What is Oasis documentation in home health?

INTRODUCTION. The Outcome and Assessment Information Set (OASIS) is a comprehensive assessment designed to collect information on nearly 100 items related to a home care recipient’s demographic information, clinical status, functional status, and service needs (Centers for Medicare and Medicaid Services [CMS], 2009a).

What does Oasis stand for in healthcare?

Outcome and Assessment Information Set

Reporting Home Health Quality using OASIS Data
The instrument/data collection tool used to collect and report assessment data by home health agencies is called the Outcome and Assessment Information Set (OASIS).

What is the Outcome and Assessment Information Set Oasis?

The Outcome and Assessment Information Set (OASIS) is a group of standard data elements designed to enable systematic comparative measurement of home health care patient outcomes at two points in time in adult skilled Medicare and Medicaid, non-maternity home health care patients.

Who is qualified to collect the Oasis data?

1. CMS defines a qualified clinician for the purpose of collecting and documenting accurate OASIS data as a Registered Nurse, Physical Therapist, Speech-Language Pathologist, or Occupational Therapist.

How do you score the oasis?

Each item of the OASIS instructs respondents to endorse one of five responses that best describes their experiences over the past week. Response items are coded from 0 to 4 and can be summed to obtain a total score ranging from 0 to 20.

Why is Oasis important in home health care?

OASIS assessment is used to monitor the quality of home health care to ensure that the needs of patients are properly met. It measures patient outcomes by tracking the health status of home health care patients over time. It is also useful in analyzing health care processes and methods in the home health care field.

What is the purpose of your documentation with regard to the Oasis Outcome and Assessment Information Set )?

The Outcome and Assessment Information Set (OASIS) represents core items of a comprehensive assessment designed to collect information related to a home health care patient’s health and functional status. The OASIS was developed to provide the data necessary to measure outcomes and patient risk factors.

What are the two important purposes of the Oasis data set?

The OASIS-C two purposes are designed to gather and report data about Medicare beneficiaries who are receiving services from Medicare-certified home health agency. What is HEDIS? Who sponsors HEDIS?

How do you answer Oasis Questions?

Complete OASIS items accurately and comprehensively and adhere to skip patterns. Understand what tasks are included and excluded in each item and score item based only on what is included. Consider medical restrictions when determining ability. Understand the definitions of words as used in OASIS.

Is Oasis a validated assessment?

OASIS is sufficient for ADLs and cognitive status appraisal from a validity perspective.

What is Oasis data set?

Dataset: Outcome and Assessment Information Set (OASIS)

The Outcome and Assessment Information Set (OASIS) is a patient specific, comprehensive assessment tool/database designed to measure the quality of home health services and patient health outcomes.

Is peritoneal dialysis considered infusion therapy?

Hemodialysis and peritoneal dialysis in the home is considered as infusion therapy. When a patient has a G-tube, J-tube, or PEG-tube and it is only utilized for the administration of medication or water for hydration, it is not considered as nutrition.

Which is better hemodialysis or peritoneal dialysis?

Peritoneal dialysis is done more continuously than hemodialysis, resulting in less accumulation of potassium, sodium and fluid. This allows you to have a more flexible diet than you could have on hemodialysis. Longer lasting residual kidney function.

What is the life expectancy of someone on peritoneal dialysis?

Median survival time was 20.4 months in patients receiving peritoneal dialysis versus 36.7 months in the hemodialysis group. At every age, patients with ESRD on dialysis have significantly increased mortality when compared with nondialysis patients and individuals without kidney disease.

Who is a candidate for peritoneal dialysis?

There are only two absolute contra-indications for peritoneal dialysis: the absence of a functional peritoneal membrane and lack of a suitable home environment.

How Much Does Medicare pay for peritoneal dialysis?

In Original Medicare, Medicare pays your kidney doctor a fee to supervise home dialysis training. After you pay the Part B yearly deductible, Medicare pays 80% of the fee and you pay the remaining 20%.

Which type of dialysis is best?

Peritoneal dialysis is an effective form of dialysis, has been proven to be as good as hemodialysis. Peritoneal dialysis is not for everyone. People must receive training and be able to perform correctly each of the steps of the treatment. A trained helper may also be used.

Does dialysis remove creatinine?

Dialysis removes fluid and wastes

Waste such as nitrogen and creatinine build up in the bloodstream. If you have been diagnosed with CKD, your doctor will have these levels carefully monitored. One of the best indicators of kidney function is your glomerular filtration rate (GFR).

What is the creatinine level that requires dialysis?

High creatinine levels that reach 2.0 or more in babies and 5.0 or more in adults may indicate severe kidney impairment. The need for a dialysis machine to remove wastes from the blood is based upon several considerations including the BUN, creatinine level, potassium level, and how much fluid the patient is retaining.

Can kidneys start working again after dialysis?

The good news is that acute kidney failure can often be reversed. The kidneys usually start working again within several weeks to months after the underlying cause has been treated. Dialysis is needed until then.

At what creatinine level do you start dialysis?

Guidelines for doctors about when to start dialysis include kidney failure symptoms, problems controlling blood pressure, problems controlling fluid, and problems with nutrition. The guidelines suggest that if you are not having these problems, you can wait to have dialysis until your GFR is 6 mL/min.

Can creatinine levels go back to normal?

Following treatment of the underlying cause, creatinine levels should return to normal. Creatinine is a waste product of the muscles. In a healthy body, the kidneys filter creatinine from the blood and excrete it through the urine. High levels of creatinine can indicate kidney issues.

Is 2.2 creatinine level high?

People with only one kidney may have a normal creatinine level of about 1.8 or 1.9. Creatinine levels of 2.0 or more in infants and 5.0 or more in adults may indicate severe kidney damage. People who are dehydrated may have elevated creatinine levels.

What food should be avoided if creatinine is high?

If you’re worried about creatinine levels, avoid high-protein foods, like: Red meat. Dairy products. Eggs.
Instead, try to eat more fiber-rich foods, like:

• Fruits.
• Vegetables.
• Legumes.
• Whole grains.

Can drinking water lower creatinine?

Drinking more water could lower the serum creatinine level, but does not change kidney function. Forcing excessive water intake is not a good idea. I suggest that you drink based on thirst and not excessively hydrate.

Is banana good for creatinine?

Bananas are a rich source of potassium and may need to be limited on a renal diet. Pineapple is a kidney-friendly fruit, as it contains much less potassium than certain other tropical fruits.