The “Outcome and Assessment Information Set (OASIS)” was developed through the Healthcare Financing Administration and implemented in 1999 by home health agencies for those patients receiving Medicare benefits. Home health agencies are reguired to satisfy the “Medicare Conditions of Participation (CoP)”, which includes the appropriate use of the OASIS to be able to receive Medicare payments for services. Even though chicago medical staffing is constantly evolving, six main principles regarding “Quality Care” have remained consistent.
1. Effectiveness
2. Efficiency
3. Equity
4. Patient Centeredness
5. Safety
6. Timeliness
OASIS Tool and Data Collection
Data is collected with all the OASIS tool at a number of points after a patient episode of care. The OASIS usually collects data at the following times:
1. Start of Care: Data collected at the initial patient encounter. This can be the encounter that is most lengthy as the nurse reviews patient need and makes appropriate treatment recommendations for the patient.
2. Recertification every Two months: Patient need is re-evaluated and adjusted accordingly.
3. Discharge: This takes place when patient is discharged from home health care. The individual either remains in your own home, is transferred to a long-term care facility,or is discharged should death occur. Patients have a right to know when they are being discharged and should be given appropriate notice ahead of the day of discharge and OASIS tool could be completed.
4. Transfer of Care: When the patient requires an in-patient hospitalization longer than 24 hours, a change in care note is made and OASIS information is moved to a medical facility. Upon discharge, the OASIS is resumed and care continued as opposed to beginning a new OASIS document.
How come the OASIS so very long?
At first glance, the OASIS seems overwhelming and cumbersome. However, upon further examination, the OASIS can be seen as an in-depth version of the nursing process. It absolutely was developed to stand alone while providing evidence of patient need and ensures patient care meets or exceeds Quality of Care standards in the episode of care. For nurses new to the OASIS, it can seem overwhelming and a daunting task to complete, however with practice and experience, the OASIS tool becomes part of the home health nurses’ assessment routine.
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