Comprehensive Care Plan Development Using Resident Assessment Instrument Framework: Past, Present, and Future Practices

Healthcare

Mary Ellen Dellefield¹  Kirsten Corazzini³  Tracey L. Yap² 

[1] Hahn School of Nursing and Health Sciences, University of San Diego, San Diego, CA 92110, USA;id="af1-healthcare-03-01031">1Hahn School of Nursing and Health Sciences, University of San Diego, San Diego, CA 92110, U;School of Nursing, Duke University, Durham, NC 27708, USA; E-Mail:

关键词: resident assessment instrument;    nursing home;    skilled nursing facility;    nursing;    registered nurse;    minimum data set coordinator;    comprehensive care plan;    quality improvement;   

DOI  :  10.3390/healthcare3041031

来源: mdpi

【 摘 要 】

Development of the comprehensive care plan (CCP) is a requirement for nursing homes participating in the federal Medicare and Medicaid programs, referred to as skilled nursing facilities. The plan must be developed within the context of the comprehensive interdisciplinary assessment framework—the Resident Assessment Instrument (RAI). Consistent compliance with this requirement has been difficult to achieve. To improve the quality of CCP development within this framework, an increased understanding of complex factors contributing to inconsistent compliance is required. In this commentary, we examine the history of the comprehensive care plan; its development within the RAI framework; linkages between the RAI and registered nurse staffing; empirical evidence of the CCP’s efficacy; and the limitations of extant standards of practices in CCP development. Because of the registered nurse’s educational preparation, professional practice standards, and licensure obligations, the essential contributions of professional nurses in CCP development are emphasized. Recommendations for evidence-based micro and macro level practice changes with the potential to improve the quality of CCP development and regulatory compliance are presented. Suggestions for future research are given.

【 授权许可】

CC BY   
© 2015 by the authors; licensee MDPI, Basel, Switzerland.