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Utilization Outcomes in 2010

Mon, Jul 19, 2010

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Utilization Outcomes in 2010

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 data elements in the transfer and discharge assessments provide the specifics for calculating utilization [...]

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What would be the correct response for M1610, urinary incontinence or urinary catheter present, for the patient who has nephrostomy tubes?

Thu, Jul 8, 2010

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What would be the correct response for M1610, urinary incontinence or urinary catheter present, for the patient who has nephrostomy tubes?

Q: What would be the correct response for M1610, urinary incontinence or urinary catheter present, for the patient who has nephrostomy tubes?
A: The OASIS-C Guidance Manual provides part of the answer.  It says if the patient has anuria or an ostomy for urinary drainage or a urinary drainage diversion that is pouched (ileal [...]

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Using Standardized Tools to Improve Outcomes: Fall Risk Assessment

Tue, Jun 29, 2010

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Using Standardized Tools to Improve Outcomes: Fall Risk Assessment

Since the implementation of OASIS-C, one of the most frequently asked questions refers to the utilization of standardized tools in assessments and screenings.
The following is a breakdown of data elements which include the use of a standardized tool.
M1910, fall risk assessment
The data element: Has the patient had a multi-factor fall risk assessment (such as falls [...]

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If the patient is discharged from Medicare and we check response 0, able to ambulate independently, in M1860, ambulation, will we set ourselves up for an audit because the patient is not homebound?

Fri, Jun 25, 2010

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If the patient is discharged from Medicare and we check response 0, able to ambulate independently, in M1860, ambulation, will we set ourselves up for an audit because the patient is not homebound?

Q: If the patient is discharged from Medicare and we check response 0, able to ambulate independently, in M1860, ambulation, will we set ourselves up for an audit because the patient is not homebound?
A: An agency’s goal is for patients to improve, to become as independent as possible. Given that the Centers for Medicare [...]

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Implementing Best Practices for Heart Failure Patients

Fri, Jun 18, 2010

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Implementing Best Practices for Heart Failure Patients

The new OASIS-C includes new data elements that measure an agency’s process for responding to heart failure issues that are included in the cardiac status section.
These two new items, M1500 Symptoms in Heart Failure Patients, and M1510 Heart Failure Follow-up, are completed on transfer and discharge. They appear individually within a new section labeled cardiac [...]

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Using Standardized Tools to Improve Outcomes

Wed, Jun 9, 2010

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Using Standardized Tools to Improve Outcomes

Since the implementation of OASIS-C, one of the most frequently asked questions refers to the utilization of standardized tools in assessments and screenings.
The following is a breakdown of data elements which include the use of a standardized tool.
M1240, pain assessment
The data element: Has the patient had a formal pain assessment using a standardized pain assessment [...]

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