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Healthcare 2015, 3(4), 1031-1053; doi:10.3390/healthcare3041031

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

1
Hahn School of Nursing and Health Sciences, University of San Diego, San Diego, CA 92110, USA
2
VA San Diego Healthcare System, 3350 La Jolla Village Drive, San Diego, CA 92161, USA
3
School of Nursing, Duke University, Durham, NC 27708, USA
These authors contributed equally to this work.
*
Author to whom correspondence should be addressed.
Academic Editors: Tracey L. Yap and Melissa Batchelor-Murphy
Received: 8 July 2015 / Revised: 14 October 2015 / Accepted: 14 October 2015 / Published: 26 October 2015
(This article belongs to the Special Issue Nursing Care of the Older Adult)
View Full-Text   |   Download PDF [151 KB, uploaded 26 October 2015]

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. View Full-Text
Keywords: resident assessment instrument; nursing home; skilled nursing facility; nursing; registered nurse; minimum data set coordinator; comprehensive care plan; quality improvement resident assessment instrument; nursing home; skilled nursing facility; nursing; registered nurse; minimum data set coordinator; comprehensive care plan; quality improvement
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Dellefield, M.E.; Corazzini, K. Comprehensive Care Plan Development Using Resident Assessment Instrument Framework: Past, Present, and Future Practices. Healthcare 2015, 3, 1031-1053.

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