Author Archives | jmiles
jmiles has written 8 posts on OASIS-Central.
Jane M. Miles, RN, MSN, NEA-BC, is currently a clinical assistant professor at the College of Nursing, East Carolina University, Greenville, NC, where she teaches community health and leadership. Prior to becoming a nurse educator, she developed an extensive background in certified home health care, beginning as a staff nurse and holding many management positions. Jane also serves as contributing editor for HOMECARE ADMINISTRATOR, Beacon Health’s newsletter for homecare leaders. In addition to current monthly articles, her column, “Homecare in a Different Light,” is a regular feature.
Jane earned her bachelor’s degree in nursing (BSN) from Marquette University and her master’s degree (MSN) from the Catholic University of America.
OASIS-C: Agency Integration
After almost a year of preparation, agencies began using the OASIS-C on January 1, 2010. For most agencies, the past year included a gradual familiarization with the revised data set, along with intense preparation for its use during the last quarter of 2009. As often happens when agencies implement a new requirement, there may have [...]
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How do we know if the visit is considered billable?
Mon, Feb 22, 2010
Q: A patient was discharged from the hospital Monday and was scheduled for a Tuesday morning home health agency admission. Monday night he experienced a problem that required a skilled nursing visit from the on-call nurse who was not able to do an initial start of care OASIS assessment at that visit. Is that visit [...]
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2010 Clinical and Financial OASIS-C Perspectives
Tue, Feb 16, 2010
Homecare agencies are entering 2010 with an immediate need to implement the new version of the Outcome and Assessment Information Set, known as OASIS-C. Although there were many months available in 2009 for preparation, OASIS-C will have a significant effect on agency operations, most notably due to an expanded focus on agency processes. Implementation will [...]
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What is the time frame for including interventions?
Thu, Feb 11, 2010
Q: I believe that when answering M2400, the clinician only looks at interventions since the last OASIS. This includes the recertification OASIS. We have many long-term stable patients under Medicaid that we are seeing monthly or sometimes more often (e.g., med prefills). In these cases, many of the interventions were done months or even years [...]
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How should we measure a patient’s ability in regards to medications?
Mon, Jan 25, 2010
Q: If a pharmacy delivers a Mediset and the patient is able to take all the medications from the Mediset at the correct times, is this considered independent since the Mediset is not set up in the home? A: The question speaks to the patient’s “ability” to manage medications independently. If the patient must rely [...]
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Could there be confusion over our referral dates?
Mon, Jan 18, 2010
Q: This is a question about OASIS-C and referral dates. Currently we are requesting our hospital liaisons put the referral in our computer system as soon as the patient has made their choice. This could be three to four days before they leave the hospital. This gives the impression we do not see the patient [...]
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Fri, Mar 12, 2010
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