category 4 a - oasis data set forms - Missouri Department of Health ...

data, as directed by agency policy. The OASIS-C Guidance Manual, under M0100,
explains that a home visit is not required at these time points. As these time points are
not assessments and do not require the clinician to be in the physical presence of the
patient, it is not required that the clinician completing the data collection must have
previously visited the patient. The information can be obtained over the telephone by any
RN, PT, OT or SLP familiar with OASIS data collection practices. This guidance applies
only to the Transfer and Death time points, as a visit is required to complete the
comprehensive assessments and OASIS data collection at the Start of Care,
Resumption of Care, Recertification, Other Follow-up and Discharge.
[Q&A EDITED 08/07]
Q14. M0090. We have 5 calendar days to complete the admission/start of care
assessment. What date do we list on OASIS for M0090 - Date Assessment
Completed when information is gathered on day 1, 3 and 5?
A14. Generally, you would enter the last day that assessment information was obtained
on the patient in his/her home, if all clinical data items were completed. However, if the
clinician needs to follow-up, off site, with the patient's family or physician in order to
complete an OASIS or non-OASIS portion of the comprehensive assessment, M0090
should reflect the date that last bit of information is collected.
[Q&A EDITED 08/07]
Q15. M0090. We had a patient admitted to the hospital on April 15 and found out
about it on April 19. When we enter the transfer (patient discharged) assessment
(M0100 reason for assessment 7) into HAVEN, we get a warning message that the
record was not completed within correct timing guidelines. (M0090) date should
be no earlier than (M0906) date AND no more than 2 days after M0906 date.
A15. That message is intended to be a reminder that you should complete a transfer
assessment within 48 hours of learning of it. The regulation states that the assessment
must be completed within 48 hours of learning of a transfer to an inpatient facility, so in
this case, the assessment has been completed in compliance. The warning does not
prevent the assessment from being transmitted. If you find that this warning occurs
consistently, you may want to examine whether your staff are appropriately tracking the
status of patients under their care.
[Q&A EDITED 08/07]
Q16. M0090. Is the date that an assessment is completed, in M0090, required to
coincide with the date of a home visit? When must the date in M0090 coincide
with the date of a home visit?
A16. M0090, date assessment completed, records the date the assessment is
completed. The start of care (SOC), resumption of care (ROC), follow-up, and discharge
assessments (reason for assessments [RFA] 1, 3, 4, 5, and 9 for M0100) must be
completed through an in-person contact with the patient; therefore these assessments
will most often coincide with a home visit. The transfer or death at home assessments
(RFAs 6, 7, or 8 for M0100) will report in M0090 the date the agency completes the
assessment after learning of the event.
In the situation where the clinician needs to follow up, off site, with the patient’s family or
physician in order to complete a specific clinical data item that the patient is unable to
answer, M0090 should reflect that date.
Category 4 – OASIS Data Set – Forms and Items 09/09