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...
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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 |
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