{"ref":"MI-HSP-ASM-01","title":"Initial and Comprehensive Assessment and Hospice Quality Reporting Data","category":"Hospice care","summary":"Sets out the registered nurse's initial assessment within 48 hours after the election of hospice care, the team's comprehensive assessment no later than 5 calendar days after the election, what the comprehensive assessment covers (including the drug profile and the initial bereavement assessment), the referrals it triggers, updates at least every 15 days, the outcome data elements, and the Hospice Quality Reporting Program data the Agency submits to CMS.","inShort":["A registered nurse must do the initial assessment within 48 hours after the election, or sooner if the physician, patient or family asks.","The whole team completes the comprehensive assessment within 5 calendar days after the election. Social worker and chaplain visits count toward it.","Review every drug the patient takes, including over-the-counter drugs and herbal remedies, and assess the family's grief and coping needs.","Update the assessment at least every 15 days and after any big change, before the team meeting.","Complete the quality reporting items at admission, update visits and discharge, as the CMS manual says."],"primaryCitation":"Mich. Admin. Code R 325.45353(1)-(2)","citations":["Mich. Admin. Code R 325.45353(1)-(2)","Mich. Admin. Code R 325.45351(3)","Mich. Admin. Code R 325.45359","Mich. Admin. Code R 325.45367(2)","Mich. Admin. Code R 325.45191(2)","Michigan Medicaid Provider Manual, Hospice, Sections 3.4.B, 6.7 and 7.3.A"],"federalCitations":["42 CFR §418.54","42 CFR §418.312","42 CFR §418.3","42 CFR §418.104(a)(1), (a)(4)","42 CFR §418.58"],"surveyorAsks":["Show me the initial assessment for this patient. When was the election, and when was the assessment completed?","Show me the comprehensive assessment. Which disciplines took part, and was it complete within 5 calendar days?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (Mich. Admin. Code R 325.45353(1)-(2))","5. Time Frames","6. The Initial Assessment","7. The Comprehensive Assessment","8. Referrals the Assessment Triggers","9. Updating the Comprehensive Assessment","10. Outcome Measures and Quality Reporting Data","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":"mi-hospice","state":"Michigan","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}}