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So You Think You Know OASIS?
The Functional Activity Assessment from the Caregiver’s Perspective
Presented by: Rhonda Will RN, BS, COS-C, BCHH-C
Assistance Director OASIS Competency Institute Fazzi Associates, Inc.
243 King Street, Suite 246 Northampton, MA 01060
413-584-5300 Fax: 413-584-0220
www.fazzi.com
12/3/2012
1
©2012
So You Think You Know OASIS?The Functional Activity Assessment from the Caregiver’s Perspective
Presented by:Rhonda Will, RN, BS, COS‐C, BCHH‐C
Assistant Director OASIS Competency InstituteFazzi Associates, Inc.
December 4, 2012
©2012
M1800 – M1900: ADL/IADL©2012
The OASIS WALK®
Watch
Assess
Listen
Know
12/3/2012
2
©2012
Ability: The OASIS WALK® in PACES
Physical condition
Activities permitted
Cognitive condition, mental and emotional status
Environment and availability of Equipment
Sensory condition
Consider the criteria. Document what he/she can do safely in this 24‐hour period of assessment.
©2012
OASIS ConventionsOASIS‐C Guidance Manual Chapter 1‐11
Time period under consideration
• Report what is true on the day of assessment unless a different time period is indicated in the item or related guidance.
• Day of assessment = 24 hours preceding and including the time of the visit.
Usual status
• Usual status during assessment timeframe.
• Greater than 50% of the time during the day of assessment.
©2012
Grooming and Dressing
Time Points
12/3/2012
3
©2012
M1830: Bathing
Unable to transfer, access, medically restricted
Able to access and transfer safely, not medically restrictedAble to access and transfer safely, not medically restricted
Dependent regardless of where
©2012
Time Points
M1830 ‐ Bathing
Response Environment Assistance/devices
0 In Shower/Tub None
1 In Shower/Tub Devices
2 In Shower/Tub Intermittent Assistance
3 In Shower/Tub Presence of Another Throughout
4 Sink/Chair/Commode No Human Assistance
5 Bed/Sink/Chair/Commode Presence of Another Throughout
6 Unspecified Totally Dependent
©2012
M1840: Toilet Transferring
Time Points
12/3/2012
4
©2012
M1615: When Urinary Incontinence Occurs
Time Points
©2012
M1845: Toileting Hygiene
Time Points
©2012
M1850: Transferring
Time Points
12/3/2012
5
©2012
M1860: Ambulation
Time Points
©2012
Time Points
M1860 ‐ Ambulation
Response Environment Assistance
0 Even/Uneven Surfaces and Stairs
None
1 Even/Uneven Surfaces and Stairs
One‐handed device
2 Even/Uneven Surfaces and Stairs
Human Supervision/Assistance for Stairs, Steps, Uneven Surfaces
3 Unspecified Human Supervision/Assistance at All times
4 Chairfast No Human Assistance
5 Chairfast Unable to Wheel Self
6 Bedfast NA
M1860 ‐ Ambulation
Response Environment Assistance/device
0Even/Uneven Surfaces
and Stairs None
1 One ‐ Handed Device
2Even Surfaces
Uneven Surfaces/Stairs
One or Two‐Handed Device
Human Supervision/Assistance
3 Unspecified Human Supervision/Assistance at All Times
4 Chairfast Able to Wheel Self
5 Chairfast Unable to Wheel Self
6 Bedfast NA
Even/Uneven Surfaces and Stairs
©2012
M1200: Vision
Ability to see and visually manage (function) with corrective lenses if usually worn
Time Points
12/3/2012
6
©2012
M1210: Ability to Hear
Time Points
©2012
M1242: Frequency of Pain Interfering
Interfering Pain:
• Causes an activity to take longer to complete.
•Results in the activity being performed less often than desired.
•Requires the patient to have additional assistance (person or device).
•May prevent an activity.
©2012
M1400: When Noticeably Short of Breath
Time Points
• Level of exertion that resulted in dyspnea or shortness of breath on the day of assessment/previous 24 hrs.
o Using continuous O2: Mark response using O2.
o Using O2 intermittently: Mark response when not using O2.
12/3/2012
7
©2012
M1910: Fall Risk Assessment
Time Points
Select Response 1 (no, low or minimal risk) or Response 2(more than low/minimal risk) considering ONLY the part(s) of the FRA that is standardized and validated.
• What part(s) of your FRA is standardized and validated?
• What are the directions for using the part that is standardized and validated?
• What score identifies risk?
• When do you select “No”?
©2012
CMS Guidance
OASIS‐C Implementation Manual• Revised annually 12/2010
CMS Q and A
• Core group revised and posted 12/2010
• https://www.qtso.com/hhadownload.html
Q and A updated quarterly• www.fazzi.com
WOCN OASIS Wound Guidance Document• www.wocn.org
Alert! Follow the most recent guidance from CMS when conflicts found.
©2012
Fazzi Associates, Inc.243 King Street, Suite 246Northampton, MA 01060
1-800-397-0361www.fazzi.com
243 King Street #246 Northampton, MA 01060
413.584.5300 fax: 413.584.0220
www.fazzi.com
Nurses Only
Directions on how to Receive Contact Hours
This continuing nursing education activity was approved for 1.0 Contact Hours. Fazzi
Associates is an approved provider of continuing nursing education by the Massachusetts
Association of Registered Nurses, Inc., an accredited approver by the American Nurses
Credentialing Center's Commission on Accreditation.
1. Each participant must complete an electronic evaluation in order to receive contact hours.
Please be sure to complete all contact information as all certificates are e-mailed.
2. There is a four week processing period to process the contact hours.
3. Click on the following link in order to access the online evaluation form:
https://www.research.net/s/KK7ZNQF.