Comprehensive Assessment and Reassessment
Every patient receives a patient-specific comprehensive assessment, completed by a registered nurse (or the therapist when therapy is the only service ordered) no later than 5 calendar days after the start of care, covering the content in 42 CFR §484.55(c) including a drug regimen review and the current OASIS items, and updated in the last 5 days of every 60 days, within 48 hours of return home from a hospital stay of 24 hours or more, at a major change and at discharge.
About this policy
- Policy number
- OH-HH-ASM-01
- Version
- 1.0
- Main rule
- 42 CFR §484.55
- Library
- Ohio home health · 59 policies
- Category
- Patient care
- Sections
- 20
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 the patient’s return home from a hospital stay of 24 hours or more, at any major change, and at discharge.
- Review every medication the patient uses and report any problem to the prescriber.
- Include the patient’s goals, caregivers, emergency plan and the current OASIS items.
- Tell the case-managing clinician the same day about any hospital admission, discharge or change in condition.
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 (42 CFR §484.55)
- 5. Who Assesses
- 6. When Each Assessment Is Done
- 7. The Start of Care Assessment Visit
- 8. Content of the Comprehensive Assessment
- 9. Drug Regimen Review
- 10. Updating the Assessment
- 11. Tracking Assessment Deadlines
- 12. Ohio Medicaid Patients
- 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 the comprehensive assessment for this patient. When was the start of care and when was the assessment completed?
- Where is the drug regimen review, and what did you do about the interaction you found?
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