What does Oasis mean in health care?
OASIS (Outcome and Assessment Information Set) is the tool Medicare uses to collect data in order to make sure that home health agencies are providing standard quality care to their patients. It was originally used by the Institute of Medicine and is now used by The Centers for Medicare and Medicaid Services across the United States.
What is oasis in home health care?
specializing in their unique needs across home health care, skilled nursing care and case management. Listen to the full interview of Alexander Page with Adam Torres on the Mission Matters ...
Who can complete an OASIS assessment?
With the directed health measures, occupational therapists can now perform assessments under certain conditions. Typically, nurses and physical therapists perform OASIS assessments. There is a 335 page guidance manual from CMS that gives guidance on OASIS rules and regulations.
What is Oasis and home health?
The Home Health Outcome and Assessment Information Set (OASIS) contains data items developed to measure patient outcomes and for improve home health care. The OASIS assessments are required of all home health agencies certified to accept Medicare and Medicaid payments.
What is Oasis used for?
The instrument/data collection tool used to collect and report assessment data by home health agencies is called the Outcome and Assessment Information Set (OASIS).
What does Oasis measure?
What is OASIS? The Outcome and Assessment Information Set, or OASIS, a group of data elements developed by the Centers for Medicare and Medicaid (CMS), represent core items of a comprehensive assessment for an adult home care patient, form the basis for measuring patient outcomes, and determine agency reimbursement.
Who is qualified to collect the Oasis data?
1. CMS defines a qualified clinician for the purpose of collecting and documenting accurate OASIS data as a Registered Nurse, Physical Therapist, Speech-Language Pathologist, or Occupational Therapist.
What is an oasis start of care?
The first OASIS assessment to be documented is the Start of Care (SOC) assessment. This assessment is used when a patient is admitted for treatment to a home health agency. When nursing is ordered, either on its own or as part of a multi-discipline referral, the RN must complete the SOC assessment.
What is included in Oasis assessment?
The Outcome and Assessment Information Set (OASIS) is a comprehensive assessment designed to collect information on nearly 100 items related to a home care recipient's demographic information, clinical status, functional status, and service needs (Centers for Medicare and Medicaid Services [CMS], 2009a).
How many Oasis questions are there?
(December 11, 2018)—The Centers for Medicare & Medicaid Services (CMS) recently published answers to more than 100 questions from home health providers, related to the Outcome and Information Assessment Set (OASIS)-D which becomes effective Jan. 1, 2019.
How do you score the oasis?
Each item of the OASIS instructs respondents to endorse one of five responses that best describes their experiences over the past week. Response items are coded from 0 to 4 and can be summed to obtain a total score ranging from 0 to 20.
Why is Oasis important in home health care?
OASIS assessment is used to monitor the quality of home health care to ensure that the needs of patients are properly met. It measures patient outcomes by tracking the health status of home health care patients over time. It is also useful in analyzing health care processes and methods in the home health care field.
What does an oasis reviewer do?
The main responsibility is to ensure accuracy on OASIS and remain compliant. The reviewer will review the relevant documentation on each chart including referral, History and Physical, clinical summaries, and visit notes from various disciplines.
How long does Oasis take to fill out?
How Long Does It Take to Complete the OASIS? Start of Cares: At least 2 hours in the home. Plus 1-2 hours of paperwork and contacting providers.
How do you complete an oasis?
3:266:19OASIS Basics: How to Start a New Home Health Patient - YouTubeYouTubeStart of suggested clipEnd of suggested clipOnce you start your Oasis assessment with a valid mu 30 date. This now sets that the last day for MUMoreOnce you start your Oasis assessment with a valid mu 30 date. This now sets that the last day for MU 90 date the assessment is completed.
What is the oasis walk?
The OASIS WALK® is designed to objectively evaluate the patient's ability to safely interact with his/her environment given his/her physical and mental health status on the day of assessment.
What is the purpose of OASIS?
OASIS assessment is used to monitor the quality of home health care to ensure that the needs of patients are properly met. It measures patient outcomes by tracking the health status of home health care patients over time. It is also useful in analyzing health care processes and methods in the home health care field.
Why is OASIS important?
As an essential element of home health, OASIS helps you collect important information on the patients you provide skilled home health care to. Working in the home health care field is fulfilling since it gives you the opportunity to improve the quality of life of patients who are mostly confined to their own homes, ...
Who Collects OASIS Data?
If you are a home health care professional, such as a Registered Nurse (RN), clinician, or therapist, it is your responsibility to collect OASIS data on a regular basis. You must complete OASIS assessments during the admission, discharge, and transfer of your patients.
How Can You Learn to Use OASIS?
Or maybe you already have professional experience in the home health care field, but you wish to sharpen your OASIS assessment skills. How can you learn how to use OASIS as a home health care professional?
What is OASIS in the first place?
So what exactly is OASIS in the first place? The Outcome and Assessment Information Set, which is commonly known as OASIS, is a comprehensive assessment tool that was developed for the purpose of gathering data on home health care patients. According to the Home Health Care Serv Q, OASIS has a standardized format that is composed ...
What is HHRG in Medicare?
Medicare and Medicaid are U.S. government-sponsored programs that are beneficial to home health care patients.
How many items are in the OASIS format?
According to the Home Health Care Serv Q, OASIS has a standardized format that is composed of almost 100 items. These fields must be filled up with accurate information about the patients, such as their clinical condition, physical and psychological state, function levels, health care needs, living situation, and demographic data.
What is OASIS data?
The Home Health Outcome and Assessment Information Set (OASIS) data included information that was collected for patients who are receiving skilled home health care. Patients receiving only personal care, homemaker, or chore services are excluded. OASIS assessments are collected at admission, specified time points for the purpose of improving home health care. The assessment is performed on admission, at 60-day intervals, following interruption of home care (e.g., hospitalization), and at discharge or death. The assessment is required for all adults age 18 or over who are Medicare and Medicaid patients. The OASIS assessment collects information in a standardized format about patients’ comorbidities, physical, psychological and psychosocial functioning in addition to the living arrangement.
When is the OASIS assessment required?
OASIS assessments are collected at admission, specified time points for the purpose of improving home health care. The assessment is performed on admission, at 60-day intervals, following interruption of home care (e.g., hospitalization), and at discharge or death. The assessment is required for all adults age 18 or over who are Medicare ...
What age do you need to take an OASIS assessment?
The assessment is required for all adults age 18 or over who are Medicare and Medicaid patients. The OASIS assessment collects information in a standardized format about patients’ comorbidities, physical, psychological and psychosocial functioning in addition to the living arrangement.
What is OASIS in home care?
The Outcome and Assessment Information Set (OASIS) is a comprehensive assessment designed to collect information on nearly 100 items related to a home care recipient’s demographic information, clinical status, functional status, and service needs (Centers for Medicare and Medicaid Services [CMS], 2009a). The OASIS is completed upon admission, discharge, transfer, and change in condition for all Medicare and Medicaid, non-maternity, and non-pediatric beneficiaries. OASIS data are collected by a home care clinician (e.g., nurse or therapist) via direct observation and interview of the care recipient and/or caregiver. Select OASIS indicators are used to assign patients to a Home Health Resource Group (HHRG) for each 60-day home care episode. The HHRG is then used to calculate each patient’s reimbursement rate under the Prospective Payment System (PPS).
What is the Oasis?
The Outcome and Assessment Information Set (OASIS) is the patient-specific, standardized assessment used in Medicare home health care to plan care, determine reimbursement, and measure quality. Since its inception in 1999, there has been debate over the reliability and validity of the OASIS as a research tool and outcome measure. A systematic literature review of English-language articles identified 12 studies published in the last 10 years examining the validity and reliability of the OASIS. Empirical findings indicate the validity and reliability of the OASIS range from low to moderate but vary depending on the item studied. Limitations in the existing research include: nonrepresentative samples; inconsistencies in methods used, items tested, measurement, and statistical procedures; and the changes to the OASIS itself over time. The inconsistencies suggest that these results are tentative at best; additional research is needed to confirm the value of the OASIS for measuring patient outcomes, research, and quality improvement.
What is the systematic review of the literature on the psychometric properties of the OASIS?
To the best of our knowledge this is the first systematic review of the published literature on the psychometric properties of the OASIS since its implementation. The review synthesizes and critiques the existing research on OASIS reliability and validity, focusing on study methods, types of validity/reliability, sampling procedures, items measured, findings, and limitations. Knowing whether the assessment process reliably and accurately captures need is essential to assuring that agencies receive appropriate support to provide quality care. Likewise, understanding accuracy and reliability is essential to monitoring patient stabilization or improvement and agency performance. Finally, outcome and quality research is dependent on valid and reliable measures of key constructs, without which spurious findings may result.
What is the priority of research on the psychometric properties of the OASIS?
Ongoing research on the psychometric properties of the OASIS must be a priority given its role in determining home care reimbursement, home care quality, and its employment in ongoing home health care services research. Acknowledgments.
What is the purpose of OASIS?
The purpose of the OASIS was to provide a standardized assessment tool that would support a case mix adjusted PPS and a mechanism to monitor the quality of care (Davitt & Choi, 2008; Davitt, 2009). A standardized assessment tool was needed which would contain all items essential to measuring a patient’s service needs and quantify that need into a reimbursement level (HHRG; Davitt & Kaye, 2010). Furthermore, a standardized assessment with risk adjustment factors would enable agencies and CMS to monitor performance and modify practice (Shaughnessy, Crisler, Schlenker, & Arnold, 1997a). It is important to consider these purposes when critiquing the reliability and validity of OASIS. Home care clinicians can complete the OASIS to benefit the home care agency in reimbursements or outcome indicators, compromising the reliability and validity of the tool and its value in understanding quality and patient outcomes (Davitt, 2009; Davitt & Choi, 2008; Madigan, Tullai-McGuinness, Fortinsky, 2003). According to CMS, upcoding, or overstating the severity of a patient’s health status, accounted for 11.78% of the change in case-mix between 2000 and 2008 (Davitt & Kaye, 2010; U.S. Government Accountability Office, 2009; Medicare Payment Advisory Commission [MedPAC], 2009; CMS, 2007a, 2007b).
How many articles were reviewed in the OASIS study?
Twenty-three articles were identified in the search and reviewed. Of these, 11 were eliminated at the abstract review stage, as they did not measure either validity or reliability of the OASIS. Data were extracted from each article in a three-step process. First, articles were identified as evaluating validity, reliability or, in some cases, both. Second, an initial review of the articles was used to develop a standardized narrative review template (Dilworth-Anderson, Williams, & Gibson, 2002; Weiner, Amick, & Lee, 2008). Such a template was required due to the diversity of methods and measures across the included studies. Finally, this template was used to critically analyze each study for types of validity and reliability, methods used, sampling procedures, items measured, significant findings, and limitations. See Tables 2and and33for the template and table of evidence (validity studies in Table 2, reliability studies in Table 3). The first author completed a systematic critical review of all articles using the template. The second author then reviewed the articles to validate data extraction. Any disagreement between the authors was discussed until consensus was achieved.
What is OASIS assessment?
The Outcome and Assessment Information Set (OASIS): A Review of Validity and Reliability
What is OASIS in Medicare?
What is OASIS? The Outcome and Assessment Information Set, or OASIS, a group of data elements developed by the Centers for Medicare and Medicaid (CMS), represent core items of a comprehensive assessment for an adult home care patient, form the basis for measuring patient outcomes, and determine agency reimbursement.
What is standardized OASIS training?
Standardized OASIS training, based on a solid foundation of CMS guidance and interpretation, as well as knowledge of the home health industry opportunities and challenges, is key to OASIS accuracy and increased inter-rater reliability.
How many parts are there in the Oasis series?
In conjunction with BlackTree Healthcare Consulting, Relias Learning is developing a seven-part OASIS series designed specifically for clinicians.
When did the OASIS document become the Magna Carta?
Since its debut in October, 2000, the OASIS document has become the Magna Carta of the home health industry – no other document is as important as the OASIS assessment.
What is the purpose of OASIS?
The OASIS, along with the data submitted in Medicare claims, are used to assess the results of health care provided to a patient in the Outcome Measures. The measures are calculated from the OASIS data using the completed episodes of care from admission (or resumption) through discharge (or transfer to an inpatient facility or in some cases, death).
What is OASIS data?
The Home Health OASIS is a standardized data set that measures quality and outcomes. It contains information regarding the patient such as the clinical condition, comorbidities, physical and mental state, functional status, living situation and health care needs. Many agencies use the data to identify areas where they can improve patient care. OASIS data is also publicly reported on Medicare Care Compare. And finally, it is used to determine payment.
What important pieces of documentation are required within an OASIS for home health services?
It is important for the assessing clinician to include any and all supporting documentation that outlines the patient’s current condition and the plan of care for the episode within the visit note. This includes evidence of medical necessity and the need for skilled services.
How to become an OASIS reviewer?
If a person is interested in becoming an OASIS documentation reviewer, they should enroll in an OASIS class or training course. Upon successful completion of the class, they should prepare for and then take the COS-C or HCS-O exam to become certified in OASIS review.
Why outsourcing OASIS?
Because of the importance of OASIS documentation with getting paid , outsourcing your Home Health OASIS reviews is typically a best practice.
What is a plan of care?
Plan of Care (POC) contains the interventions and goals for the patient as well as medications, prognosis, frequency, diagnoses, mental status, supplies, DME, rehab potential, functional limitations, activities permitted, diet, safety measures, and advanced directives.
Who needs OASIS data?
In home health billing, OASIS data is required for Medicare and Medicaid patients , 18 years and older, receiving skilled services. The only exception is for patients receiving services for prenatal or postpartum conditions. Private payers may also require the OASIS for documentation purposes.
What is the condition of participation for OASIS?
A1. The Condition of Participation (CoP) published in January 1999 requires a comprehensive patient assessment (with OASIS data collection) be conducted for all adult, nonmaternity patients receiving skilled care at start of care, at resumption of care following an inpatient facility stay of 24 hours or longer for reasons other than diagnostic testing, every 60 days or when there is a major decline or improvement in patient’s health status, and at discharge. OASIS data collection is also required for a Transfer to an Inpatient Facility (a stay in an inpatient facility bed of 24 hours or longer for reasons other than diagnostic testing) and at Death at Home. OASIS data collection, effective December 8, 2003, is required for skilled Medicare and skilled Medicaid patients only. Section 704 of the Medicare Prescription Drug, Improvement and Modernization Act of 2003 (MMA) (http://www.treas.gov/offices/public- affairs/hsa/pdf/pl108-173.pdf) temporarily suspends the requirement that Medicare- certified home health agencies collect OASIS data on non-Medicare/non-Medicaid patients. Note that the CoP at 42 CFR sections 484.20 and 484.55 require that agencies must provide eachagency patient, regardless of payment source, with a patient-specific comprehensive assessment that accurately reflects the patient's current health status and includes information that may be used to demonstrate the patient's progress toward the achievement of desired outcomes. The comprehensive assessment must also identify the patient's continuing need for home care, medical, nursing, rehabilitative, social, and discharge planning needs. If they choose, agencies may continue to collect OASIS data on their non-Medicare/non-Medicaid patients for their own use. A Survey and Certification Memo (#04-12) sent to surveyors on 12/11/03, further explains the requirement change. It is accessible at http://www.cms.hhs.gov/SurveyCertificationGenInfo/PMSR/list.asp#TopofPage (Search for 04-12) Note that a private pay patient is defined as any patient for whom M0150 Current Payment Source for Home Care does NOTinclude responses 1, 2, 3, or 4. If a patient has private pay insurance in conjunction with M0150 response 1, 2, 3, or 4 covering the care the agency is providing, then OASIS data must be collected (this includes patients for whom Medicare may be a secondary payer).
When do you need to conduct an OASIS assessment?
You must conduct a comprehensive assessment including OASIS data items at start of care, at resumption of care following an inpatient facility stay of 24 hours or longer, every 60 days, and at discharge. When a patient is transferred to an inpatient facility for 24 hours or longer for reasons other than diagnostic testing or dies at home, a brief number of OASIS data items must be collected, but no Discharge comprehensive assessment is required.
What is the comprehensive assessment requirement for home health?
The comprehensive assessment requirement currently applies to all patients regardless of pay source, including Medicare, Medicaid, Medicare managed care (now known as Medicare Advantage), Medicaid managed care, and private pay/including commercial insurance. The comprehensive assessment must include OASIS items for all skilled Medicare, Medicaid, and Medicare or Medicaid managed care patients with the following exceptions: patients under the age of 18, patients receiving maternity services, patients receiving only chore or housekeeping services, and patients receiving only a single visit in a quality episode. Section 704 of the Medicare Prescription Drug, Improvement and Modernization Act of 2003 temporarily suspended OASIS data collection for non-Medicare and non-Medicaid patients. OASIS requirements for patients receiving only personal care (non-skilled) services have been delayed since 1999. The transmission requirement currently applies to Medicare and Medicaid patients receiving skilled care only. Note: The Medicare PPS reimbursement system requires a PPS (HHRG/HIPPS) code to be submitted on the claim of any Medicare PPS patient under 18 or receiving maternity services. While the OASIS data set was not designed for these population types, and is not required by regulation to be collected, in these rare instances, HHAs desiring to receive payment under Medicare PPS would need to collect the data necessary to generate a HHRG/ HIPPS code. The HHA is not required to transmit these data to the State. (You can read or download the December 2003 notice from http://www.cms.hhs.gov/SurveyCertificationGenInfo/PMSR/list.asp#TopofPage. Search for 04-12)
What is 24 hours hospitalization?
In most cases, a hospitalization of 24 hours or more, which occurs for reasons other than diagnostic testing, is a significant event that can trigger changes in the patient and may alter the plan of care. When you learn of a hospitalization, you need to determine if the hospital stay was 24 hours or longer and occurred for reasons other than diagnostic testing. If the hospitalization was for less than 24 hours (or was more than 24 hours but for diagnostic purposes only), no special action is required. If the hospitalization did
What is COP in hospice?
A4. Medicare Conditions of Participation (CoP) for home health are separate from the rules governing the Medicare hospice program. Care delivered to a patient under the Medicare home health benefit needs to meet the Federal requirements put forth for home health agencies, which include OASIS data collection and reporting for skilled Medicare and Medicaid patients. Care delivered to a patient under the Medicare hospice benefit needs to meet the Federal requirements put forth for hospice care, which do not include OASIS data collection or reporting. However, if a Medicare patient is receiving skilled terminal care services through the home health benefit, OASIS applies.
Is OASIS a comprehensive assessment?
A7. The OASIS items alone are not a complete comprehensive assessment and must also have the agency-determined components of the Follow-Up comprehensive assessment.
Does Medicare require a comprehensive assessment?
aide services the agency would be required to conduct a comprehensive assessment, excluding OASIS, of the patient. A comprehensive assessment is not required if only chore or housekeeping services are provided. The Medicare home health benefit exists under both Medicare Part A and Medicare Part B. Patients receiving skilled therapy services under the Medicare home health benefit that are billed to Medicare Part B would receive the comprehensive assessment (including OASIS items) at the specified time points if care is delivered in the patient's home. If a Medicare patient receives therapy services at a SNF, hospital, or rehab center as part of the home health benefit simply because the required equipment cannot be made available at the patient's home, the Medicare Conditions of Participation apply, including the comprehensive assessment and collection and reporting of OASIS data. However, if the services are provided to a patient RESIDING in an inpatient facility, then these are not considered home care services, and the comprehensive assessment would not need to be conducted. If a Medicare beneficiary receives outpatient therapy services from an approved provider of outpatient physical therapy, occupational therapy, or speech-language pathology services under the Medicare outpatient therapy benefit (as opposed to the Medicare home health benefit), then OASIS requirements would not apply. Bear in mind that under PPS, if the patient is under a home health plan of care, the outpatient therapy is bundled into the prospective payment rate and is not a separate billable service. See our February 12, 2001 Survey and Certification memorandum (#3 for 2001) at http://www.cms.hhs.gov/SurveyCertificationGenInfo/PMSR/list.asp#TopofPage, "The Application of OASIS Requirements to Medicare Beneficiaries…," for more information on the applicability of OASIS to Medicare beneficiaries.
What is OASIS in Medicare?
OASIS (Outcome and Assessment Information Set) is the tool Medicare uses to collect data in order to make sure that home health agencies are providing standard quality care to their patients.
When did Medicare start OASIS?
Between the 1980’s and 1990’s, each home health service was billed to Medicare on its own individual basis. Because of this, Medicare had no consistent way to track the care that was provided and whether or not what they were being billed was an appropriate amount. To keep everything organized and fair on all sides, Congress passed legislation that ensured better quality and a clearer view of the services being given to Medicare beneficiaries. This eventually resulted in the creation of OASIS.
Why is OASIS important?
It is important for nurses and therapists working in home health to be fully versed in the OASIS in order to be properly reimbursed for all patients. OASIS (Outcome and Assessment Information Set) is the tool Medicare uses to collect data in order to make sure ...
What is the Oasis tool?
The OASIS Tool: The data tool is used to collect data about the patient’s status during the different episodes of care that they receive. This includes the admission, Recertification every 60 days, and the point of discharge. Every ‘Clinical, Functional, and Service’ domain special to the patient’s treatment needs to be included, along with the outcomes which should include improvement and ‘positive outcomes’. Each time that a change occurs in the patient’s form or location of treatment, a different form must be filled out to document the change in status.
What are the standard events that must be notated in OASIS?
The standard events that must be notated are admission, recertification and discharge, but other events may apply.
