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OASIS and Quality Measures

presented by Diana (Dee) Kornetti, PT, MA, HCS-D, HCS-C and Cindy Krafft, PT, MS, HCS-O

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Financial: Cindy Krafft is co-owner of the consulting business, Kornetti & Krafft Health Care Solutions. Cindy Krafft has written two books: The How-to Guide to Therapy Documentation and An Interdisciplinary Approach to Home Care – and co-authored her third, The Post-Acute Care Guide to Maintenance Therapy for which she receives compensation. She receives compensation from MedBridge for this course.

Non-financial: Cindy Krafft has been involved at the senior leadership level of the Home Health Section of the American Physical Therapy Association. She has worked with CMS to clarify regulatory expectations and address proposed payment methodologies.

Financial: Dee Kornetti is co-owner of the consulting business, Kornetti & Krafft Health Care Solutions. Dee Kornetti is a chapter contributor to the Handbook of Home Health Care Administration 6th edition, and co-authored a book, The Post-Acute Care Guide to Maintenance Therapy for which she receives compensation. She receives compensation from MedBridge for this course.

Non-Financial:  Dee Kornetti is the President of the Home Health Section of the APTAs. Additionally, Dee Kornetti serves as the President of the Association of Homecare Coding and Compliance, and is a member of the Association of Home Care Coders Advisory Board and Panel of Experts. 

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 71 Minutes; Learning Assessment Time: 29 Minutes

Publicly reported outcome measures for home health services are created by using specific items found in the OASIS instrument. Incorrect OASIS responses to these items can negatively impact these outcome measures and the Star Ratings that are associated with them. Clinicians have historically had challenges with accurate and consistent OASIS data collection. Agencies expend a significant amount of resources dealing with the rework associated with monitoring and getting responses corrected. This course will focus on OASIS items the drive outcome measures in detail. They will be explained in practical terms and include knowledge application. Clinicians and quality assurance staff will benefit from a focused review of the OASIS items that relate to outcome measures. The goal is for the data to be collected accurately the first time in order to ensure the quality of care is being correctly captured and to decrease agency costs.

Meet Your Instructors

Diana (Dee) Kornetti, PT, MA, HCS-D, HCS-C

Diana (Dee) Kornetti, a physical therapist for 30 years, is a past administrator and co-owner of a Medicare-certified home health agency. Dee now provides training and education to home health industry providers through a consulting business, Kornetti & Krafft Health Care Solutions. She serves as chief operations officer with her business partners Cindy Krafft and…

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Cindy Krafft, PT, MS, HCS-O

Cindy Krafft brings more than 20 years of home health expertise that ranges from direct patient care to operational and management issues. Years spent in the homes of patients confirmed that she was in the best setting to focus on functionality and the specific challenges faced by each patient. Cindy recognizes that providing care in…

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Chapters & Learning Objectives

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1. How Outcome Measures Are Created

In order for organizations to reach their goals regarding publicly reported outcomes, there must be a clear understanding of how outcomes are created and how care delivery will result in improvement, stabilization, or decline. If the measurement tool is not working correctly, the impact of care delivery on key patient indicators will not be accurate. This session will provide the foundational grounding in how OASIS items quantify outcome measures.

2. Improvement in Ambulation

The OASIS items that directly and indirectly measure improvement in ambulation must be accurately completed at both the start and end of care. Connecting the scope of the task and the concept of “assistance” is a key concept driving OASIS response selection. Incorporation of this concept into care delivery strategies is critical to achieving positive patient outcomes.

3. Improvement in Bed Transfer

The OASIS items that directly and indirectly measure improvement in bed transfer must be accurately completed at both the start and end of care. Connecting the scope of the task and the concept of “assistance” is a key concept driving OASIS response selection. Incorporation of this concept into care delivery strategies is critical to achieving positive patient outcomes.

4. Improvement in Bathing

The OASIS items that directly and indirectly measure improvement in bathing must be accurately completed at both the start and end of care. Connecting the scope of the task and the concept of “assistance” is a key concept driving OASIS response selection. Incorporation of this concept into care delivery strategies is critical to achieving positive patient outcomes.

5. Improvement in Management of Oral Medication

The OASIS items that directly and indirectly measure improvement in the management of oral medications must be accurately completed at both the start and end of care. Connecting the scope of the task and the concept of “assistance” is a key concept driving OASIS response selection. Incorporation of this concept into care delivery strategies is critical to achieving positive patient outcomes.

6. Improvement in Dyspnea

The OASIS items that directly and indirectly measure improvement in dyspnea must be accurately completed at both the start and end of care. Connecting the scope of the tasks triggering shortness of breath and the official item guidance is a key concept driving OASIS response selection. Incorporation of this concept into care delivery strategies is critical to achieving positive patient outcomes.

7. Improvement in the Status of Surgical Wounds

The OASIS items that directly and indirectly measure improvement in the status of surgical wounds must be accurately completed at both the start and end of care. Connecting the details of the assessment of surgical wounds and the official item guidance is a key concept driving OASIS response selection. Incorporation of this concept into care delivery strategies is critical to achieving positive patient outcomes.

8. New and Worsening Pressure Ulcers

The OASIS items that directly and indirectly measure new and worsening pressure ulcers must be accurately completed at both the start and end of care. Connecting the details of the assessment for and of pressure ulcers and the official item guidance is a key concept driving OASIS response selection. Incorporation of this concept into care delivery strategies is critical to achieving positive patient outcomes.

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