Main Conference Day 1 – OASIS-C: Improve Outcomes

September 15, 2009

Registration and continental breakfast

Prepare now for OASIS-C

Ann Rambusch, MSN, HCS-D, RN

Take the OASIS-C pre-test! Then get an overview of what questions are new on the OASIS-C, which ones have been deleted and which ones have been revised; tips on how to answer the new questions accurately; and staff-training ideas and strategies.

Bonus: Analysis of how OASIS-C will impact your work processes, outcomes, financials and compliance program.

Tools: OASIS-C crosswalk and training tools.

Break

Wounds Part 1: OASIS-C wound item changes

Ann Rambusch, MSN, HCS-D, RN

The OASIS-C skin items will have a dramatic impact on outcomes, case mix and ultimately payment. Learn how changes to the skin items will impact your processes and in what way the staging of pressure ulcers has become even more critical. 

Bonus: Discussion of the liability and risk issues associated with the new wound questions. 

Wounds Part 2: Improve pressure ulcer outcomes with rehab

Jeanne Ryan, OTR, CHCE, COS-C

Improve your agency’s emergent care for wounds outcome. CMS is directing more attention to wound care in the home health setting. OASIS-C contains additional questions related to the development of a pressure ulcer. This session will focus on the importance of rehabilitation therapists in preventing the development of pressure ulcers and how to link the use of the Braden Scale to specific rehabilitation interventions to prevent skin breakdown.

Tools: Braden Scale and Clinical Practice Guideline for skin breakdown. 

Networking lunch

Functional item review can lead to better outcomes: dyspnea, pain, urinary incontinence

Arnie Cisneros, PT

Physical therapists can improve areas that relate to ADL function and safe mobility, as well as respiratory function, pain and incontinence. Home health agencies that are not using their PTs and OTs in this manner are ignoring an intervention that can significantly impact multiple outcome scores.

Learn how to spot patient deficits in the OASIS functional items as well as three other related areas: dyspnea, pain and incontinence. Then get specific interventions you can implement to improve all of these outcomes without increasing the number of therapy visits.

Bonus: A detailed review of the changes to the OASIS-C functional items.

Tools: Utilization review protocol to develop care plans that address Recovery Audit Contractor concerns, and a start-of-care checklist to monitor POC.

Break

Capture depression screening and interventions in OASIS-C

Karen Carter, COS-C

OASIS-C requires clinicians to screen all patients for depression, which for many home health agencies means introducing a new process into their current clinical practice. OASIS-C depression questions ask about screening and intervention plans and implementation. Karen will tell you how to develop a depression screening process and give you interventions you can use to address patient depression.

Bonus: Discussion of the impact of Attachment D coding guidance on depression.

Tools: Depression screening tool and patient teaching guides.

Achieve staff buy-in, improve OASIS and documentation accuracy

Elizabeth Valvo, RN, BSN, HCS-D, COS-C

Achieve clinician buy-in to ensure accurate OASIS assessments and better documentation. Elizabeth shares strategies on how to communicate with staff about the importance of documentation, as well as the critical pieces that should be included on start-of-care and follow-up visit documentation.

Tool: OASIS cue cards for clinicians.

Networking reception