OASIS Burden Calculation

OASIS-C1/ ICD-9 VERSION

BURDEN ESTIMATE

PART 1. ESTIMATED TIME BURDEN

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

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

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

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

Calculations Used to Get Figures Stated Above

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 Assessment/Patient = 52.8 minutes

47.8 minutes of clinical time spent to perform the OASIS assessment

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

2. Estimated Annual Hourly Burden per each HHA for OASIS = 1264.5 hours per HHA/year

119.75 OASIS assessments per HHA per month x 52.8 min/assessment = 6,322.8 min per HHA per month.

6,322.8 min per HHA per month / 60 minutes per hour = 105.38 hours per HHA per month.

105.38 hours per HHA per month x 12 months per year = 1264.5 hours per each HHA per year.

3. Estimated Annual Hourly Burden for all HHA for OASIS = 15,191,703 hours per all HHAs /year

119.75 OASIS assessments per HHA per month x 52.8 min per assessment = 6,322.5 min per HHA per month

6,322.5 min per HHA per month / 60 minutes per hour = 105.38 hours per HHA per month.

105.38 hours per HHA per month x 12 months/year = 1264.5 hours per each HHA per year.

1,264.5 hours per HHA per year x 12,014 HHAs = 15,191,703 hours for all HHAs per year.

4. Estimated Annual Hour Burden per ALL HHAs per year for ongoing OASIS 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 Assessments

1. Average Time per OASIS 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 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 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 3. Additional Calculations:

1. Average Yearly Cost to Each HHA = $39,770

$477,795,699 – Cost for all HHAs per year / 12,014 HHAs in U.S. = $39,770

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 Assessment = $27.67

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

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