Comprehensive Assessment and Reassessment
Sets out who completes the patient-specific comprehensive assessment and when each one is due (no later than 5 calendar days after the start of care; in the last 5 days of every 60 days; within 48 hours of return home from a hospital admission of 24 hours or more, or on the ordered resumption date; at discharge; and whenever a major decline or improvement warrants), what it must contain under 42 CFR §484.55(c), including the drug regimen review, caregivers, the representative and the OASIS items, the individual emergency plan, and how the findings drive the plan of care.
- Policy number
- MO-HH-ASM-01
- Version
- 1.0
- Main rule
- 42 CFR §484.55 (adopted by 19 CSR 30-26.010(1)(A))
- Library
- Missouri home health · 57 policies
- Category
- Clinical tasks
- Sections
- 22
In short
- Complete the comprehensive assessment no later than 5 calendar days after the start of care.
- Update it in the last 5 days of every 60-day period, within 48 hours of return home from a hospital stay of 24 hours or more, and at discharge.
- Review every medication in the home, including over-the-counter and herbal products, and report problems.
- Ask each caregiver directly what help they can give and when.
- Record the patient's individual emergency plan as part of the assessment.
- Tell the clinical manager the same day about any major decline or improvement.
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(b) to (d); 42 CFR §484.102(b)(1); 19 CSR 30-26.010(1)(A))
- 5. Who Completes the Assessment
- 6. When the Assessment Is Completed and Updated
- 7. Required Content
- 8. Medication Review
- 9. Caregivers and the Representative
- 10. Cognitive Status, Dementia and Risk Screening
- 11. Individual Emergency Plan
- 12. Medicare Eligibility
- 13. Review of Completed Assessments
- 14. Using the Assessment
- 15. Responsibilities
- 16. Records and Compliance Monitoring
- 17. Staff Training
- 18. References
- 19. Related Policies and Forms
- 20. Approval
- 21. Revision History
An inspector may ask
- For this patient, when was the start of care and when was the comprehensive assessment completed?
- Show me the medication review in the comprehensive assessment. What problems were found, and what was done?
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