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How Many New Items Are in OASIS E?

9/8/2022
by Keith Grunig

OASIS E Image

What is OASIS E?  How many Versions of OASIS Are there?  

Every year we wait with baited breath to find out what changes are coming to home health agencies. There are 4 versions of OASIS.  Each iteration has a new letter next to it. Some versions have updates such as OASIS D to D1, which introduced or removed a few questions, but not significant enough to change versions.    CMS Announced that OASIS D1 would be replaced by OASIS E.  Because of the public health emergency, OASIS E implementation was delayed and will start Jan 1, 2023.  Follow this link to view the OASIS E document from CMS.  

OASIS is an anacronym for Outcome and Assessment Information Set.  CMS uses this information to track certain information over a long period of time.  The National Institute of Health says the purpose of OASIS "The Outcome and Assessment Information Set (OASIS) is a comprehensive assessment designed to collect information on nearly 100 items related to a home care recipient’s demographic information, clinical status, functional status, and service needs (Centers for Medicare and Medicaid Services [CMS], 2009a). The OASIS is completed upon admission, discharge, transfer, and change in condition for all Medicare and Medicaid, non-maternity, and non-pediatric beneficiaries. OASIS data are collected by a home care clinician (e.g., nurse or therapist) via direct observation and interview of the care recipient and/or caregiver."  Find the full link here

 

How Many New Items Are There in OASIS E?  

The short answer is 27.  There are 27 new items on OASIS E compared to OASIS D1.  Often, an OASIS Item is removed, only to be replaced by a question or questions seeking more specific information.  For Example, M1040 has been removed and been replaced by A1005 (Ethnicity), A1010 (Race), and A1110 (Language).  Here is a list of Items that are new, and what OASIS the question applies to. 

Question

Description

OASIS Type

A1005

Ethnicity

SOC

A1010

Race

SOC

A1110

Language

SOC

A1250

Transportation

SOC/ROC/DC

A2120

Med List Provision to Provider

TRF

A2121

Med List Provision to Provider

DC

A2122

Route of Provision to Provider

TRF/DC

A2123

Med List Provision to Patient

DC

A2124

Route of Provision to Patient

DC

B0200

Hearing

SOC

B1000

Vision (Went from 3 options to 5)

SOC

B1300

Health Literacy

SOC/ROC/DC

C0100

Should Brief Interview for Mental Status be Performed? 

SOC/ROC/DC

C0100

If NO, skip to C1310 

 

C0200

BIMS:  Repetition of Three Words

SOC/ROC/DC

C0300

BIMS: Temporal Orientation

SOC/ROC/DC

C0400

BIMS: Recall

SOC/ROC/DC

C0500

BIMS: Summary Score

SOC/ROC/DC

C1310

Signs/Symptoms of Delirium

SOC/ROC/DC

D0150

Patient Mood Interview

SOC/ROC/DC

D0160

Total Severity Score

SOC/ROC/DC

D0700 

Social Isolation

SOC/ROC/DC

J0510

Pain Effect on Sleep

SOC/ROC/DC

J0520

Pain Interfere w/ Therapy

SOC/ROC/DC

J0530

Pain Interfere w/ Activity

SOC/ROC/DC

K0520

Nutritional Approaches

SOC/ROC/DC

N0415

High Risk Drug Classes

SOC/ROC/DC

O0110

Special Treatments, Procedures, Prog

SOC/ROC/DC

 

What Items Have Been Removed from OASIS E?

Here's a list that shows what items have been removed from OASIS D1 to OASIS E.  Some have been removed at Follow Up Only

Question

Description

OASIS Type

M1040

Race/Ethnicity

(SOC)

M1200

Vision

SOC/ROC

M1730

Depression Screening

SOC/ROC

M1610

Urinary Incontinence

Removed at Follow Up

M1620

Bowel Incontinence Frequency

Removed at Follow Up

M1630

Ostomy

Removed at Follow Up

M1021

Primary DX

Removed at Follow Up

M1023

Other DX

Removed at Follow Up

M1242

Frequency of Pain Interfering with Activity

SOC/ROC/DC

M1910

Falls Risk Assessment

SOC/ROC

M1400

Dyspnea

Removed at Follow Up

M1030

Therapies Received at Home

SOC/ROC/FU

M1311

Current # Unhealed PUs

Removed at Follow Up

M1322

Current # Stage 1 PUs

Removed at Follow Up

M1324

Stage of Most Prob PU

Removed at Follow Up

M1330

Presence of Stasis Ulc

Removed at Follow Up

M1332

Current # Observable Stasis Ulc

Removed at Follow Up

M1334

Status of Most Problematic Stasis Ulc

Removed at Follow Up

M1340

Presence of Surgical Wound

Removed at Follow Up

M1342

Status of Most Prob Surgical Wound

Removed at Follow Up

M2016

Drug Education Intervention

 

M2030

Management of Injectable Meds

Removed at Follow Up

M1051

Pneumococcal Vac

TRF/DC

M1056

Reason PPV Not Received

TRF/DC

M2041

Intervention Synopsis

M2401A Removed

 

As always, there are technicalities to understand.  However, it is important to not lose sight of the big picture:  Accuracy and proper documentation.  For tips on how to perform and document for OASIS, read our blog OASIS Documentation for Dummies and PDGM for Dummies

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