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.
Before OASIS-D takes effect Jan. 1, 2019, take full advantage of permitted collaboration and get a solid grasp on the response options for new items.
Train clinicians immediately about how they’ll need to respond to a new OASIS item assessing prior functioning.
While agencies hustle to prepare for the Jan. 1, 2019, implementation of OASIS-D, changes to the assessment outlined in the 2019 PPS final rule could be enough to create another version of the OASIS, some industry experts contend.


User Name: