A revised CMS memorandum on OASIS-D1 sheds light on when to use the new version of the OASIS, including a special allowance designed to accommodate the transition to the Patient-Driven Groupings Model (PDGM).
Respond to M1311 (Current number of unhealed pressure ulcers/injuries at each stage) at start of care (SOC) and resumption of care (ROC) based on the first skin assessment conducted by agency staff.
Closely evaluate whether nurses fill out M1860 (Ambulation/locomotion) based on if a patient can safely perform a task. It’s vital to respond properly to M1860 under the PPS, and it will remain critical under the Patient-Driven Groupings Model (PDGM).
CMS guidance around how a new quality measure works offers valuable clarifications for agencies and clinicians struggling to understand new OASIS-D items capturing self-care and mobility.
Guidance on new items capturing information on falls, mobility, self-care and prior device use took center stage in the second set of quarterly OASIS Q&As that CMS issued since OASIS-D took effect Jan. 1.
Less than four months after the implementation of OASIS-D, CMS is already looking ahead to a new version of the assessment. The updates are expected to take effect Jan. 1, 2020.
Ensure clinicians have proper training about how to respond to the OASIS-D item involving patients’ ability to dress their lower body safely.
New items capturing self-care and mobility have been among the biggest challenges for clinicians involving OASIS-D, with struggles ranging from difficulty understanding item guidance to issues with scrubber software flagging inconsistencies between these and certain existing items.
Following a recent DecisionHealth webinar about preparing for OASIS-D, agencies asked questions of industry expert Arlynn Hansell, owner of Therapy and More, LLC in Cincinnati. Here are some of her answers.
Many corrections outlined in the OASIS-D errata released in July 2018 weren’t present in the final guidance manual, leaving some confusion about what guidance agencies were supposed to follow.


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