{"ref":"PA-HSP-ASM-01","title":"Initial and Comprehensive Assessment and Hospice Quality Reporting Data","category":"Hospice care","summary":"Sets out who completes the initial assessment and the comprehensive assessment and by when, what the comprehensive assessment must identify and consider (including the drug profile review and the initial bereavement assessment), how and how often it is updated, when patients are reassessed between updates, and how outcome data and the standardized patient assessment items for the Hospice Quality Reporting Program are collected and submitted.","inShort":["The RN completes the initial assessment within 48 hours after the election is signed, or sooner if the physician, patient or representative asks.","The IDG, with the attending physician, completes the comprehensive assessment no later than 5 calendar days after the election.","Review every medicine in the home, including over-the-counter drugs and herbal remedies, for the drug profile.","Include an initial bereavement assessment of the family.","Update the comprehensive assessment as often as needed and at least every 15 days, and reassess after any big change."],"primaryCitation":"42 CFR §418.54","citations":["35 P.S. §448.806(g)(2)"],"federalCitations":["42 CFR §418.54","42 CFR §418.3","42 CFR §418.56","42 CFR §418.104(a)(1), (4)","42 CFR §418.312","42 CFR §418.24(c)"],"surveyorAsks":["When was the election complete for this patient, and when did the RN complete the initial assessment?","Show me the comprehensive assessment. Was it completed by the IDG with the attending physician within 5 calendar days after the election?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 CFR §418.54)","5. Initial Assessment","6. Comprehensive Assessment","6.1 What it must identify","6.2 Factors it must consider","6.3 Drug profile review","7. Updating the Comprehensive Assessment","8. Reassessment Between Updates (Agency Standard)","9. Outcome Measures and the Standardized Item Set","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":"pa-hospice","state":"Pennsylvania","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}}