Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2015 Oct 26;3(4):1031-53.
doi: 10.3390/healthcare3041031.

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

Mary Ellen Dellefield  1   2 , Kirsten Corazzini  3
Affiliations
Review

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

Mary Ellen Dellefield et al. Healthcare (Basel). .

Abstract

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.

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

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

References

    1. Centers for Medicare and Medicaid . Resident Assessment Instrument Version 3.0 Manual. U.S. Government Printing Office; Washington, DC, USA: 2013.
    1. Sollins H.L. Office of inspector general report finds skilled nursing facilities “often” fail to meet care planning and discharge planning requirements. Geriatr. Nurs. 2013;34:233–234. doi: 10.1016/j.gerinurse.2013.04.005. - DOI - PubMed
    1. Kim H., Harrington C., Greene W.H. Registered nurse staffing mix and quality of care in nursing homes: A longitudinal analysis. Gerontologist. 2009;49:81–90. doi: 10.1093/geront/gnp014. - DOI - PubMed
    1. Department of Health and Human Services. Office of Inspector General . Nursing Facility Assessments and Care Plans for Residents Receiving Atypical Antipsychotic Drugs. U.S. Government Printing Office; Washington, DC, USA: 2012.
    1. Department of Health and Human Services. Office of Inspector General . Skilled Nursing Facilities Often Fail to Meet Care Planning and Discharge Planning Requirements. U.S. Government Printing Office; Washington, DC, USA: 2013. - PubMed

LinkOut - more resources