The Initial and Comprehensive Assessment of the Patient

The Initial and Comprehensive Assessment of the Patient 

This course explores the regulations governing the initial and comprehensive assessment of the patient and strategic methods to ascertain and document patient eligibility throughout the hospice length of stay. Regulatory compliance will be demonstrated through a patient example. The goal of this course is to provide nurses, managers, and administrators in hospice with knowledge of the initial and comprehensive assessments.

$20.00

Hours: 1.00
REL-PAC-WB-ICAP

Certificates

Certificates provided by accrediting body (9 Match)

California Board of Registered Nursing

1.0 HOURS


Provider approved by the California Board of Registered Nursing, CEP# 13791

Nurses will receive 1.00 contact hours for participating in this course.

District of Columbia Board of Nursing

1.0 HOURS


District of Columbia Board of Nursing Approved Continuing Education program (CEBroker Provider #50-290).


Nurses will receive 1.00 contact hours for participating in this course.

Florida Board of Nursing

1.0 HOURS


Florida Board of Nursing (CEBroker Provider #50-290).


Nurses will receive 1.00 contact hours for participating in this course.

American Nurses Credentialing Center

1.0 HOURS


In support of improving patient care, Relias LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.



Georgia Board of Nursing

1.0 HOURS


Georgia Board of Nursing (CEBroker Provider #50-290).


Nurses will receive 1.00 contact hours for participating in this course.

South Carolina Board of Nursing

1.0 HOURS


This program was approved by the South Carolina Board of Nursing Approved Continuing Education Program (CEBroker Provider #50-290).


Nurses will receive 1.00 contact hours for participating in this course.

West Virginia Board of Registered Nursing

1.0 HOURS


West Virginia Board of Registered Nursing (CEBroker Provider #50-290).


Nurses will receive 1.00 contact hours for participating in this course.

New Mexico Board of Nursing

1.0 HOURS


New Mexico Board of Nursing (CEBroker Provider #50-290).


Nurses will receive 1.00 contact hours for participating in this course.

Arkansas State Board of Nursing

1.0 HOURS


Arkansas State Board Of Nursing Approved Continuing Education program (CEBroker Provider #50-290).


Nurses will receive 1.00 contact hours for participating in this course.

Course Details

Course Code: REL-PAC-WB-ICAP
Hours: 1
Type: Online Course
Content Expiration Date: 8/31/2023
Learning Objectives:
Identify key information to be gathered during intake and admission to establish baseline clinical data for future comparison.
Recall the regulatory timeframes for completing initial and comprehensive assessments.
List the eight required elements of the comprehensive assessment.
Discuss the three disease trajectories: Rapid, Saw-Toothed, and Dwindling.

Outline:
Learning Objectives

Compliance

418.54 CoP: Initial and Comprehensive Assessment

418.54(a) Standard: Initial Assessment

418.54(a) Standard: Initial Assessment, cont’d

418.54(b) Standard: Timeframe for Completion of Comprehensive Assessment

418.54(c) Standard: Content of the Comprehensive Assessment

418.54 CoP: Comprehensive Assessment

Comprehensive Assessment: Interpretive Guidelines

Interpretive Guidelines: Pain Assessment

Interpretive Guidelines: Pain Assessment, cont’d

Symptom Assessment

418.54(c)(1) Content of the Comprehensive Assessment

418.54(c)(2) Content of the Comprehensive Assessment

418.54(c)(3) Content of the Comprehensive Assessment

Functional Status

Time-to-Task Completion

418.54(c)(4) Content of the Comprehensive Assessment

418.54(c)(5) Content of the Comprehensive Assessment

418.54(c)(7) Bereavement

Interpretive Guidelines: §418.54(c)(7) Bereavement

Interpretive Guidelines: §418.54(c)(7) Bereavement, cont’d

418.54(c)(8) CoP: Comprehensive Assessment

418.54(d) Update of the Comprehensive Assessment

418.54(e) Patient Outcome Measures

Disease Trajectories

Rapid Decline Disease Trajectory

Saw-Toothed Disease Trajectory

Dwindling Disease Trajectory

Patient #1 – Mr. Stoic

Mr. Stoic Initial RN Assessment

Plan of Care (Nursing)

Plan of Care (Nursing), cont’d

Mr. Stoic Comprehensive SW Assessment

Plan of Care (Social Worker)

Value of Initial and Comprehensive Assessment

Next Steps

Instructor: Carrie Cooley, RN, MSN
Carrie Cooley is the Principal / Chief Executive Officer (CEO) with Weatherbee Resources. Carrie joined Weatherbee in 2009 as an Associate Consultant and was hired as the Consulting Coordinator in 2012.  In 2014, Carrie was promoted to Director of the Consulting Division and in July 2015, she assumed the Chief Operating Officer position. Carrie was promoted to CEO in February 2018.  On July 1, 2018, Carrie and her business partner, Lynn Stange, purchased Weatherbee Resources from the company's founders, Heather Wilson and Joy Barry. Together, Lynn and Carrie plan to continue the long-standing history of Weatherbee Resources' service to the hospice industry.  In her role as Principal / CEO, Carrie ensures Weatherbee's consulting services, products, and education are provided in a professional and cost-effective manner and are specifically tailored to meet each client's individual needs. As one of Weatherbee's owners, Carrie is responsible for ensuring Weatherbee is positioned to assist hospices with the ever-changing regulatory hospice environment.  
 
Carrie's regulatory expertise and extensive consulting experience includes forensic clinical record auditing, baseline compliance audits/mock surveys, interim management, clinical due diligence, and executive coaching. Carrie and her team also work directly with clients' legal counsel in preparation for arbitration and other hearings; Carrie frequently serves as an expert witness. Weatherbee also works extensively with clients who are under a Corporate Integrity Agreement (CIA); Carrie and her team manage the Independent Review Organization (IRO) audit activities required by the Office of Inspector General (OIG). Carrie's excellent rapport with executives and staff alike – coupled with her regulatory and clinical acumen, and knowledge of best practices – assures excellent consulting outcomes.  
 
Under Carrie's leadership, Weatherbee has assisted hundreds of clients under investigation by various Medicare contractors including: Targeted Probe and Educate (TPE), Zone Program Integrity Contractors (ZPIC), Unified Program Integrity Contractors (UPIC), Benefit Integrity Support Centers (BISC), Recovery Auditors (RA), the Department of Justice (DOJ), and the OIG.   As a member of Weatherbee's Speaker's Bureau, Carrie teaches a broad range of hospice, regulatory, and leadership-related topics nationally and is a member of the faculty for Weatherbee's renowned Hospice Regulatory Boot Camps. Carrie also frequently speaks at state and national hospice conferences on compliance-related topics. Carrie is a registered nurse and holds a master's degree from Samford University with a specialty in nursing leadership and healthcare finance.

 

Disclosure: Carrie Cooley, RN, MSN has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Target Audience:
The target audience for this course is: Nurses; in the following settings: Hospice, Palliative Care.
Relias will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Course Delivery Method and Format
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
Accommodations
If you require special accommodations to complete this module, please contact Relias Customer Support here.