RFA #6 & 7Transfer (TRN) and RFA #9Discharge (DC) RFA #1 Start of Care/ RFA #3 Resumption of Care (SOC/ROC) The 23 items and time points are listed as follows: Agency policy and procedures should address when clinicians are allowed to use the equal sign for these items. The equal sign (=) indicates that the agency has chosen not to report on this OASIS item. This is a new valid response for these items at these time points the items themselves are unchanged. Agencies may enter an equal sign (=) for these items, at the specified time points only. If there is an environmental barrier preventing safe access or the patient has an impairment that causes him/her to require someone’s assistance to gain access to needed items or locations, whether the assistance was to take the items to the patient, or to assist the patient to get to the items, Response “1 – Grooming utensils must be placed within reach before able to complete grooming activities” would be appropriate, assuming the patient could then groom independently in a majority of the more frequently performed grooming tasks.ĭata collection at certain time points for the 23 existing OASIS items is optional. Patient access must be considered when determining grooming ability (e.g., grooming aids, mirror, sink). The assessing clinician may consider available input from other agency staff who have had direct patient contact. OASIS item M1800 Grooming identifies the patient’s ability to tend to personal hygiene needs excluding bathing, shampooing hair and toileting hygiene. The decline may be temporary or permanent. A decline in mental, emotional or behavioral status is considered a change in which the patient, family, caregiver or physician has notes as a decline regardless of the cause. Total Parenteral Nutrition (TPN) and oxygen as defined in M2001 Drug Regiment Review are also included. Code 7 – Currently Taking 5 or More Medications includes all prescribed and over the counter (OTC) medications regardless of the route of administration. This item does not include urgent care centers, walk-in clinics or emergent MD office visits as defined in M2301 Emergent care.
For code 4 – Multiple Emergency Department Visits, the patient must be seen in a hospital emergency department. The criteria for an inpatient hospitalization have not changed, so the patient must be admitted for 24 hours or longer to an inpatient acute bed for more than just diagnostic testing. Inpatient psychiatric and long-term care hospitals (LTCHs) are not included. The types of hospitals included in code 3 include only acute care hospitalizations. Multiple OASIS Q&As were released in October 2019 with clarification of M1033 Risk for Hospitalization coding. The time periods for each item varies from the day of assessment to the past 12 months. The clinician should mark all that apply and must understand the time period under consideration for each item. OASIS item M1033 Risk for Hospitalization identifies patient characteristics that may indicate the patient is at risk for hospitalization.
There is no revised version of the OASIS-D Guidance Manual for 2020. Additionally, CMS is allowing a one-time exception for any RFA 4 Recertification Assessments completed in the last five days of 2019. Guidance revisions include a change from required data collection to optional data collection at certain time points for 23 OASIS items. Both items will be used under PDGM to identify the Functional Impairment Level for the patient. The minor revisions in OASIS-D1 include the addition of two existing items to the Follow-Up assessment data set: M1033 Risk for Hospitalization and M1800 Grooming. Luckily, the revisions occurring under OASIS-D1 are considered minor – but as we know, even the tiniest of changes require a good bit of thought as to how you’ll handle the revisions throughout your own agency. Change is a constant of the home health industry, and the introduction of OASIS-D1 on Januproves this to be true. For home health agencies, the holidays mean more than spending time with family and time off work.