The “Outcome and Assessment Information Set (OASIS)” was developed through the Health Care Financing Administration and implemented in 1999 by home health agencies for many patients receiving Medicare benefits. Home health agencies are reguired to meet the “Medicare Conditions of Participation (CoP)”, which includes the appropriate utilisation of the OASIS in order to receive Medicare payments for services. Even though the OASIS tool is consistently evolving, six main principles regarding “Quality Care” have remained consistent.
1. Effectiveness
2. Efficiency
3. Equity
4. Patient Centeredness
5. Safety
6. Timeliness
OASIS Tool and Data Collection
Information is collected with all the OASIS tool at a number of points throughout a patient episode of care. The OASIS usually collects data at the following times:
1. Start of Care: Data collected on the initial patient encounter. This is the encounter that is most lengthy since the nurse reviews patient need and makes appropriate treatment ideas for the patient.
2. Recertification every Sixty days: Patient require is re-evaluated and adjusted accordingly.
3. Discharge: This takes place when patient is discharged from home health care. The patient either remains in the home, is transferred to a long-term care facility,or possibly discharged should death occur. Patients possess a right to know once they are being discharged and should get appropriate notice prior to the day of discharge and OASIS tool may be completed.
4. Change in Care: In the event the patient requires an in-patient hospitalization longer than 24 hours, a transfer of care note is created and OASIS details are moved to a medical facility. Upon discharge, the OASIS is resumed and care continued rather than beginning a new OASIS document.
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At first, the OASIS seems overwhelming and cumbersome. However, upon further examination, the OASIS can be seen as a possible in-depth version of the nursing process. It absolutely was developed to standalone while providing evidence of patient need and ensures patient care meets or exceeds Quality of Care standards in the episode of care. For nurses new to the OASIS, it can seem overwhelming and a daunting task to complete, though practice and experience, the OASIS tool becomes part of the home health nurses’ assessment routine.
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