"Comprehensive Assessment and Updates","category":"Patient care","summary":"Sets out who completes each patient's comprehensive assessment, the deadline (no later than 5 calendar days after the start of care), the minimum content (including the drug regimen review, caregivers' willingness, ability and availability, the representative, OASIS items and the individual emergency plan), and when the assessment must be updated: the last 5 days of every 60 days, within 48 hours of return home from a hospital admission of 24 hours or more, at discharge, and whenever the patient's condition changes. It adds the Michigan Medicaid assessment of family ability and other personal care services.","inShort":["The comprehensive assessment must be finished no later than 5 calendar days after the start of care.","Review every medication for side effects, interactions, duplicates and missed doses, and report problems to the practitioner.","Include the caregiver's ability and schedule, the representative, OASIS items and the patient's emergency plan.","Update the assessment in the last 5 days of every 60 days, within 48 hours of returning home from a hospital stay of 24 hours or more, and at discharge.","Report any hospital stay, fall or change in condition to the clinical manager the same day."],"primaryCitation":"42 CFR §484.55","citations":["Michigan Medicaid Provider Manual, Home Health, Sections 3, 10, 10.1 and 11"],"federalCitations":["42 CFR §484.55(b)","42 CFR §484.55(c)","42 CFR §484.55(d)","42 CFR §484.102(b)(1)","42 CFR §484.60(c)(2)","42 CFR §484.80(h)"],"surveyorAsks":["When was this patient's comprehensive assessment completed, and who completed it?","Show me the medication review in the comprehensive assessment and what was done about any problem it found."],"forms":[{"ref":"MI-HH-ASM-01-A","title":"Comprehensive Assessment Timeline Checklist"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 CFR §484.55)","5. Who Completes the Assessment","6. Content of the Comprehensive Assessment","7. Completing the Start-of-Care Assessment","8. When the Assessment Must Be Updated","9. Quality of the Assessment","10. Responsibilities","11. Records and Compliance Monitoring","12. Staff Training","13. References","14. Related Policies and Forms","15. Approval","16. Revision History"],"version":"1.0","sample":false,"pack":"mi-hha","state":"Michigan","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}}