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CNSW Care Planning Resource Toolkit FINAL

National Kidney Foundation Council of Nephrology Social Workers CNSW care Planning Resource Toolkit INTRODUCTION. The Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS), published the FINAL Conditions for Coverage (CfC) for End-Stage Renal Disease (ESRD). Facilities on April 15th, 2008. Most provisions of the CfC became effective on October 14, 2008. The Council of Nephrology Social Workers (CNSW) established a social work task force to develop resources and tools to assist facilities and social workers in complying with new requirements in the CfC. The following document contains information and tools developed to assist social workers in meeting the new care Planning requirements in of the CfC. This document includes the following sections: I. Citation of Condition: Plan of care (CfC). II. Assessment to Plan of care III. Social Work Focused Criteria care Plan Examples IV.

(a) Standard: Development of patient plan of care The interdisciplinary team must develop a plan of care for each patient. The plan of care must address, but not be limited to, the following: [Items (1) through (5) under this Standard are omitted as not relevant to this discussion.] (6) Psychosocial status.

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