CMS Submits OASIS-E to OMB

Posted Sunday, February 2, 2022

The Office of Management & Budget (OMB) has issued the information collection packet for the Outcome and Assessment Information Set (OASIS)-E, which includes three attachments and the Supporting Statement document outlining the burden estimate for both home health agencies (HHAs)  and the federal government.

The OASIS-E assessment tool will be effective January 1, 2023.

Attachment A is an OASIS-E change table that compares the changes made to OASIS-E from the OASIS-D. Attachment B includes all the OASIS items, and Attachment C is an itemized list of the OASIS-E data elements.

As usual, in the supporting statement, CMS underestimates the burden for HHAs to complete the OASIS-E data set. CMS projects that assessment items in the data set will take a range of 0.15-0.3 (9-18 seconds respectively) minutes of clinician time to complete.

  • Estimated time spent per each OASIS-E Start of Care (SOC) Assessment/Patient = 57.3 clinician minutes for 203 data elements
  • Resumption of Care (ROC) Assessment/Patient = 48 minutes for 172 data elements
  • Estimated time spent per each OASIS-E Follow-Up (FU) Assessment/Patient = 13.2 minutes for 4 data elements
  • Estimated time spent per each OASIS-E Discharge (DC) Assessment/Patient = 40.2 minutes for 146 data elements

This assumption provides that even the most complex assessment items (e.g., the GG items and the new cognition items) will require, at most,18 seconds to complete.

CMS also reveals changes it plans to propose for Patient Driven Groupings Model (PDGM) in the CY 2023 home health payment update rule. Pending the adoption of these changes, CMS will add the following items to the FU assessment.

  • Shower/bathe self
  • Upper body dressing
  • Lower body dressing
  • Putting on/taking off footwear
  • Car transfer
  • Walk 150 feet
  • Twelve steps
  • Wheel 150

Public comments on the OASIS-E information collection are due April 11, 2022.

Source: NAHC

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