Ill. Admin. Code tit. 77, § 270.1900 - Comprehensive Care Plan

a) The results of the assessment shall be used to develop a comprehensive care plan within three days of completing the patient assessment for each patient, which includes measurable objectives and timetables to meet a patient's medical, nursing, mental and psychosocial needs that were identified in the assessment. The comprehensive care plan shall include a discharge plan.

b) The licensee shall establish a policy that defines the members of the interdisciplinary team who will develop and periodically review the comprehensive care plan at a team conference. Team members shall include at least the following:

1) Patient;

2) Patient's representative, if he/she chooses to participate;

3) Patient's Program Manager;

4) Registered nurse; and

5) Physician.

c) The comprehensive care plan shall be implemented.

d) The facility shall develop a comprehensive care plan evaluation component to measure a patient's progress and the need for revised objectives.

e) The comprehensive care plan shall be reviewed and revised by the interdisciplinary team as frequently as needed by the patient. A full care plan conference shall be held by the interdisciplinary team at least every 21 days.

Notes

Ill. Admin. Code tit. 77, § 270.1900