Comprehensive Care Plan Development Using Resident Assessment Instrument Framework: Past, Present, and Future Practices
by
Mary Ellen Dellefield 1,2,*,† and Kirsten Corazzini 3,†
Mary Ellen Dellefield 1,2,*,† and Kirsten Corazzini 3,†
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
*
Author to whom correspondence should be addressed.
†
These authors contributed equally to this work.
Academic Editors: Tracey L. Yap and Melissa Batchelor-Murphy
Healthcare 2015, 3(4), 1031-1053; https://doi.org/10.3390/healthcare3041031
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)
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.
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Keywords:
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
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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