The new version of the OASIS is here and will be required on January 1st. In order to help your agency be ready, we’ve concentrated on the biggest changes that staff will see.
Revised Look-Back Period: The look-back period on the 5 responses at discharge and transfers is now based on “at any time of or any time since the most recent SOC/ROC assessment” not based on the time since prior OASIS assessment.
M1028: Active Diagnosis of PVD, PAD or DM: This question must be answered at SOC and ROC. Additionally, the diagnosis must be included with physician documentation or confirmed with the patient’s physician if not included with referral information.
M1060: Height and Weight: Clinicians will need to enter the actual height and weight for a patient. Should the patient be unable to be weighed or in another extreme situation, a dash is acceptable. Agencies should look at discharge and referral information to collect this data. Also, you may want to add these two items to your referral/intake sheet.
GG0170C: Mobility: The scale is based on 6 to 1 in reverse order for scoring this question. 6 is totally independent and 1 completely dependent at changing positions from lying in bed to sitting on the edge of bed. Clinicians will need to complete this question for SOCs and ROCs.
M2001: Drug Regimen Review: The revised question is forcing clinicians to do a complete medication reconciliation of all prescribed and over the counter drugs a patients takes. The purpose is to identify and prevent any potential issues. Any issues that are found must be reported to the physician by the next calendar day. M2003, Medication Follow Up and M2005, Medication Intervention will ask clinicians if such communication was necessary and occurred.
M2016: Patient/Caregiver Drug Education Intervention: Drug education must now be provided on all drugs, prescribed and over the counter, with information on whom and when to contact with issues.
M1306: Unhealed Pressure Ulcer at Stage 2 or Higher: The response to this question has changed. Clinicians should respond with ‘yes’ if a known ulcer is present, but can’t be seen due to dressing or device. Suspected ulcers would not be considered. Additionally, once a wound reaches the 80% mark of healing, the wound is considered healed and will no longer be reported as a pressure ulcer. M1307 will be used to document a pressure ulcer that developed after SOC or ROC.
M1311: Current Number of Unhealed Pressure Ulcers at Each State: This question determines the number of stage 2 or higher pressure ulcers at the time of assessment.
M1313: Worsening in Pressure Ulcer Status Since SOC/ROC: Clinicians will need to capture any worsening of a pressure ulcer.
Many other M questions were also provided with new guidance on how to answer and score the questions. These questions are: M1340, M1017, M1046, M1051 and M1840.