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OASIS-D1 Part 10: Discharge- and Transfer-Specific Items

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

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Disclosure Statement:


Financial: Dee Kornetti and Cindy Krafft are co-owners of the consulting business, Kornetti & Krafft Health Care Solutions. They receive compensation from MedBridge for this course.

Dee Kornetti is a chapter contributor to the  Handbook of Home Health Care Administration, 6th edition, and co-author of the book, The Post-Acute Care Guide to Maintenance Therapy, for which she receives compensation.

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.

Nonfinancial: Dee Kornetti is the president of the Home Health Section of the APTA. 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.

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.

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.

Accreditation Check:

The accurate completion of a discharge or transfer OASIS is as important as all the other time points. There are specific items that must be thoroughly understood by the clinician to ensure that data is collected consistently and that the additional clinical content provided best represents each individual patient. This course covers how completion of the OASIS assessment contributes to coordinating an integrated discharge plan.

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. OASIS Assessment: Clinically Driven Items

In order for an assessment to be considered complete, the clinician must collect accurate OASIS data and provide patient-specific detail in the documentation. The chapter will focus on items specific to the clinically driven items seen at discharge and/or transfer. This chapter includes information on the following items:
• M1307: Oldest Stage 2 Pressure Ulcer
• M1311: Current Number of Unhealed Pressure Ulcers at Each Stage (DC)
• M2005: Medication Intervention
• M2016: Drug Education
• M2102: Types and Sources of Assistance (DC)
• M2401: Intervention Synopsis

2. OASIS Assessment: Transition-of-Care Items

In order to be considered a complete assessment, the clinician must collect accurate OASIS data and provide patient-specific detail in the documentation. This chapter will focus on items specific to the transition-of-care items seen at discharge and/or transfer. This chapter includes information on the following items:
• M2301: Emergent Care
• M2310: Reason(s) for Emergent Care
• M2410: Inpatient Facility
• M2420: Discharge Disposition
• J1800/J1900: Falls (TF/DC)
• M0906: Discharge/Transfer/Death Date

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