We are seeking approval of revisions
to a currently approved data collection instrument titled: Outcome
and Assessment Information Set (OASIS-C). The revised/ upgraded
version of the OASIS item set is titled OASIS -C1. OASIS is a core
standard assessment data set that Home Health Agencies (HHAs)
integrate into their own patient-specific, comprehensive assessment
to identify each patient's need for home care that meets the
patient's medical, nursing, rehabilitative, social, and discharge
planning needs. The Medicare conditions of participation (CoPs)
have mandated the use the OASIS data set by HHAs when evaluating
adult, non-maternity patients receiving skilled services since
1999. OASIS data are used for both HHA quality measurement and
payment adjustment. The current version of the OASIS data set
(OASIS-C) includes items which must be updated to enable agencies
to report patient diagnoses using the ICD-10 coding set. In
addition, since the OASIS-C was implemented in January 2010, a
number of changes to the format and/or wording of items and
response options have been recommended. These revisions are
designed to improve item clarity, address issues raised by
stakeholders, and increase harmonization with data collection in
other post-acute settings. . Also, in 2012, CMS and its contractors
identified opportunities to eliminate collection of eight items at
various collection time points, as well as make clarifications to
item wording. A more detailed description of these changes and
their impact on the total burden associated with the collection of
the proposed OASIS-C1 data set is detailed in the Supporting
Statement A.
US Code:
42
USC 1395bbb Name of Law: Conditions of participation for home
health agencies; home health quality
US Code: 42
USC 1395x Name of Law: DEFINITIONS OF SERVICES, INSTITUTIONS,
ETC; Home Health Agency
PL:
Pub.L. 109 - 171 5201(c)(2) Name of Law: Deficit Reduction Act
of 2005: Home health - pay for reporting of quality information
PL:
Pub.L. 105 - 33 4601(e) Name of Law: Balanced Budget Act of
1997 (authority for collecting data required for casemix
system)
In order to minimize the burden
related to collection of the OASIS data set, CMS and its
contractors identified opportunities to eliminate collection of
eight items at various time points. The total number of items in
the OASIS dataset decreases from 114 in OASIS-C to 110 in OASIS-C1.
The number of items collected at Start of Care decreases from 95 to
91, at Resumption of Care there is a decrease from 80 to 76, at
Transfer it decreases from 19 to 18 and at Discharge the number of
items collected drops from 62 to 56. The Supporting Statement A
provides a more detailed description of these changes and their
impact on the total burden associated with the collection of the
OASIS-C1 dataset.
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.
Form CMS-R-245 Medicare and Medicaid OASIS Collection Requirements (Data collection)
OASIS-C1 Public Comments & Responses. 09.27.13.docx
Attachment A. OASIS C to C1 Items Timepoints and Uses.10-01-13.pdf
REVISED Supporting Statement A_OASISC1.Clean Copy Version.10.02.13.doc
Medicare and Medicaid OASIS Collection Requirements (Data collection)