OASIS Burden Calculations

BURDEN CALCULATION FOR THE OASIS-C1

30 DAY PRA PACKAGE

PART 1. ESTIMATED TIME BURDEN

Average Number of HHA in U.S. = 12,014

Average Number of OASIS-C1 Assessments Submitted Per All HHAs Per Year = 17,268,890

Average Number of OASIS-C1 Assessments Submitted Per Each HHA Per Year = 1,437

Average Number of OASIS-C1 Assessments Submitted Per Each HHA Per Month = 120

(17,268,890 OASIS submissions per all HHAs per year/12,014 HHAs in U.S. = 1,437 OASIS submissions per ALL HHAs per year

(1,437 OASIS submissions per HHA per year / 12 months per year = 119.75 OASIS submissions per each HHA per month

PART 2. ESTIMATED COST/WAGE CALCULATION

1. Time Estimate

1. Average time spent per each OASIS-C1 Assessment/Patient = 52.8 minutes

47.8 minutes of clinical time spent to perform the OASIS-C1 assessment

5.0 minutes of administrative time to submit data from each OASIS-C1 assessment to CMS

2. Estimated Annual Hourly Burden per each HHA for OASIS-C1 = 1267.2 hours per HHA/year

120 OASIS-C1 assessments per HHA per month x 52.8 min/assessment = 6,336 min per HHA per month.

6,336 min per HHA per month / 60 minutes per hour = 105.6 hours per HHA per month.

105.6 hours per HHA per month x 12 months per year = 1267.2 hours per each HHA per year.

3. Estimated Annual Hourly Burden for all HHA for OASIS-C1 = 15,224,141 hours per all HHAs /year

120 OASIS-C1 assessments per HHA per month x 52.8 min per assessment = 6,336 min per HHA per month

6,336 min per HHA per month / 60 minutes per hour = 105.6 hours per HHA per month.

105.6 hours per HHA per month x 12 months/year = 1267.2 hours per each HHA per year.

1,267.2 hours per HHA per year x 12,014 HHAs = 15,224,141 hours for all HHAs per year.

4. Estimated Annual Hour Burden per ALL HHAs per year for ongoing OASIS-C1 Training = 96,112 hours

8 hours of training per each HHA per year x 12,014 HHAs = 96,112 hours

2. Wages for Performing OASIS-C1 Assessments

1. Average Time per OASIS-C1 Assessment per HHA = 52.8 minutes

47.8 minutes clinician’s time to collect clinical data – paid @ $32.41 per hour = $25.82

5.0 minutes administrative time paid @ $14.01 per hour = $ 1.17 $26.99

2. Medical Clinician’s Time:

47.8 minutes x 1,437 OASIS forms per HHA per year = 68,689 minutes per HHA per year

68,689 minutes per HHA per year / 60 minutes = 1,145 hours per HHA per year

1,145 hours per HHA per year x $32.41 per hour = $37,109.45 clinical wages per each HHA per year

$37,109.45 x 12,014 HHA HHAs = $445,832,932 per all HHAs per year

3. Administrative Assistant Time:

5 minutes per form x 1,437 forms per HHA per year = 7,185 minutes per HHA per year

7,185 minutes per HHA per year / 60 minutes = 119.75 hours per HHA per year

119.75 hours per HHA per year x $14.01 per hour = $1,677.70 admin assistant wages per HHA per year

$1,677.70 x 12,014 HHA HHAs = $20,155,888 per all HHA HHAs/year

4. Wage Summary:

$37,109.45 Clinical/Nursing wages per each hospice per year

$ 1,677.70 Administrative assistant wages per each HHA per year

$38,787.15 Total Annualized Cost to Each HHA Provider

$445,832,932 Clinical/Nursing wages per all hospice providers per year

$ 20,155,888 Administrative assistant wages per all HHAs per year

$465,988,820 Total Annualized Cost to All HHAs Providers

3. Training Costs:

2 hours of OASIS-C1 update training per each HHA x 18 staff members = 36 total training hours per HHA

36 hours of training hours per HHA x 12,014 HHAs = 432,504 hours OASIS-C1 update training per year for all HHAs

13 Clinical staff persons per HHA to attend 2 hour training = 26 hours

5 Administrative Staff members attending 2 hour training session = 10 hours

Clinical Staff Training Wage Estimate

26 hours x $32.41 per hour = $842.66 for training clinical staff at each HHA per year

$842.66 x 12,014 HHAs = $10,123,717 for training clinical staff in all HHAs/per year

Administrative Staff Training Wage Estimate

10 hours x $14.01 per hour = $140.10 for training clinical staff at each HHA per year

$140.10 x 12,014 HHAs = $1,683,161 for training clinical staff in all HHAs/per year

Wages for One-Time Training Wages for Each Individual HHA

$842.66 Clinical Staff Training Wages per each HHA

$140.10 Administrative Staff Training Wages per each HHA

$982.76 Total Combined Wages for one-time Staff Training

Wages for One-Time Training Wages for ALL HHAs

$10,123,717 Clinical Staff Training Wages per each HHA

$ 1,683,161 Administrative Staff Training Wages per each HHA

$11,806,878 Total Combined Wages for one-time Staff Training

4. Summary of Estimated Costs

$37,109.45 Nursing wages per each hospice per year

$ 1,677.70 Administrative assistant wages per each HHA per year

$ 982.76 Wages for One-time OASIS-C Update Staff Training for each HHA

$39,769.91 Estimated Total Annualized Cost to Each HHA Provider

$445,832,932 Nursing wages per all hospice providers per year

$ 20,155,888 Administrative assistant wages per all HHAs per year

$ 11,806,879 Wages for One-time OASIS-C Update Staff Training for ALL HHAs

$477,795,699 Estimated Total Annualized Cost to All HHAs Providers

PART C. Additional Calculations:

1. Average Yearly Cost to Each HHA = $38,770

$477,795,699 – Cost for all HHAs per year / 12,014 HHAs in U.S. = $38,770

2. Estimated Average Monthly Cost Across All HHAs = $39,816,308

$477,795,699- Total annual cost to all HHAs per year / 12 months per year = $39,816,308

3. Estimated Average Monthly Cost to Each Individual HHA = $3,314

$477,795,699- Total annual cost to all HHAs/year /12 months per year / 12,014 HHAS = $3,314

4. Estimated Cost per Each OASIS-C1 Assessment = $27.67

$477,795,699 - Total annual cost to all HHAs/year / 17,268,890 OASIS-C1 assessments per year = $27.67 per each OASIS-C1 assessment

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