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.
Take time to train clinicians on how to properly document unwitnessed falls. Doing so will be crucial to successfully respond to new falls items coming to OASIS-D.


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