Home Health & Hospice Week

Start looking ahead to OASIS-E.

You may be worry about the transition to OASIS-D1 in January, but you’ve got another major OASIS revamp right behind that.>

In January 2021, in a revamped tool termed OASIS-E, the Centers for Medicare & Medicaid Services wants to add multiple new SPADE items (see Eli’s HCW, Vol. XXVIII, No. 37) and these three new items to support proposed health information transfer quality measures (see story, p. 304):>

A2121A: Provision of Current Reconciled Medication List to Subsequent Provider at Discharge. At the time of discharge to another provider, did your agency provide the patient’s current reconciled medication list to the subsequent provider?>

0. No – Current reconciled medication list not provided to the subsequent provider
1. Yes – Current reconciled medication list provided to the subsequent provider>

A2121B: Provision of Current Reconciled Medication List to Subsequent Provider at Transfer. At the time of transfer to another provider, did your agency provide the patient’s current reconciled medication list to the subsequent provider?>

0. No – Current reconciled medication list not provided to the subsequent provider. ◊ Skip to J1800, Any Falls Since SOC/ROC
1. Yes – Current reconciled medication list provided to the subsequent provider
2. NA – The agency was not made aware of this transfer timely ◊ Skip to J1800, Any Falls Since SOC/ROC>

A2122: Route of Current Reconciled Medication List Transmission. At the time of discharge, did your agency provide the patient’s current reconciled medication list to the patient, family and/or caregiver?>

0. No – Current reconciled medication list not provided to the patient, family and/or caregiver
1. Yes – Current reconciled medication list provided to the patient, family and/or caregiver>

A2123: Route of Current Reconciled Medication List Transmission. Indicate the route(s) of transmission of the current reconciled medication list to the subsequent provider and/or patient/family/caregiver. (Leave blank if current reconciled medication list is not provided to subsequent provider or patient.)>

A. Electronic Health Record
B. Health Information Exchange Organization
C. Verbal (e.g., in person, telephone, videoconferencing)
D. Paper-Based (e.g., fax, copies, printouts)
E. Other Methods (e.g., texting, emails, CDs)>

Definition: CMS provides a lengthy definition of a reconciled med list in the proposed rule, including “a list of the current prescribed and over the counter (OTC) medications, nutritional supplements, vitamins, and homeopathic and herbal products administered by any route to the patient/resident at the time of discharge or transfer. Medications may also include but are not limited to total parenteral nutrition (TPN) and oxygen. The current medications should include those that are: (1) Active, including those that will be discontinued after discharge; and (2) those held during the stay and planned to be continued/ resumed after discharge.”>

Note: An HHQRP change table for 2021 lists the differences between OASIS-D and OASIS-E at www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HomeHealthQualityInits/Downloads/Change-Table-for-Proposed-HH-QRP-Items-Effective-January-1-2021.pdf. >