{"ref":"OH-HH-ASM-01","title":"Comprehensive Assessment and Reassessment","category":"Patient care","summary":"Every patient receives a patient-specific comprehensive assessment, completed by a registered nurse (or the therapist when therapy is the only service ordered) no later than 5 calendar days after the start of care, covering the content in 42 CFR §484.55(c) including a drug regimen review and the current OASIS items, and updated in the last 5 days of every 60 days, within 48 hours of return home from a hospital stay of 24 hours or more, at a major change and at discharge.","inShort":["Complete the comprehensive assessment no later than 5 calendar days after the start of care.","Update it in the last 5 days of every 60-day period, within 48 hours of the patient’s return home from a hospital stay of 24 hours or more, at any major change, and at discharge.","Review every medication the patient uses and report any problem to the prescriber.","Include the patient’s goals, caregivers, emergency plan and the current OASIS items.","Tell the case-managing clinician the same day about any hospital admission, discharge or change in condition."],"primaryCitation":"42 CFR §484.55","citations":["OAC 5160-12-01(E)(2)"],"federalCitations":["42 CFR §484.55","42 CFR §484.55(b)","42 CFR §484.55(c)","42 CFR §484.55(d)","42 CFR §484.102(b)(1)","42 CFR §484.75(b)(1)","42 CFR §484.105(c)(4)"],"surveyorAsks":["Show me the comprehensive assessment for this patient. When was the start of care and when was the assessment completed?","Where is the drug regimen review, and what did you do about the interaction you found?"],"forms":[{"ref":"OH-HH-ASM-01-A","title":"Comprehensive Assessment Completion Checklist"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 CFR §484.55)","5. Who Assesses","6. When Each Assessment Is Done","7. The Start of Care Assessment Visit","8. Content of the Comprehensive Assessment","9. Drug Regimen Review","10. Updating the Assessment","11. Tracking Assessment Deadlines","12. Ohio Medicaid Patients","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":"oh-hha","state":"Ohio","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}}