Home Health & Hospice

Changes to OASIS are coming: OASIS-C1 to be proposed

Homecare Insider, April 29, 2013

According to a presentation at the National Association for Home Care & Hospice’s annual March on Washington conference, CMS will be publishing a Paperwork Reduction Act (PRA) package with a comment period that will propose a new OASIS version called OASIS-C1. No time table was given.

The presentation given by Pat Sevast, who works in CMS’ Survey and Certification Group, stated that all data elements will be revised for the implementation of ICD-10 which is effective October 1, 2014. Other changes will also be made to update data elements based on research and testing.

CMS submitted an Information Collection Request (ICR) in 2012 with proposed OASIS-C1 changes.

According to the ICR posted on Reginfo.gov, some of the changes that may be proposed include:

  • Eliminate 1012 Inpatient Procedure
    • This change impacts OASIS assessments conducted at start and resumption of care
  • Eliminate M1310, M1312, and M1314 length, width, and depth of the pressure ulcer with the largest surface dimension
    • This change impacts OASIS assessments conducted at start and resumption of care, and at discharge
  • Item M1350 reports whether the patient has a skin lesion or open wound that is receiving intervention from the home health agency, other than a surgical wound, pressure, or stasis ulcer
    • Continue collecting this item at start and resumption of care (which is when risk adjustment takes place), but to delete it at discharge
  • Item M1410 reports the types of respiratory treatments (oxygen, ventilator, etc.) the patient is receiving at home
    • Continue collecting this item at start and resumption of care, but to delete it at discharge
  • Item M2110 reports how frequently the patient receives assistance with activities of daily living from caregivers other than the home health agency
    • Continue collecting this item at start and resumption of care, but to delete it at discharge
  • M2440 is collected at the time of transfer from home health to a skilled nursing facility to identify the reason that a patient was transferred 
    • To eliminate this item entirely from the OASIS-C1 as it is not used for payment, quality measure development, or risk adjustment

According to the ICR, CMS estimates “an overall reduction in burden of 837,581 hours per year when OASIS-C1 is implemented in October 2014.”

Many changes may come before the PRA is published in the Federal Register so it is important for providers to understand that these proposed changes could evolve.

Beacon Health will be your source for future OASIS-C1 information and analysis. Stay tuned for more coverage as more information is released.