Re-assessment of the health status of patients shall be done by collecting basic objective and subjective data from observations, exams, interviews, and written records. The recording and reporting of the data will be used to formulate a care plan for improved treatment and responsiveness of patients. The analysis of re-assessment information and the plan of care will determine the appropriate diagnostic and therapeutic interventions and care/treatment decisions that shall be made as well, including discharge planning.
The mechanisms to prioritize and identify care needs are done during re-assessments and supervisory visits. Patient re-assessments in conjunction with the entire medical record and the individualized plan include, but are not limited to, identified physiological and psychosocial problems or issues and expected healthcare outcomes or goals.
Re-assessment will occur at least every 60days and more frequently as the patient’s condition/circumstances warrant and as specified in standards of care/procedures, by physician orders, or after hospital admission with a length of stay greater than 24 hours.
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