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Initial and Comprehensive Assessment and Hospice Outcome Data

Sets out who completes the initial assessment and when, how the interdisciplinary group completes the comprehensive assessment within 5 calendar days and updates it at least every 15 days, what each assessment must cover, when a patient must be reassessed between updates, and how outcome data and the standardized hospice quality item set are collected.

Preview: full text with a package
About this policy
Policy number
TX-HSP-ASM-01
Version
1.0
Main rule
42 CFR §418.54
Library
Texas hospice · 59 policies
Category
Hospice care
Sections
20

In short

  • The RN does the initial assessment where the patient gets care, within 48 hours after the patient elects hospice, or sooner if asked.
  • All the team members finish the comprehensive assessment within 5 calendar days after election, including a full medicine review and a bereavement assessment of the family.
  • The team updates the assessment at least every 15 days, and more often if the patient changes.
  • Reassess the patient after a big change, when a doctor asks, or after a hospital stay. Tell the RN coordinator right away.
  • Complete the quality item set fields the same way for every patient.

What's inside

20 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; 26 TAC §558.810-§558.813)
  • 5. Initial Assessment
  • 6. Comprehensive Assessment
  • 6.1 What it must identify
  • 6.2 Factors it must consider
  • 6.3 Drug profile review
  • 7. Updating the Comprehensive Assessment
  • 8. Reassessment Between Updates
  • 9. Outcome Measures and the Standardized Item Set
  • 10. Responsibilities
  • 11. Records and Compliance Monitoring
  • 12. Staff Training
  • 13. References
  • 14. Related Policies and Forms
  • 15. Approval
  • 16. Revision History

An inspector may ask

  • Show me when this patient elected hospice and when the RN completed the initial assessment.
  • Show me the comprehensive assessment. Was it completed by the IDG within 5 calendar days, and where is the drug profile review and the initial bereavement assessment?

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