" /> Continuity assessment record and evaluation tool - Post acute care - discharge:-:Pt: Patient:-:CARE - CISMeF





Preferred Label : Continuity assessment record and evaluation tool - Post acute care - discharge:-:Pt: Patient:-:CARE;

LOINC status : DISCOURAGED;

LOINC long common name : Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge;

LOINC description : The Continuity Assessment Record and Evaluation (CARE) tool measures the health and functional status, changes in severity and other outcomes, for Medicare post acute care (PAC) patients. It has been designed to measure outcomes in physical and medical treatments while controlling for factors that affect outcomes, such as cognitive impairments and social and environmental factors. Many of the items are already collected in hospitals, SNFs and HHAs, although the exact item form may be different. The assessment tool is being designed to eventually replace similar items on the existing Medicare assessment forms, including the OASIS, MDS, and IRFPAI tools. Four major domains are included in the tool: medical, functional, cognitive impairments, and social/environmental factors. These domains either measure case mix severity differences within medical conditions or predict outcomes such as discharge to home or community, rehospitalization, and changes in functional or medical status. The development of the CARE tool builds on prior research and incorporates lessons learned from clinicians treating the continuum of patients seen in all four settings. The tool targets a range of measures that document variations in a patient's level of care needs including factors related to treatment and staffing patterns such as predictors of physician, nursing, and therapy intensity.;

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29/04/2025


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