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

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 Re...

Full description

Bibliographic Details
Main Authors: Mary Ellen Dellefield, Kirsten Corazzini
Format: Article
Language:English
Published: MDPI AG 2015-10-01
Series:Healthcare
Subjects:
Online Access:http://www.mdpi.com/2227-9032/3/4/1031
id doaj-75e0ec37b7d54f31b3386aeaf2797eff
record_format Article
spelling doaj-75e0ec37b7d54f31b3386aeaf2797eff2020-11-24T22:22:25ZengMDPI AGHealthcare2227-90322015-10-01341031105310.3390/healthcare3041031healthcare3041031Comprehensive Care Plan Development Using Resident Assessment Instrument Framework: Past, Present, and Future PracticesMary Ellen Dellefield0Kirsten Corazzini1Hahn School of Nursing and Health Sciences, University of San Diego, San Diego, CA 92110, USASchool of Nursing, Duke University, Durham, NC 27708, USADevelopment 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.http://www.mdpi.com/2227-9032/3/4/1031resident assessment instrumentnursing homeskilled nursing facilitynursingregistered nurseminimum data set coordinatorcomprehensive care planquality improvement
collection DOAJ
language English
format Article
sources DOAJ
author Mary Ellen Dellefield
Kirsten Corazzini
spellingShingle Mary Ellen Dellefield
Kirsten Corazzini
Comprehensive Care Plan Development Using Resident Assessment Instrument Framework: Past, Present, and Future Practices
Healthcare
resident assessment instrument
nursing home
skilled nursing facility
nursing
registered nurse
minimum data set coordinator
comprehensive care plan
quality improvement
author_facet Mary Ellen Dellefield
Kirsten Corazzini
author_sort Mary Ellen Dellefield
title Comprehensive Care Plan Development Using Resident Assessment Instrument Framework: Past, Present, and Future Practices
title_short Comprehensive Care Plan Development Using Resident Assessment Instrument Framework: Past, Present, and Future Practices
title_full Comprehensive Care Plan Development Using Resident Assessment Instrument Framework: Past, Present, and Future Practices
title_fullStr Comprehensive Care Plan Development Using Resident Assessment Instrument Framework: Past, Present, and Future Practices
title_full_unstemmed Comprehensive Care Plan Development Using Resident Assessment Instrument Framework: Past, Present, and Future Practices
title_sort comprehensive care plan development using resident assessment instrument framework: past, present, and future practices
publisher MDPI AG
series Healthcare
issn 2227-9032
publishDate 2015-10-01
description 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.
topic resident assessment instrument
nursing home
skilled nursing facility
nursing
registered nurse
minimum data set coordinator
comprehensive care plan
quality improvement
url http://www.mdpi.com/2227-9032/3/4/1031
work_keys_str_mv AT maryellendellefield comprehensivecareplandevelopmentusingresidentassessmentinstrumentframeworkpastpresentandfuturepractices
AT kirstencorazzini comprehensivecareplandevelopmentusingresidentassessmentinstrumentframeworkpastpresentandfuturepractices
_version_ 1725768365923893248