OASIS Alert

Scenario: You are discharging a patient on Jan. 2, 2010, at the end of his second episode of care. You had already administered the seasonal flu vaccine to the patient on September 25, 2009, during his first episode of home care. Read the two questions and choose A, B, or C.

Question #1: How do you answer M1040 (Influenza Vaccine: Did the patient receive the influenza vaccine from your agency for this year's influenza season [October 1 through March 31] during this episode of care?) in your discharge assessment? Your answer options for M1040 are:

0 - No

1 - Yes

NA - Does not apply because the entire episode of care (SOC/ROC to Transfer/Discharge) is outside this influenza season.

After reviewing your options, you report:

A) 1 - because the patient received this year's flu vaccine from your agency.

B) 0 - because the patient did not receive the flu vaccine during this episode of care.

C) 0 - because the patient received the flu vaccine prior to October 1.

Question #2: If your answer to question #1 is no, how do you answer M1045 (Reason influenza vaccine not received: If the patient did not receive the influenza vaccine from your agency during this episode of care, state reason). Your answer options are:

1 - Received from another health care provider (e.g. physician)

2 - Received from your agency previously during this year's flu season

3 - Offered and declined

4 - Assessed and determined to have medical contraindication

5 - Not indicated; patient does not meet age/condition guidelines for influenza vaccine

6 - Inability to obtain vaccine due to declared shortage

7 - None of the above

After reviewing your options, you report:

A) 1 - Received from another health care provider. You choose this because a different clinician administered the vaccine during the previous episode.

B) 2 - Received from your agency previously during this year's flu season. You choose this because the flu vaccine was given by your agency during the previous episode.

C) 7 - None of the above. You choose this instead of "2" because the patient received the vaccine on September 25 and M1040 says that the influenza season is October 1 through March 31.

Do you know the answers? Quiz your staff before you turn to page 109 for the answer.