OASIS-C Home Health Outcome Measures

Transcription

1 OASIS-C Home Measures 1 End Result Grooming groom self. (M1800) Grooming 2 End Result Grooming same in ability to groom self. (M1800) Grooming 3 End Result Upper Body Dressing dress upper body. (M1810) Current Ability to Dress Upper Body 4 End Result Lower Body Dressing dress lower body. (M1820) Current Ability to Dress Lower Body 5 End Result Bathing (M1830) Bathing the patient got better at bathing self. 6 End Result Bathing the same in the ability to bathe. (M1830) Bathing 7 End Result Toilet get to and from the toilet. (M1840) Toilet 8 End Result Toilet same in ability to get to and from the toilet. (M1840) Toilet 9 End Result Toileting Hygiene manage toileting hygiene. 10 End Result Toileting Hygiene same in ability to manage toileting hygiene. 11 End Result Bed the patient improved in ability to get in and out of bed. (M1850) OASIS-C Home Quality Measures Measures 1 of 5 12/7/2009

2 OASIS-C Home Measures 12 End Result 13 End Result Bed Ambulation-Locomotion the same in ability to get in and out of bed. (M1850) (M1860) Ambulation/Locomotion the patient improved in ability to ambulate. 14 End Result Eating (M1870) Feeding or Eating the patient got better at feeding self. 15 End Result Light Meal Preparation fix or reheat light meals or snacks. (M1880) Current Ability to Plan and Prepare Light Meals 16 End Result Light Meal Preparation same in ability to fix or reheat light meals or snacks. (M1880) Current Ability to Plan and Prepare Light Meals 17 End Result Phone Use the patient improved in ability to use the telephone. (M1890) Ability to Use Telephone 18 End Result 19 End Result 20 End Result 1 End Result Phone Use Dyspnea the same in ability to use the telephone. (M1890) Ability to Use Telephone (M2020) the patient improved in ability to take their medicines correctly (by mouth). (M2020) the same in ability to take their medicines correctly (by mouth). the patient became less short of breath or dyspneic. (M1400) When is the patient dyspneic? 2 End Result Pain Interfering with Activity (M1242) Frequency of Pain Interfering the with Activity patient's frequency of pain when moving around improved. 3 End Result Speech and Language speak clearly and be understood. (M1230) Speech and Oral (Verbal) Expression of Language OASIS-C Home Quality Measures Measures 2 of 5 12/7/2009

3 OASIS-C Home Measures 4 End Result Speech and Language same in ability to speak clearly and be understood. (M1230) Speech and Oral (Verbal) Expression of Language 5 End Result 6 End Result 7 End Result Status of Surgical Wounds Urinary Tract Infection Urinary Incontinence (M1340) Does this patient have a the Surgical Wound? patient demonstrates an improvement in the condition of (M1342) Status of Most Problematic (Observable) Surgical Wound surgical wounds. the patient's urinary tract infection at start/resumption of care was resolved before discharge. (M1600) Urinary Tract Infection No Testing Yes Yes Percentage of home health (M1610) Urinary Incontinence or Urinary the Catheter Presence: patient had less frequent urinary incontinence, or had a urinary (M1615) When does Urinary Incontinence occur? catheter removed. 8 End Result Bowel Incontinence patient's bowel control improves (M1620) Bowel Incontinence Frequency 9 End Result Confusion Frequency patients are confused less often. (M1710) When Confused 10 End Result 11 End Result 12 End Result Cognitive Functioning Anxiety Level Anxiety Level patients get better or remain the same at understanding and remembering things (M1700) Cognitive Functioning (M1720) When Anxious the patient's anxiety became less frequent the patient's anxiety became less frequent or stayed the same as at admission (M1720) When Anxious 13 End Result 1 Utilization Behavior Problem Frequency Emergency Department Use without Hospitalization patients have less behavior problems such as yelling, hitting or getting lost (M1745) Frequency of Disruptive Behavior Symptoms (M0100) Reason for Assessment the (M2410) Inpatient Facility Admission patient needed urgent, unplanned medical care from a hospital emergency department, without admission to hospital. OASIS-C Home Quality Measures Measures 3 of 5 12/7/2009

4 OASIS-C Home Measures 2 Utilization Emergency Department Use with Hospitalization (M0100) Reason for Assessment the (M2410) Inpatient Facility Admission patient needed urgent, unplanned medical care from a hospital emergency department, immediately followed by hospital admission. 3 Utilization Acute Care Hospitalization episodes of care that ended with the patient being admitted to the hospital. (M0100) Reason for Assessment (M2410) Inpatient Facility Admission (M2430) Reason for Hospitalization 4 Utilization Discharged to community No Testing Yes Yes Percentage of home health episode after which patients remained at home. (M0100) Reason for Assessment 1 Potentially Emergent Care for Injury Caused by Fall at Home No No Yes Yes Percentage of patients who need urgent, unplanned medical care due to an injury caused by fall at home. (M2310) Reason for Emergent Care 2 Potentially 3 Potentially 4 Potentially wound infections, deteriorating wound status improper medication administration, medication side effects hypo/hyperglycemia No Testing Yes Yes Percentage of home health the (M2310) Reason for Emergent Care a wound that is new, is worse, or has become infected. the (M2310) Reason for Emergent Care improper medication administration or medication side effects the (M2310) Reason for Emergent Care hypo/ hyper-glycemia) 5 Potentially Development of Urinary Tract Infection patients developed a bladder or urinary tract infection (M1600) Urinary Tract Infection 6 Potentially 7 Potentially Increase in Number of Pressure Ulcers Substantial Decline in 3 or more Activities of Daily Living (M1306) Unhealed Pressure Ulcer at the Stage II or Higher patient had a larger number of (M1308) Current Number of Unhealed pressure ulcers at discharge than Pressure Ulcers at Each Stage at start of care. (M1800) Grooming the (M1830) Bathing patient became substantially (M1840) Toilet more dependent in at least three (M1850) out of five activities of daily living. (M1860) Ambulation/Locomotion OASIS-C Home Quality Measures Measures 4 of 5 12/7/2009

5 OASIS-C Home Measures 8 Potentially 9 Potentially 10 Potentially 11 Potentially 12 Potentially Substantial Decline in Community Needing Wound Care or Medication Assistance Community Needing Toileting Assistance Community with Behavioral Problems Community with an Unhealed Stage II Pressure Ulcer (M2020) the patient's ability to take their medicines correctly (by mouth) got much worse. available, needing wound care or medication assistance. available, needing toileting assistance. available, demonstrating behavior problems discharged with an unhealed stage II pressure ulcer after 30 days or more. (M1324) Stage of Most Problematic Unhealed (Observable) Pressure Ulcer (M1342) Status of Most Problematic (Observable) Surgical Wound (M2020) (M1840) Toilet (M1740) Cognitive, behavioral, and psychiatric symptoms (M1307) The Oldest Non-epithelialized Stage II Pressure Ulcer that is present at discharge (M0030) Start of Care Date: (M0032) Resumption of Care Date: (M0906) Discharge/Transfer/Death Date: Notes: Count "Testing" Count 3 1 "Testing" indicates CMS has not made a final decision on inclusion in Compare, pending consumer testing. Generic Exclusions: Home health episodes of care that are exempt from the OASIS reporting requirement, including: a. Pediatric home health patients. b. Home health patients receiving maternity care only. c. Home health clients receiving non-skilled care only. d. Home health patients for which neither Medicare or Medicaid is a payment source. Episode of Care Definition: A home health episode of care begins with a start of care or resumption of care assessment. A home health episode of care ends with a discharge, transfer to inpatient facility,or death at home assessment. Only completed home health episodes of care (those with an OASIS C assessment for both the beginning and end point) will be included in reports. Episodes of care that end during the reporting period will be included in reports,regardless of when the OASIS-C Home Quality Measures Measures 5 of 5 12/7/2009