Initial and Comprehensive Assessments, Including Social Work and Spiritual Assessments
Sets out the assessments every patient and family receive and their Missouri and federal time frames: the registered nurse initial assessment visit within 48 hours of election, the social services assessment visit and the documented spiritual assessment within five days of admission or sooner if indicated, the comprehensive assessment by the IDG no later than five calendar days after election, and updates at least every 15 days; the content of each; the spiritual counselor's role when a patient declines visits; the initial bereavement assessment; and the standardized data the Agency collects for outcome measurement and quality reporting.
- Policy number
- MO-HSP-ASM-01
- Version
- 1.0
- Main rule
- 19 CSR 30-35.010(2)(G)1.C
- Library
- Missouri hospice · 59 policies
- Category
- Hospice care
- Sections
- 20
In short
- A registered nurse makes the initial assessment visit within 48 hours of election, and sooner if the doctor, patient or family asks.
- The social worker makes an assessment visit within five days of admission, sooner if the family is in crisis.
- Offer every patient a visit from the spiritual counselor. The spiritual assessment must be documented within five days, by another IDG member if the patient says no.
- The IDG finishes the comprehensive assessment, including a full drug review and a first bereavement assessment, within five calendar days of election.
- Update the assessment at every IDG review, at least every 14 days, and whenever the patient's condition changes.
What's inside
20 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (19 CSR 30-35.010(2)(G)1.C; 42 CFR §418.54)
- 5. Time Frames
- 6. The Registered Nurse Initial Assessment
- 7. The Comprehensive Assessment
- 8. The Social Services Assessment
- 9. The Spiritual Assessment
- 10. Other Assessments
- 11. Updates and Reassessment
- 12. Outcome Data and Quality Reporting
- 13. Responsibilities
- 14. Records and Compliance Monitoring
- 15. Staff Training
- 16. References
- 17. Related Policies and Forms
- 18. Approval
- 19. Revision History
An inspector may ask
- Show me that a registered nurse made the initial assessment visit within 48 hours of election for this patient.
- When was the social services assessment visit made, and when was the spiritual assessment documented?
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