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Initial and Comprehensive Assessment and Hospice Outcome Data

Sets how the Agency’s registered nurse completes the initial assessment within 48 hours after the election is complete, how the interdisciplinary group completes the comprehensive assessment no later than 5 calendar days after the election and updates it at least every 15 days, what the assessments must cover, and how the Agency collects the standardized patient data the Hospice Quality Reporting Program requires.

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About this policy
Policy number
DC-HSP-ASM-01
Version
1.0
Main rule
42 CFR §418.54
Library
Washington, DC hospice · 60 policies
Category
Hospice care
Sections
18

In short

  • The registered nurse completes the initial assessment within 48 hours after the election is complete, or sooner if asked.
  • The whole team completes the comprehensive assessment no later than 5 calendar days after the election.
  • Include the drug profile review and the initial bereavement assessment of the family.
  • Update the assessment at least every 15 days, and after any big change in the patient’s condition.
  • Complete the HOPE items at admission, the hospice update visits and discharge.

What's inside

18 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. Initial Assessment
  • 6. Comprehensive Assessment
  • 6.1 What the Comprehensive Assessment Covers
  • 7. Updating the Comprehensive Assessment
  • 8. Outcome Data and Quality Reporting
  • 9. Documentation
  • 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 the initial assessment for this patient. How many hours after the election was it completed?
  • Show me each discipline’s part of the comprehensive assessment. Was it completed within 5 calendar days?

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