OASIS-Central

Q: Which standardized tool should we use for monitoring a diabetic patient’s feet?

A: According to the OASIS-C Guidance Manual, a validated standardized screening tool is one that has been scientifically tested and evaluated as being effective in identifying a specified condition or risk in a population with characteristics similar to the patient being evaluated. It includes a standard response scale and clinicians must administer it following the established instructions.

There are three data elements in OASIS-C that require the use of a standardized tool: M1240, pain assessment, M1730, depression screening, and M1910, fall risk assessment. M1300, pressure ulcer risk assessment, gives the option of basing risk on an evaluation of clinical factors or a standardized tool

For any other monitoring or assessment, such as the condition of a diabetic patient’s feet, an agency should select or develop a tool for its clinicians. This will require research, investigation, testing, and education.

The audio recording, “OASIS-C and the Agency’s Operations,” looked at diabetic foot care and two other best practices, along with the data elements on physician-ordered interventions on the plan of care. Check out this educational program at — http://www.beaconhealth.org/item–OASIS-C-and-the-Agency-s-Operations–J121709D.html.

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