Home Health & Hospice

OASIS-C About More Than Just Outcomes

Homecare Insider, August 24, 2009

Originally designed as a data set for measuring and managing outcomes, the OASIS has played a very important role in payment since 2000.  With the implementation of OASIS-C, the Centers for Medicare and Medicaid Services (CMS) will have a way to measure an agency’s use of evidence-based practices (EBP).  CMS believes that including best practices, which have been shown to prevent exacerbation of serious conditions, can improve care received by individual patient and help agencies avoid adverse events.

There are three types of process data elements in OASIS-C that will capture an agency’s incorporation of EBP into its processes.

  • Assessments/screenings:  The questions ask whether the patient was evaluated for a particular problem.  Examples:  risk for falls, depression.
  • Plan of care interventions:  One question, M2250, plan of care synopsis, asks whether the “physician-ordered plan of care” includes interventions to address care concerns, such as diabetic foot care, falls prevention, and pain control.
  • Implementation of interventions: M2400, intervention synopsis, asks whether the agency implemented the physician-ordered interventions.

It’s important to know that CMS has said these processes are optional so it’s not necessary for an agency to change its operations in response to these questions.  However, because these questions are in the data set and CMS will capture information about EBP for Home Health Compare, it’s likely many agencies will develop standardized protocol incorporating best practices.

The audio conference on September 17 is the first in the fall series, “OASIS-C:  What You Must Do Now.”  This educational session will present the basics about evidence-based practices and best practices.  Click here for more information.