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Initial, Comprehensive and Updated Assessments and Hospice Outcome Data

Sets the assessments every patient receives: the North Carolina assessment before acceptance, the registered nurse's initial assessment within 48 hours after the election, the IDT's comprehensive assessment within 5 calendar days (with the spiritual assessment and survivor risk factors 10A NCAC 13K requires at admission), updates at least every 15 days, and the standardized HOPE data the Agency collects for the Hospice Quality Reporting Program.

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About this policy
Policy number
NC-HSP-ASM-01
Version
1.0
Main rule
42 CFR §418.54
Library
North Carolina hospice · 60 policies
Category
Hospice care
Sections
19

In short

  • The registered nurse does the initial assessment within 48 hours after the election, the same day whenever possible.
  • The team finishes the comprehensive assessment within 5 calendar days, including the drug review.
  • Do the spiritual assessment and the survivor risk assessment during admission.
  • Update the assessment at least every 15 days, and sooner when the patient's condition changes.
  • Record outcome data the same way for every patient and complete HOPE items at the required visits.

What's inside

19 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 (42 CFR §418.54)
  • 5. Assessment Time Frames
  • 6. Initial Assessment
  • 7. Comprehensive Assessment
  • 7.1 Each discipline's part
  • 8. Updating the Comprehensive Assessment
  • 9. Outcome Data and HOPE
  • 10. Documentation
  • 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

  • Show me the initial assessment for this patient. When was the election complete, and when was the assessment done?
  • Who completed the comprehensive assessment, and was it finished within 5 calendar days?

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