ADLs / IADLs (M0640-M0770)

Ask your most difficult OASIS questions and our OASIS experts will provide the answers. Now that CMS has posted the OASIS-C guidance manual, please submit any questions you have about...
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The recent boom in fiscal intermediary ADR requests has provided an opportunity for HHAs to identify and note trends in the denials, which ultimately will help you prepare for the...
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Create a quick reference tool that will get nurses and therapists to “think alike” when assessing patients’ functional status and you will achieve accuracy in the OASIS functional case-mix questions...
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Your nurses can answer several functional OASIS questions by having patients perform one task, such as getting to the bathroom and on and off the toilet....
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Develop a functional assessment tool that can help clinicians assess M0700 (ambulation) more accurately and you’ll go a long way to securing the maximum $727.08 per patient under the 2008...
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Your nurses need to brush up on their skills when it comes to assessing patients’ ability to ambulate (M0700), according to recent data from Strategic Healthcare Programs. ...
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How would you answer OASIS M0710 (ability to feed meals and snacks) if a patient requires meal setup but can feed himself after the meal is placed before him? ...
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It isn't enough to mark a “2” in M0670 (bathing) when a patient only requires bathing assistance to transfer in and out of the shower or tub. ...
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You can't stage a pressure ulcer unless you can see it....
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Clinicians may struggle during start-of-care OASIS assessments when trying to determine how functional their patients were 14 days prior to their home health admission. But CMS is considering making their...
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Chances are not all of your nurses realize that human supervision or assistance goes beyond hands-on assistance to include verbal cueing or reminders when answering M0700 (ambulation/locomotion). Unaware of the...
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Question: If a patient uses the armrests of a chair to rise from the seated to standing position, do the armrests count as an assistive device when choosing between a...
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HHAs are improving in several functional outcomes -- and it didn't take the threat of public reporting to force the upswing, reveals an ...hhl analysis of data compiled by Outcome Concept...
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While the number of patients who end up in the emergency room has risen, home health agencies have managed to keep falls in check....
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Tell clinicians filling out OASIS to extrapolate the patient's prior functional status -- even when he or she can't definitively answer the seven activities of daily living (ADL) questions....
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Norman suffers from MS and is able to get into the shower with an aide's help but he is unable to wash himself or participate in the bathing process. How...
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You could lose three points in the functional domain for M0680 (the toileting question) if your clinicians confuse patients' using a regular toilet with using a bedside commode or bedpan...
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Esther can independently transfer from bed to chair and on and off the toilet, but she needs caregiver help to get in and out of the bathtub. How would you...
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If the hallway from Al's living room to his bathroom contains a shag rug and two steps, assess him walking or propelling over each of these surfaces before you answer...
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A new 113-page, item-by-item OASIS best practice guide may be just the shot in the arm your in-house OASIS training program needs....
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Can purchasing a $7 pillbox help you better your scores in "improvement in management of oral meds?" ...
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You probably wouldn't believe it if your HHA's nurses told you more than a third of your patients with congestive heart failure or chronic obstructive pulmonary disease don't suffer shortness...
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In its Oct. 3 satellite broadcast, CMS OASIS nurse consultant Mary Weakland helped agencies gear up for the home health compare rollout with a potpourri of explanations and tips about...
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For HealthSouth, Miami, Fla., top meds management scores came when they stopped assuming patient education was the key, and started looking at other factors that might stop patients from taking...
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Improvement in activities of daily living may not be as easy as a one-size-fits-all approach. The good news: simple, targeted interventions appear to do the trick. ...
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While the Quality Indicator demonstration project may not be in your back yard yet, you don't have to wait to find the best strategies to improve your outcomes on these...
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Visions of a new, less-burdensome OASIS are one step closer to materializing following a recent meeting of the Department of Health and Human Services regulatory reform committee....
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Better revisit your pain assessment forms and start a more intensive exercise program for your osteoarthrosis patients if fewer than 51% of them show improvement on OASIS M0420....
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The most common primary diagnosis in home health also appears to be one of the best for a home health agency's bottom line. But watch out for bad therapy visit...
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Don't stop at comparing your home health agency's average case-mix weight to the national average [...hhl 3/8/02] to discover whether you're cheating yourself out of revenue under PPS....
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