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Check out the Latest Version of OASIS-C

OASIS-C continues its march toward implementation, which has been projected for early next year. On Friday, March 13, 2009, the Centers for Medicare and Medicaid Services (CMS) posted the latest iteration of the data set to its Web site. There were several changes, most of them minor, involving clarification through changes in title and responses.

New and deleted data elements

OASIS-C version 12.2 eliminates M1014, medical or treatment regimen change in the last 14 days. M2100, types and sources of assistance , replaces M2100, patient management of equipment. In the previous version of OASIS-C, this data element was M2110. OASIS-C adds M1307, date of oldest, unhealed Stage II pressure ulcer.

This iteration eliminates data elements on a change in mobility, self-care ability, and ability to perform household tasks, and data elements on the patient’s abilities to manage medications prior to the illness or injury. The intent of the questions, however, carries through in two new data elements: M1900, prior functioning ADL/IADL, and M2040, prior medication management.

Title and other changes

CMS changed the title, instructions, and responses for several data elements, most likely to clarify the intent of data collection. Here is a sampling.

• M1020, primary diagnosis, and M1022, other diagnoses, replace “severity rating” with “symptom control.”
  
  
• M1032, frailty indicators, becomes risk for hospitalization. The indicators have become more specific.
  
  
• M1034, stability prognosis, is overall status with no changes in the responses.
  
  
• M1410, respiratory treatments, include bi-level positive airway pressure (BiPAP).
  
  
• M1500, symptoms of heart failure, becomes symptoms in heart failure patients.
  
  
• M1730, depression screening, asks whether the patient was screened using the PHQ-2 © scale.
  
  
• M1740, behaviors demonstrated, is now cognitive, behavioral, and psychiatric symptoms.
  
  
• M1745, frequency of behavior problems, is frequency of disruptive behavior symptoms, any symptoms that are injurious to the patient or others or jeopardize personal safety.
  
  
• M2000, potential adverse effects/reactions, becomes drug regimen review.
  
  

Of particular importance: CMS is standing firm on its burden estimate. It maintains that these changes will have no net impact on the OASIS burden.

Time to comment

To download the CMS’ most recent OASIS-C package, including supporting statement, and burden estimate, go to —

www.cms.hhs.gov/PaperworkReductionActof1995/PRAL/list.asp#TopOfPage — and click on CMS-R-245.

To find the latest OASIS-C, click on - http://www.beaconhealth.org/pdfs/OASIS-C-MARCH-2009.pdf.

Study the information and then send in your comments by April 8 to:

OMB, Office of Information and Regulatory Affairs
Attention: CMS Desk Officer.
Fax Number: (202) 395–6974
E-mail: OIRA_submission@omb.eop.gov.

The audio recording, “Introduction to OASIS-C,” highlights the challenges an agency faces with OASIS-C. Even though a few numbers and names have changed, an agency will quickly realize what is ahead.  Learn more about this program at — http://www.beaconhealth.org/cgi-bin/ccp51/cp-app.cgi?pg=prod&ref=J021909D.

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