Assessments and Programs are both an initial and ongoing tool mandated by value based care. There are 32 overall assessments with about half receiving frequent use. These required assessments identify medical necessity, as well as drive and support orders for diagnostics, and program components for the Plan of Care. Like all mandated and incentivized components, there is very significant penalties and revenue associated. These assessments, and their resulting medical necessities extend far beyond the capabilities of your EHR.