{"ref":"TX-HSP-ASM-01","title":"Initial and Comprehensive Assessment and Hospice Outcome Data","category":"Hospice care","summary":"Sets out who completes the initial assessment and when, how the interdisciplinary group completes the comprehensive assessment within 5 calendar days and updates it at least every 15 days, what each assessment must cover, when a patient must be reassessed between updates, and how outcome data and the standardized hospice quality item set are collected.","inShort":["The RN does the initial assessment where the patient gets care, within 48 hours after the patient elects hospice, or sooner if asked.","All the team members finish the comprehensive assessment within 5 calendar days after election, including a full medicine review and a bereavement assessment of the family.","The team updates the assessment at least every 15 days, and more often if the patient changes.","Reassess the patient after a big change, when a doctor asks, or after a hospital stay. Tell the RN coordinator right away.","Complete the quality item set fields the same way for every patient."],"primaryCitation":"42 CFR §418.54","citations":["26 TAC §558.810","26 TAC §558.811","26 TAC §558.812","26 TAC §558.813","26 TAC §558.801(h)","26 TAC §558.243(c)(2)(A)(iv)","26 TAC §558.861(b)","26 TAC §558.281(1)"],"federalCitations":["42 CFR §418.54","42 CFR §418.3","42 CFR §418.312(b), (j)","42 CFR §418.104(a)(1), (4)"],"surveyorAsks":["Show me when this patient elected hospice and when the RN completed the initial assessment.","Show me the comprehensive assessment. Was it completed by the IDG within 5 calendar days, and where is the drug profile review and the initial bereavement assessment?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 CFR §418.54; 26 TAC §558.810-§558.813)","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","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":"tx-hospice","state":"Texas","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 Hospice","legalName":"Sample Hospice, LLC","logo":null}}