OASIS-Central

Agency Competence: Clinical Records, Part II

Homecare episodes can be tracked by “events”—admission, resumption, new orders, recertification, discharge. Clinical record evaluation should address each one. Admission and recertification Ensure that all required documentation is present, whether via hard copy or as indicated by electronic processing of the admission. Conduct reviews related to OASIS in conjunction with review of other record documents. [...]

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Heart Failure Interventions: Guidelines for Clinicians

As clinicians strive for accuracy in implementing OASIS-C, they must have access to resources that will help them complete these new data elements. The following data resources will help in answering your OASIS-C questions: Review of the clinical record that would include physical assessment data, weight trends, and clinical tools and documentation of the heart [...]

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