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Initial and Comprehensive Assessment and Hospice Quality Reporting

Sets out the registered nurse's initial assessment within 48 hours after election, the IDG comprehensive assessment within 5 calendar days, its required content (including the Ohio assessment of opioid diversion risk, spiritual needs, nutrition and the family's bereavement needs), updates at least every 15 days, outcome data, and the Medicare hospice quality reporting program.

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

In short

  • The registered nurse completes the initial assessment within 48 hours after the patient elects hospice.
  • The whole team completes the comprehensive assessment within 5 calendar days after election.
  • Assess the patient, family and home for risks of opioid diversion, and put the precautions in the plan of care.
  • Assess spiritual, nutritional, psychosocial and bereavement needs, and make the referrals the patient needs.
  • Update the assessment as often as needed and at least every 15 days, and complete the quality reporting items on time.

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; OAC 3701-19-11(A)(1))
  • 5. Time Frames
  • 6. Initial Assessment
  • 7. Comprehensive Assessment Content
  • 8. Assessment of Opioid Diversion Risk (ORC 3712.062(B)(2))
  • 9. Referrals the Assessment Triggers
  • 10. Updating the Comprehensive Assessment
  • 11. Outcome Data and Hospice Quality Reporting
  • 12. Responsibilities
  • 13. Records and Compliance Monitoring
  • 14. Staff Training
  • 15. References
  • 16. Related Policies and Forms
  • 17. Approval
  • 18. Revision History

An inspector may ask

  • Show me the initial assessment for this patient. When was the election complete, and when did the registered nurse complete the initial assessment?
  • Who took part in the comprehensive assessment, and was it complete within 5 calendar days after election?

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