OASIS-D is here… Are you ready?


As 2018 winds down, Home Health agencies are winding up for the January 1, 2019 implementation of OASIS-D. First introduced by the Centers for Medicare & Medicaid Services (CMS) in 1999, the Outcome and Assessment Information Set was developed to enable systematic comparative measurement of home health care patient outcomes.

OASIS is a group of standard data elements that home health agencies are required to collect, and each of the numerous revisions over the past 20 years has added, removed and/or modified data elements to refine the assessment process, with an ever-increasing focus on quality measurement.

OASIS-D and the IMPACT Act

Beginning with OASIS-C2 in 2017, many of the revisions were made in order to meet the specific requirements of the Improving Medicare Post-Acute Care Transformation Act (IMPACT Act). The IMPACT Act is a bipartisan bill passed in 2014 that requires post-acute care (PAC) providers to report standardized patient assessment and quality measurement data. The goal of the IMPACT Act is to facilitate coordinated care, enable assessment data comparison, and promote interoperability across all four PAC providers: home health agencies, skilled nursing facilities, inpatient rehabilitation facilities, and long-term care hospitals.

The primary reason for the current OASIS revision is to increase standardization across all four PAC settings, and the newest version incorporates more standardized patient assessment data elements (SPADEs)—question and response options that are identical throughout all four PAC assessments. OASIS-D includes six new data elements, seven revised data elements, and 33 items with guidance changes.

OASIS training starts NOW!

With the OASIS-D implementation just weeks away, HHAs are gearing up now to make sure that staff members are familiar with OASIS-D. The January 1 implementation means full compliance on that date, and incomplete or inaccurate assessments may affect reimbursements: failure to fill out a field, or filling it out incorrectly, could result in a denial from CMS. The OASIS-D changes will result in the collection of fewer data elements overall within a home health episode, which is good news for HHAs, but training staff on the new assessment requirements is crucial to a smooth transition.

HHAs that work with NDoc started staff training on OASIS-D in November. NDoc’s training module is identical to the assessment that HHA staff members will see on January 1, so staff members will be familiar with OASIS-D from day 1 of implementation. As with previous versions of OASIS and NDoc, the latest changes have been seamlessly integrated into the home health assessment. NDoc eliminates duplicate—and potentially contradictory—data entry whenever possible. The logic-based system also includes consistent and comprehensive checks between OASIS and non-OASIS data elements, with prompts for consistency when duplicate assessment entries are unavoidable. New skip patterns are built in to the system, offering HHAs the assurance that all OASIS-D requirements are being met. 

Interoperability is key for OASIS-D and beyond

As the IMPACT Act requires and CMS increasingly dictates, standardization, integration, and interoperability are the focus for HHAs, and all PAC providers. While OASIS-D and IMPACT focus on interoperability of data among PAC providers, HHAs must also focus on interoperability with the systems of health care providers throughout the industry, from doctors’ offices, to hospitals, to hospice.

Thornberry’s Best-in-KLAS NDoc software is made for interoperability. NDoc is built on the HealthShare™ interoperability platform, the market-leading engine for health information exchange. HHAs that work with NDoc are confident that all CMS interoperability requirements are met, and they can rest assured that they have the system in place to support interoperability of their data throughout the health care industry.