Home Health & Hospice

OASIS-C1 final: No changes made from proposed draft

Homecare Insider, March 3, 2014

On February 6, the Office of Management and Budget (OMB) posted a notice that stated that they had reviewed the proposed OASIS-C1 data set and that it had been approved with no changes. OASIS-C1 is effective October 1.
 
The Centers for Medicare and Medicaid Services (CMS) issued a notice in the Federal Register on June 21 that officially proposed changes to the data set. OASIS-C1 set will accommodate the implementation of ICD-10 which is also effective October 1. Other changes will also be made to update data elements based on research and testing.
 
Some of the changes 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 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 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 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
You can find the notice here.
 
Beacon Health is your source for future OASIS-C1 information and analysis.