So You Think You Know OASIS?

The Functional Activity Assessment from the Caregiver’s Perspective

Presented by: Rhonda Will RN, BS, COS-C, BCHH-C

Assistance Director OASIS Competency Institute Fazzi Associates, Inc.

243 King Street, Suite 246 Northampton, MA 01060

413-584-5300 Fax: 413-584-0220

www.fazzi.com

12/3/2012

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So You Think You Know OASIS?The Functional Activity Assessment from the Caregiver’s Perspective

Presented by:Rhonda Will, RN, BS, COS‐C, BCHH‐C

Assistant Director OASIS Competency InstituteFazzi Associates, Inc. 

December 4, 2012

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M1800 – M1900: ADL/IADL©2012

The OASIS WALK®

Watch

Assess

Listen

Know

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Ability: The OASIS WALK® in PACES

Physical condition

Activities permitted

Cognitive condition, mental and emotional status

Environment and availability of Equipment

Sensory condition

Consider the criteria.  Document what he/she can do safely in this 24‐hour period of assessment.

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OASIS ConventionsOASIS‐C Guidance Manual Chapter 1‐11

Time period under consideration

• Report what is true on the day of assessment unless a different time period is indicated in the item or related guidance.

• Day of assessment = 24 hours preceding and including the time of the visit.

Usual status

• Usual status during assessment timeframe.

• Greater than 50% of the time during the day of assessment.  

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Grooming and Dressing

Time Points

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M1830:  Bathing

Unable to transfer, access, medically restricted

Able to access and transfer safely, not medically restrictedAble to access and transfer safely, not medically restricted

Dependent regardless of where

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Time Points

M1830 ‐ Bathing

Response Environment Assistance/devices

0 In Shower/Tub None

1 In Shower/Tub Devices

2 In Shower/Tub Intermittent Assistance 

3 In Shower/Tub Presence of Another Throughout

4 Sink/Chair/Commode No Human Assistance

5 Bed/Sink/Chair/Commode Presence of Another Throughout

6 Unspecified Totally Dependent

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M1840:  Toilet Transferring

Time Points

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4

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M1615: When Urinary Incontinence Occurs

Time Points

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M1845: Toileting Hygiene

Time Points

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M1850: Transferring

Time Points

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M1860: Ambulation

Time Points

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Time Points

M1860 ‐ Ambulation

Response Environment Assistance

0 Even/Uneven Surfaces and Stairs

None

1 Even/Uneven Surfaces and Stairs

One‐handed device

2 Even/Uneven Surfaces and Stairs

Human Supervision/Assistance for Stairs, Steps, Uneven Surfaces

3 Unspecified Human Supervision/Assistance at All times

4 Chairfast No Human Assistance

5 Chairfast Unable to Wheel Self

6 Bedfast NA

M1860 ‐ Ambulation 

Response Environment Assistance/device

0Even/Uneven Surfaces 

and Stairs None

1 One ‐ Handed Device

2Even Surfaces            

Uneven Surfaces/Stairs

One or Two‐Handed Device        

Human Supervision/Assistance

3 Unspecified Human Supervision/Assistance at All Times 

4 Chairfast Able to Wheel Self

5 Chairfast Unable to Wheel Self

6 Bedfast NA

Even/Uneven Surfaces and Stairs 

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M1200: Vision

Ability to see and visually manage (function) with corrective lenses if usually worn

Time Points

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M1210: Ability to Hear

Time Points

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M1242: Frequency of Pain Interfering

Interfering Pain:

• Causes an activity to take longer to complete.

•Results in the activity being performed less often than desired.

•Requires the patient to have additional assistance (person or device).

•May prevent an activity.

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M1400: When Noticeably Short of Breath

Time Points

• Level of exertion that resulted in dyspnea or shortness of breath on the day of assessment/previous 24 hrs.

o Using continuous O2: Mark response using O2.

o Using O2  intermittently: Mark response when not using O2.

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M1910: Fall Risk Assessment

Time Points

Select Response 1 (no, low or minimal risk) or Response 2(more than low/minimal risk) considering ONLY the part(s) of the FRA that is standardized and validated.

• What part(s) of your FRA is standardized and validated? 

• What are the directions for using the part that is standardized and validated?

• What score identifies risk?

• When do you select “No”?

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CMS Guidance

OASIS‐C Implementation Manual• Revised annually 12/2010

CMS Q and A

• Core  group revised and posted 12/2010 

• https://www.qtso.com/hhadownload.html

Q and A updated quarterly• www.fazzi.com

WOCN OASIS Wound Guidance Document• www.wocn.org

Alert!  Follow the most recent guidance from CMS when conflicts found.

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Fazzi Associates, Inc.243 King Street, Suite 246Northampton, MA 01060

1-800-397-0361www.fazzi.com

243 King Street #246 Northampton, MA 01060

413.584.5300 fax: 413.584.0220

www.fazzi.com

Nurses Only

Directions on how to Receive Contact Hours

This continuing nursing education activity was approved for 1.0 Contact Hours. Fazzi

Associates is an approved provider of continuing nursing education by the Massachusetts

Association of Registered Nurses, Inc., an accredited approver by the American Nurses

Credentialing Center's Commission on Accreditation.

1. Each participant must complete an electronic evaluation in order to receive contact hours.

Please be sure to complete all contact information as all certificates are e-mailed.

2. There is a four week processing period to process the contact hours.

3. Click on the following link in order to access the online evaluation form:

https://www.research.net/s/KK7ZNQF.