OASIS-Central

Closed Stage III and IV Pressure Ulcers

Stage III and IV pressure ulcers can re-epithelialize and close, but they never completely heal. That has an impact on OASIS-C reporting. Apply these pointers in documenting closed Stage III and IV pressure ulcers: Answer “yes” to M1306. The patient will always have at least one unhealed pressure ulcer at Stage II or higher. At [...]

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Home health aides: Their role in OASIS-C best practices

Of all staff members, the home health aide may have the most time and intimate contact with the patients home health agencies serve. It is the home health aide’s observation and reporting of symptoms that often allows the earliest detection of changes in the patient’s health status. Because of this, home health aides play a [...]

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Best Practice Guidelines for the Administrator: Pressure Ulcers

The following are best practice guidelines to consider for staff education related to pressure ulcers: Risk assessment Select a standardized validated screening tool (e.g., Braden or Norton) to be completed, at a minimum, at SOC and ROC. For agencies that have experienced a high incidence of pressure ulcer development in patients under the agency’s care, [...]

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OBQM Looks at Avoidable Instead of Adverse

For almost nine years, homecare providers have been getting reports on their agency’s adverse event outcomes as part of Outcome-based Quality Monitoring (OBQM). From the beginning, many realized there could have been a better name for this outcome. Adverse means something harmful or unfavorable occurred. However, according to the official definition, each event, because of [...]

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OASIS-C and Pressure Ulcer Answers

Here are the answers from yesterday’s OASIS-C and pressure ulcers quiz! Check out yesterday’s post to see the questions first! a. Yes.  Stage III and IV ulcers can close, but they never completely heal. b. The OASIS-C Guidance Manual says to report 00.0 centimeters for a closed Stage III or IV pressure ulcer. c. No.  [...]

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OASIS-C and Pressure Ulcers Quiz

Test your knowledge about OASIS-C and reporting pressure ulcers. A patient is admitted for treatment of congestive heart failure. Checking his past record, the RN learns that he received treatment for a Stage III ulcer two years ago. On admission, he has no wounds. He is discharged five weeks later with no further skin issues. [...]

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