Comprehensive Assessment and Reassessment
Sets out who assesses each patient, what the comprehensive assessment covers, when it is completed and updated, how medicines are checked, and how assessment deadlines are tracked. Georgia requires a registered nurse to make the initial evaluation visit and to reevaluate the patient’s nursing needs regularly; if the Agency is Medicare-certified, the federal comprehensive assessment and its time frames also apply, and the Agency uses the same time frames for every patient as its own standard.
About this policy
- Policy number
- GA-HH-ASM-01
- Version
- 1.0
- Main rule
- 42 CFR §484.55
- Library
- Georgia home health · 56 policies
- Category
- Patient care
- Sections
- 19
In short
- Every patient gets a full assessment. If the doctor ordered nursing, a registered nurse does it, no later than 5 calendar days after the start of care.
- The assessment is updated in the last 5 days of every 60 days, within 48 hours after the patient comes home from a hospital stay of 24 hours or more, and at discharge.
- Check every medicine the patient takes, including over-the-counter ones, and report any problem to the doctor promptly.
- Tell the nurse the same day about a fall, a new wound, confusion, a hospital visit, or a new medicine. The assessment may need to be updated.
What's inside
19 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 and Ga. Comp. R. & Regs. 111-8-31-.08(a))
- 5. Who Assesses
- 6. When Each Assessment Is Done
- 7. The Start of Care Assessment Visit
- 8. Content of the Comprehensive Assessment
- 9. Medication Review
- 10. Updating the Assessment
- 11. Tracking Assessment Deadlines
- 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
- Who completed this patient’s comprehensive assessment, and when, counted from the start of care?
- Show me the follow-up assessments for this patient. Were they done in the last 5 days of each 60-day period?
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