Initial and Comprehensive Assessment and Quality Reporting Data

Sets out the registered nurse assessment within 48 hours of referral (Louisiana) and of election (Medicare), the IDT comprehensive assessment within 5 calendar days with its required content (drug profile, psychosocial, spiritual, bereavement), reassessment at least every 14 days, the referrals an assessment must trigger, and outcome and HOPE quality data.

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About this policy

Policy number: LA-HSP-ASM-01
Version: 1.0
Main rule: LAC 48:I §8219.C.1
Library: Louisiana hospice · 60 policies
Category: Hospice care
Sections: 18

In short

A registered nurse assesses the patient within 48 hours of referral, starting with pain and symptoms.
The whole team completes the comprehensive assessment within 5 calendar days after election.
The RN reassesses the patient at least every 14 days, and sooner after any big change.
Refer at once for uncontrolled symptoms, safety risks, or suspected abuse.
Record assessment data the same way for every patient, and put notes in the record within one week of the visit.

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 (LAC 48:I §8219.C.1)
5. Time Frames
6. The Initial Assessment Visit
7. Content of the Comprehensive Assessment
8. Referrals the Assessment Must Trigger
9. Reassessment and Updates
10. Outcome Data and Quality Reporting
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 referred, and when did the registered nurse make the assessment visit?
Show me the comprehensive assessment. When was it completed relative to the election?

Louisiana hospice

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Rules it follows

LAC 48:I §8219.C.1LAC 48:I §8217.O.2LAC 48:I §8217.H.3.dLAC 48:I §8221.C.1LAC 48:I §8221.BLAC 48:I §8217.B.2.a, C.2, D.2, J.2LAC 48:I §8233.H.1Louisiana Medicaid Services Manual, Chapter 24 (Hospice), §24.542 CFR §418.5442 CFR §418.31242 CFR §418.104(a)

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