D.  Reassess Progress Periodically

 

OBJECTIVE

 

Provide opportunity to improve treatment effectiveness.

 

ANNOTATION

 

Reassessment of initial care management plans should occur within 90 days.  The patient’s progress and goals should be reassessed and the treatment plan updated, at least annually, in established patients.  Treatment plans should also be reviewed after significant clinical change (e.g., hospital admission, relapse, and accomplishment of care goals).