N.H. Admin. Code § He-P 809.15 - Required Services (Care Plan)

What this rule requires your agency to do

• 1The provider must develop a written care plan for each patient receiving direct care or personal care services within 3 business days of admission, or prior to the initiation of services if later, based on the results of the required assessment. (He-P 809.15(n))(N.H. Admin. Code § He-P 809.15 - Required Services (Care Plan))
• 2The provider must develop the care plan through an interdisciplinary team that includes the personnel performing the assessment, other personnel in disciplines determined by the patient's needs, and the patient or the patient's legal representative. (He-P 809.15(p))(N.H. Admin. Code § He-P 809.15 - Required Services (Care Plan))
• 3The provider must ensure the care plan includes the date of the assessment, a description of the problem or need, the patient's goals (if applicable), the action or approach to be taken by HHCP personnel, the responsible person(s) or position, and the date of re-evaluation, reassessment, and resolution. (He-P 809.15(o)(1)-(6))(N.H. Admin. Code § He-P 809.15 - Required Services (Care Plan))
• 4The provider must document that the patient and their legal representative were involved in the development of the care plan. (He-P 809.15(o)(7))(N.H. Admin. Code § He-P 809.15 - Required Services (Care Plan))
• 5The provider must ensure the care plan is reviewed and revised by the interdisciplinary team at least every 90 days, or at least every 6 months if only personal care services are provided. (He-P 809.15(q))(N.H. Admin. Code § He-P 809.15 - Required Services (Care Plan))