{"ref":"MO-HSP-ASM-01","title":"Initial and Comprehensive Assessments, Including Social Work and Spiritual Assessments","category":"Hospice care","summary":"Sets out the assessments every patient and family receive and their Missouri and federal time frames: the registered nurse initial assessment visit within 48 hours of election, the social services assessment visit and the documented spiritual assessment within five days of admission or sooner if indicated, the comprehensive assessment by the IDG no later than five calendar days after election, and updates at least every 15 days; the content of each; the spiritual counselor's role when a patient declines visits; the initial bereavement assessment; and the standardized data the Agency collects for outcome measurement and quality reporting.","inShort":["A registered nurse makes the initial assessment visit within 48 hours of election, and sooner if the doctor, patient or family asks.","The social worker makes an assessment visit within five days of admission, sooner if the family is in crisis.","Offer every patient a visit from the spiritual counselor. The spiritual assessment must be documented within five days, by another IDG member if the patient says no.","The IDG finishes the comprehensive assessment, including a full drug review and a first bereavement assessment, within five calendar days of election.","Update the assessment at every IDG review, at least every 14 days, and whenever the patient's condition changes."],"primaryCitation":"19 CSR 30-35.010(2)(G)1.C","citations":["19 CSR 30-35.010(2)(G)1.C","19 CSR 30-35.010(2)(G)3.C-D","19 CSR 30-35.010(2)(G)4.B-D","19 CSR 30-35.010(2)(G)6.A","19 CSR 30-35.010(2)(H)10","19 CSR 30-35.010(1)(A)34, 36","13 CSR 70-50.010(3)(D)"],"federalCitations":["42 CFR §418.54","42 CFR §418.3","42 CFR §418.312(b)","42 CFR §418.64(d)"],"surveyorAsks":["Show me that a registered nurse made the initial assessment visit within 48 hours of election for this patient.","When was the social services assessment visit made, and when was the spiritual assessment documented?"],"forms":[{"ref":"MO-HSP-ASM-01-A","title":"Admission Assessment Timeline Tracker"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (19 CSR 30-35.010(2)(G)1.C; 42 CFR §418.54)","5. Time Frames","6. The Registered Nurse Initial Assessment","7. The Comprehensive Assessment","8. The Social Services Assessment","9. The Spiritual Assessment","10. Other Assessments","11. Updates and Reassessment","12. Outcome Data and Quality Reporting","13. Responsibilities","14. Records and Compliance Monitoring","15. Staff Training","16. References","17. Related Policies and Forms","18. Approval","19. Revision History"],"version":"1.0","sample":false,"pack":"mo-hospice","state":"Missouri","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}}