Home Health & Hospice Week

Assessment:

Here’s What 143 New OASIS Data Elements Looks Like

SPADE, Transfer of Health items set to debut.

Check out the list of items slated to be added or dropped in the forthcoming OASIS-E version.

IMPACT Act Standardized Assessment Patient Data Elements (SPADE) items added:

Cognitive Function

  • C0100 Should Brief Interview for Mental Status (C0200- C0500) be Conducted?
  • C0200 Repetition of Three Words
  • C0300 Temporal Orientation
  • C0400 Recall
  • C0500 BIMS Summary Score
  • C1310 Signs and Symptoms of Delirium (from CAM)
  • D0150 Patient Health Questionnaire-2 to 9 (PHQ-2 to 9)
  • D0160 Severity Score

Special Services, Treatments, and Interventions

  • O0110 Special Treatment, Procedures, and Programs
  • K0520 Nutritional Approaches
  • N0415 High-Risk Drug Classes: Use and Indication

Medical Conditions and Co-Morbidities

  • J0510 Pain Effect on Sleep
  • J0520 Pain Interference with Therapy Activities
  • J0520 Pain Interferences with Day-to-Day Activities

Impairments

  • B0200 Hearing
  • B1000 Vision

Social Determinants of Health (New Category)

  • A1005 Ethnicity
  • A1010 Race
  • A1110 Language
  • B1300 Health Literacy
  • A1250 Transportation
  • D0700 Social Isolation

Transfer of Health items added:

  • A2121 Provision of Current Reconciled Medication List to Subsequent Provider at Discharge
  • A2120 Provision of Current Reconciled Medication List to Subsequent Provider at Transfer
  • A2122 Route of Current Reconciled Medication List Transmission to Subsequent Provider
  • A2123 Provision of Current Reconciled Medication List to Patient at Discharge
  • A2124 Route of Current Reconciled Medication List Transmission to Patient

Items removed and replaced by SPADE items:

  • M0140 Race/Ethnicity
  • M1200 Vision
  • M1730 Depression Screening
  • M1030 Therapies the Patient Receives

Items removed completely:

  • M1910 Has the patient had a Multi-factor Falls Risk Assessment using a standardized validated assessment?
  • M1051 Pneumococcal Vaccine
  • M1056 Reason Pneumococcal Vaccine Not Received
  • M2016 Patient/Caregiver Drug Education Intervention

Items removed partially:

  • M2401 Intervention Synopsis, removal of row a

Items removed from Followup:

  • M1610 Urinary Incontinence or Urinary Catheter Presence
  • M1620 Bowel Incontinence Frequency
  • M1630 Ostomy for Bowel Elimination
  • M1021 Primary Diagnosis, ICD-10 CM and Symptom Control
  • M1023 Other Diagnoses, ICD-10 CM and Symptom Control Rating
  • M1400 When is the patient dyspneic or noticeable Short of Breath?
  • M1311 Current Number of Unhealed Pressure Ulcers/ Injuries at Each Stage?
  • M1322 Current Number of Stage 1 Pressure Ulcers
  • M1324 Stage of Most Problematic Unhealed Pressure Ulcer/ Injury that is Stageable
  • M1332 Current Number of Stasis Ulcer(s) that are Observable
  • M1334 Status of Most Problematic Stasis Ulcer that is Observable
  • M1340 Does the Patient have a Surgical Wound?
  • M1342 Status of Most Problematic Surgical Wound that is Observable
  • M2030 Management of Injectable Medications: Excludes IV Medications
  • M2200 Therapy Need

Items added to Followup:

  • M1033 Risk of Hospitalization
  • M1800 Grooming

Items with revised text:

  • M0102 Date of Physician Ordered Start of Care
  • M1000 Inpatient Facilities
  • A2122 Route of Current Reconciled Medication List Transmission to Subsequent Provider
  • A2124 Route of Current Reconciled Medication List Transmission to Patient
  • GG0100 Prior Functioning: Functioning Everyday Activities
  • GG0130 Self Care
  • GG0170 Mobility
  • M1620 Bowel Incontinence Frequency

Source: Information drawn and reordered from Supporting Statement A Outcome and Assessment Information Set OASIS-E (CMS-10545).

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