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Initial and Comprehensive Assessment and Outcome Data

Sets out the assessment clocks and content: the registered nurse's initial assessment in the place of care within 48 hours of admission; the comprehensive assessment by all hospice employee members of the IDT, with the attending physician, within five days of admission; updates at least every 15 days; the factors each assessment must consider; and the Agency's patient outcome data elements, measured the same way for every patient. Where the federal clocks (which run from election) and the California clocks (which run from admission) differ, the earlier deadline is met.

Preview: full text with a package
About this policy
Policy number
CA-HSP-ASM-01
Version
1.0
Main rule
22 CCR §74864
Library
California hospice · 60 policies
Category
Hospice care
Sections
18

In short

  • A registered nurse does the initial assessment in the patient's home (or facility) within 48 hours.
  • All paid team members complete their part of the comprehensive assessment within 5 days.
  • Update the comprehensive assessment at least every 15 days, and sooner if the patient changes.
  • Count calendar days, including weekends and holidays.
  • Use the Agency's standard pain, symptom and function scales the same way for every patient.

What's inside

18 sections. The full text comes with the One-time Policy Pack.

Full text with a package
  • Terms of Reference
  • 1. Purpose
  • 2. Scope
  • 3. Definitions
  • 4. Policy Statement (22 CCR §74864)
  • 5. The Clocks
  • 6. The Initial Assessment
  • 7. The Comprehensive Assessment
  • 8. Updating the Comprehensive Assessment
  • 9. Outcome Data Elements
  • 10. Federal Quality Reporting (If the Agency Is Medicare-Certified)
  • 11. Responsibilities
  • 12. Records and Compliance Monitoring
  • 13. Staff Training
  • 14. References
  • 15. Related Policies and Forms
  • 16. Approval
  • 17. Revision History

An inspector may ask

  • When was this patient admitted, and when were the initial and comprehensive assessments completed? Who took part?
  • Where was the initial assessment done?

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