Is your Home Health Care Agency Ready for 2019 OASIS Changes?

Home health care agencies knowledgeable about the Outcome and Assessment Information Set (OASIS) data sets already know how rigorous they are. It then comes to determining measureable data for home health patient care risk factors and outcomes from start of care to discharge. Upcoming changes to OASIS (from OASIS-C2 to OASIS-D) beginning January 1, 2019 are just around the corner. What can you expect?
2019 OASIS changes – a brief snapshot
First, a number of current items appear in new sections. Many of these focus on time points (SOC, ROC, FU, TRN, DC, or Death) but all are intended to standardize assessment data elements for quality measurement, outcome comparisons, and cross-setting data collection.
All in all, six new items appear, seven have been revised, and 28 items identified for removal to reduce burden of data collection. Below are items that were removed if they were not used in support of:

  • HH QRP measures
  • HH Prospective Payment System (PPS)
  • Survey process for Medicare certification
  • HH Value-Based Purchasing (VBP) demonstration measures
  • Critical risk-adjustment factors
  • Conditions of Participation

New standardized items appear in Sections J (Health Conditions – Falls) and GG (Functional Abilities and Goals:

Section Item Time Points Completed
Section J:
Health Conditions (Falls)
  •  J1800. Any Falls Since SOC/ROC
  • J1900. Number of Falls Since SOC/ROC
  • Transfer
  • Discharge from Agency – Not to an Inpatient Facility
  • Death at home
Section GG:
Functional Abilities and Goals
  • GG0100. Prior Functioning: Everyday Activities
  • GG0110. Prior Device Use
  • Start of care (SOC)
  • Resumption of care (ROC)
  • GG0130. Self-Care
  • GG0170. Mobility
  • SOC
  • ROC
  • Follow-Up
  • Discharge from Agency – Not to an Inpatient Facility

Revised items will include those found under headings:

  • M1028 – Active Diagnoses
  • M1306 – Unhealed Pressure Ulcer/Injury at Stage 2 or Higher?
  • M1311 – Current Number of Unhealed Pressure Ulcers/Injuries at Each Stage
  • M1322 – Current Number of Stage 1 Pressure Injuries
  • M1324 – Stage of Most Problematic Unhealed Pressure Ulcer/Injury that is Stageable
  • M2102 – Types and Sources of Assistance
  • M2310 – Reason for Emergent Care

Access additional training materials and resources for in-depth understanding of upcoming changes to OASIS for 2019 by accessing CMS’s Home Health Quality Reporting Training pages and Webinar links.