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.
With less than a month of OASIS-D under their belts, many agencies are struggling with accuracy and productivity challenges associated with the assessment. But newly released CMS quarterly OASIS Q&As may help eliminate some confusion.
Ensure clinicians fully understand how to fill out the OASIS item involving grooming.
CMS released the final OASIS-D guidance manual less than two weeks before the new version of the assessment took effect. Not all expected changes were outlined in the final version.


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