OASIS Training Program

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Does staff cohesiveness impact your organization success?

Leadership tools must include alternative effective forms of communication in order to achieve cohesiveness in an organization, read more...

CMS Proposed Rule of the Home Health QAPI Program

CMS propose regulations needs more work! Make home care organizations assign the QAPI Program responsibilities to a staff member who is free of conflict between the non-clinical and clinical departments in the home care organization.

CMS Quality Measurements Projects and the Goals

CMS is presently developing outcome core measures that are patient oriented and cross providers setting during the continuum of care.

Using Critical Thinking to create the patient plan of care.

The worst disservice a clinician can do their patient and employer is not to use critical thinking when developing, implementing, revising the patient's Plan of Care, see "Using "Critical Thinking" during clinical practice..."



Patients falls are a marker of frailty, immobility...

Ready for CMS QAPI Program?

According to CMS in 2011 several nursing homes providers begun testing CMS QAPI Program, Quality Assurance (QA) and Performance Improvement (PI), Program which includes Five Elements...

Patient-Driven Grouping Model (PDGM)-Effective January 1, 2020 CMS Home Health Payment Methodology. Picture

Patient-Driven Grouping Model (PDGM)-Effective January 1, 2020 CMS Home Health Payment Methodology.

Have you downloaded the CMS PDGM Excel file from the CMS Home Health Agency Center?

Understanding What is Involved in Providing OASIS Training to Your Home Care Clinicians.

OASIS training does not have to be complex or expensive. Trainig can be done as part of the organization staff meeting. CMS provides copius amount of educational materials that are easily accessible as quarterly OASIS Q & A, OASIS/ICD-10 Guidance Manual and an OASIS Educator for each state. Other methods of education can be accomplished by providing information in the patient admission packet reminding the clinicians of CMS expectations on answering a specific OASIS question that your organization is not achieving the reference group targeted outcome measure.

An OASIS-C1 Education Session needs to include the OASIS User Manual, Casper Report data related to the quality measure being presented for your home health organization, open discussion time for clinicians to understand the correlations that contribute to the negative outcome by answering incorrectly during the completion of the SOC/ROC/Follow-Up/Discharge/Transfer OASIS and the EBP that supports the need to educate patients on how to prevent complications when they have a chronic disease as e.g. Diabetes

The following is an example of a "TIP" provided to clinicians attached the the SOC/ROC OASIS section where M2250 is located on paper or in an electronic form in an application:


1. If a Diabetes diagnosis was included as one of the home health diagnosis (M1020-M1022 a-f), M2250b must be answered   "Yes".

 2. Include a Diabetic Foot Care Teaching intervention in item# 21 of the plan of care.

3. Include a goal for this intervention in item# 22 of the plan of care, e.g. " Patient/caregiver will veralize/demonstrate 2-3 measure on Diabetic Foot Care.

4. Document education on Diabetic Foot Care and patient/caregiver response. 

5. When completing the Discharge OASIS M2400 Select "Yes" if the documentation on Diabetic Foot Care is included in the patient's chart.


Reviewed 1/2020