Comprehensive Assessment, Reassessment, Drug Regimen Review, and OASIS
Sets how the Agency assesses every patient: the Florida assessment of the patient's needs within 48 hours after the start of services, the registered nurse's review and reconciliation of all medicines before an aide assists with self-administration or is delegated medication administration, and, if the Agency is Medicare-certified, the comprehensive assessment no later than 5 calendar days after the start of care with its required content (including a drug regimen review and OASIS), updates in the last 5 days of every 60 days, within 48 hours of return home from a hospital admission of 24 hours or more, and at discharge, and OASIS encoding and transmission within 30 days.
- Policy number
- FL-HH-ASM-01
- Version
- 1.0
- Main rule
- 42 CFR §484.55
- Library
- Florida home health · 57 policies
- Category
- Service delivery
- Sections
- 22
In short
- Every skilled care patient's needs are assessed within 48 hours after services start.
- Review every medicine in the home, prescribed and over the counter, and report any serious problem to the practitioner the same day.
- A registered nurse must review and reconcile all medicines before an aide helps with them.
- Reassess when the patient's condition changes, after a hospital stay, before recertification, and at discharge.
- Tell the case manager the same day about any big change in a patient's condition.
What's inside
22 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (42 CFR §484.55)
- 5. Assessments at a Glance
- 6. The Florida 48-Hour Assessment
- 7. Content of the Comprehensive Assessment
- 8. Drug Regimen Review and Medication Reconciliation
- 9. Updating the Assessment
- 10. OASIS
- 10.1 Collecting OASIS
- 10.2 Accuracy, encoding, and transmission
- 10.3 Confidentiality
- 11. Using the Assessment
- 12. Responsibilities
- 13. Records and Compliance Monitoring
- 14. Staff Training
- 15. References
- 16. Related Policies and Forms
- 17. Approval
- 18. Revision History
An inspector may ask
- Show me the assessment for this patient. When did services start, and when was the assessment done?
- Show me the drug regimen review. What did you find, and what did you do about it?
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