{"ref":"NC-HSP-ASM-01","title":"Initial, Comprehensive and Updated Assessments and Hospice Outcome Data","category":"Hospice care","summary":"Sets the assessments every patient receives: the North Carolina assessment before acceptance, the registered nurse's initial assessment within 48 hours after the election, the IDT's comprehensive assessment within 5 calendar days (with the spiritual assessment and survivor risk factors 10A NCAC 13K requires at admission), updates at least every 15 days, and the standardized HOPE data the Agency collects for the Hospice Quality Reporting Program.","inShort":["The registered nurse does the initial assessment within 48 hours after the election, the same day whenever possible.","The team finishes the comprehensive assessment within 5 calendar days, including the drug review.","Do the spiritual assessment and the survivor risk assessment during admission.","Update the assessment at least every 15 days, and sooner when the patient's condition changes.","Record outcome data the same way for every patient and complete HOPE items at the required visits."],"primaryCitation":"42 CFR §418.54","citations":["10A NCAC 13K .0601(2)","10A NCAC 13K .0501(1)(a)(i), (2), (3)(a), (b), (8)(a)","10A NCAC 13K .0901(b)(8)","NC Medicaid Clinical Coverage Policy 3D, section 5.5"],"federalCitations":["42 CFR §418.54(a)-(e)","42 CFR §418.3","42 CFR §418.104(a)(1), (4)","42 CFR §418.312(b)","42 CFR §418.306(b)(2)","42 CFR §418.58"],"surveyorAsks":["Show me the initial assessment for this patient. When was the election complete, and when was the assessment done?","Who completed the comprehensive assessment, and was it finished within 5 calendar days?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 CFR §418.54)","5. Assessment Time Frames","6. Initial Assessment","7. Comprehensive Assessment","7.1 Each discipline's part","8. Updating the Comprehensive Assessment","9. Outcome Data and HOPE","10. Documentation","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":"nc-hospice","state":"North Carolina","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}}