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 For Example, M1040 has been removed and been replaced by A1005 (Ethnicity), A1010 (Race), and A1110 (Language).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