NewsLine - November 2012 - (Page 40)

Tip of the Month The Comprehensive Assessment and Initial Plan of Care The NHPCO Regulatory team has received many questions from providers about the timing of the comprehensive assessment and the development of the initial patient plan of care, so this brief review may be helpful. Comprehensive Assessment Per the Centers for Medicare and Medicaid Services (CMS), the comprehensive assessment must be completed no later than five calendar days after the effective date of the hospice notice of election. In other words, the effective day of hospice election does not count as one of the five days. As an example: If the patient’s election of hospice is effective on a Monday, then the hospice has until Saturday to complete the comprehensive assessment. Initial Plan of Care All members of the interdisciplinary team must be involved in the comprehensive assessment process in order to identify the patient and family’s “physical, psychosocial, emotional and spiritual needs” and be in the position to contribute to the plan of care that will address those needs. The RN, in consultation with the other team members, must consider the information gathered from the initial assessment as the team develops the plan of care and determine who should visit the patient and family during the first five days of hospice care, in accordance with the patient and family’s needs and desires and the hospice’s policies and procedures. [Medicare Hospice CoPs (418.54(b)] There is no specific timeframe for development of the initial patient plan of care in the Medicare Hospice CoPs. However, since the comprehensive assessment must be completed within five calendar days after the effective date of the hospice notice of election, the initial plan of care should be developed from the outcomes of the comprehensive assessment shortly thereafter. Other Questions for the Regulatory Team? Email regulatory@nhpco.org. 40 NewsLine

Table of Contents for the Digital Edition of NewsLine - November 2012

NewsLine - November 2012
WHV Partners Give Thanks
A Message From Don
Free Distance-learning Sessions on Serving Veterans
ACOs Today: Are You Ready?
AchieveLinks: Introducing a Rewards Program (display ad)
Simione: Solving Your Hospice Challenges (display ad)
In the Continuum: KCHPC
The Voice of NCHPP
How a Veteran’s Experience Can Inform Bereavement Practice
Free Bereavement Section Activities
Now Live: eHospice
A Free Tool to Help Evaluate Your Service to Veterans
Member News and Notes
CTC Sponsors (display ad)
Compliance Tip
2013 MLC Plenary Speakers (display ad)
Videos Worth Watching
News From FHSSA

NewsLine - November 2012

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