We’re breaking down the Requirements of Participation Phase 2 updates and Phase 3 new guidance.
Today we’re focusing on F656-Comprehensive Care Plans.
Look for additional updates each week through October.
§483.21-Comprehensive Care Plans
What you need to know: CMS made changes to §483.21(b)(3) Comprehensive Care Plans.
F656-Comprehensive Care Plans
Adds new requirements that comprehensive care plans must:
be culturally competent by including approaches that address the resident’s cultural preferences, and
reflect trauma-informed care, when appropriate.
Action for Facilities
Foster teamwork and support across all teams.
Examine your system for communicating care plan updates to the interdisciplinary team (IDT) and other key staff members. Identify gaps, and implement system improvements to ensure important changes, updates, and new interventions are shared and implemented.
Develop a consistent system for evaluating when a resident’s change in status, care needs, or goals require an update of the care plan, including new interventions.
Develop a process for communicating information from staff closest to the resident to the clinical and operational leaders.
Develop opportunities for staff to foster relationships with residents to provide better person-centered care.
Ask residents to identify the staff members with whom they feel most comfortable discussing their goals and wishes. Incorporate those staff members into the care planning process, even if they are not typically members of the IDT.
Identify areas of workflow improvement to allow staff to better understand residents’ individual needs