OASIS-Central

What impact did OASIS-C have on utilization outcomes?

A:         A utilization outcome suggests but does not always reflect a change in health status.  Some of these outcomes, such as acute care hospitalization, also relate to the utilization of healthcare services because of the change in health status.  The transfer and discharge assessments provide data for calculating utilization outcomes.

Data from OASIS-C will generate four utilization outcomes that will be part of the agency’s Outcome-based Quality Improvement (OBQI) reports.  These outcomes (with the main underlying OASIS data element) are:

• Emergency department use without hospitalization (M2300)

• Emergency department use with hospitalization (M2300)

• Acute care hospitalization (M2410)

• Discharged to community (M2420)

There will be a change in Home Health Compare (HHC) reporting.  Beginning in 2011, HHC will report two utilization outcomes, emergency department use without hospitalization and acute care hospitalization.  Discharged to community had been a utilization outcome generated from OASIS-B1 data, but the Centers for Medicare and Medicaid Services eliminated it.  Perhaps having a desirable outcome of discharged to the community next to undesirable ones was too confusing for the general public.

Want to learn more about the impact of OASIS-C on outcome reporting?  Dial in to Beacon Health’s audio conference on February 18.  Click on — http://www.beaconhealth.org/item–Implications-for-PPS-Payment-and-Public-Reporting–J021810A.html — for more information.