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OASIS C testing has been completed. Posting for public comments is now available. To be assured consideration, comments and recommendations must be submitted by January 13, 2009. The Centers for Medicare & Medicaid Services is requesting OMB approval to modify the Outcome and Assessment Information Set (OASIS) data set that home health agencies (HHAs) are required to collect in order to participate in the Medicare program. (see link below) Development began in 2005 following recommendations from a variety of stakeholders: industry feedback, NQF recommendations, a Home Health Technical Expert Panel who identified Best Practice process measures that were deemed to be within the control of the Home Health Agency and MedPAC Report: adding quality measures in home health (Chapter 5, June 2006 report) It was originally posted to the following CMS website Paperwork Reduction Act of 1995 OASIS as CMS-10238 Existing data elements have been refined to more accurately capture improvement and process measures. The updated post testing version CMS-R-245 is posted to the CMS Paperwork Reduction Act website accessible in the Related Links Inside CMS. (see link below). The tentative final data set/instrument will go through NPRM Spring of 2009, for an anticipated implementation 1/2010. OASIS C - A balanced set of measures - - Home Health Agencies have adapted well to outcomes, which is important. There are 3 types of measures most commonly used in quality work.
- Structure - Physical equipment and facilities such as using EHR.
- Process - How the system works - performing what is known to be clinically relevant and evidence based.
- Outcome - The final product, results - stabilization, decline or improvement.
Proposed Measure are posted to NQF website (link below) Measure Priorities - Global Harmonization of Measures across settings will be a National Quality Forum priority beginning with flu and Pneumonia Immunizations.
- Standardizing assessment/quality measurement across (post-acute) health care settings. The PAC demo has begun in 2008 and will result in a report to Congress in 2011 on the potential to use a single instrument to measure patient care and costs longitudinally. In the interim, OASIS, MDS and CARE will be determining like elements that can be described and measured the same way across settings of care.
- Electronic Health Record (EHR) - ASPE will begin to work with AHIMA and Reigenstreif to LOINC enable the OASIS C version as a first step toward interoperability standards.
Page Last Modified: 11/28/2008 9:04:21 AM
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