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Initial and Comprehensive Assessment and Hospice Outcome Data

Sets the Florida admission assessment of the patient’s physical, social, psychological, spiritual and financial needs and the ongoing assessment of patient and family needs (s. 400.6095(4), (6), F.S.); the initial assessment by a registered nurse within 48 hours after the election and the comprehensive assessment by the hospice care team within 5 calendar days (42 CFR §418.54(a)-(b)), with the required content including the drug profile and the initial bereavement assessment; updates at least every 15 days; and the standardized outcome data and national quality measures Florida adopts (Rule 59A-38.004(4)-(5), F.A.C.).

Preview: full text with a package
About this policy
Policy number
FL-HSP-ASM-01
Version
1.0
Main rule
42 CFR §418.54
Library
Florida hospice · 60 policies
Category
Hospice care
Sections
17

In short

  • The RN completes the initial assessment within 48 hours after the election, and at the admission visit whenever possible.
  • The whole team completes the comprehensive assessment within 5 calendar days: physical, social, psychological, spiritual and financial needs.
  • Review every medicine, including over-the-counter and herbal products, and assess the family’s bereavement needs.
  • The team updates each assessment at least every 15 days, and within 24 hours after a big change.
  • Aides and volunteers: report any change to the coordinating nurse the same day.

What's inside

17 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 (s. 400.6095(4), (6), F.S.; 42 CFR §418.54)
  • 5. Time Frames
  • 6. The Initial Assessment
  • 7. The Comprehensive Assessment
  • 8. Updates and Reassessments
  • 9. Outcome Data and National Quality Measures
  • 10. Responsibilities
  • 11. Records and Compliance Monitoring
  • 12. Staff Training
  • 13. References
  • 14. Related Policies and Forms
  • 15. Approval
  • 16. Revision History

An inspector may ask

  • When was this patient’s initial assessment completed compared with the date the election was complete? Who did it?
  • Show me the comprehensive assessment. Which disciplines contributed, and was it finished within 5 calendar days?

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