On July 6th, CMS released the Home Health Proposed Rule for CY 2016 that included proposed changes to the Home Health Quality Reporting Requirements. Outlined in this proposal is one of home health’s first encounters with the IMPACT Act of 2014 via the introduction of a standardized cross-setting measure in the skin integrity domain.
The proposed measure is titled Percent of Residents or Patients with Pressure Ulcers that are New or Worsened and is calculated from OASIS data. In the spirit of the IMPACT Act’s goal of standardized patient assessment data and quality measures across post acute care settings, changes to the OASIS data set are being proposed to align with the data sets of our PAC partners.
Proposed OASIS data set changes for CY 2017 include the addition of items allowing risk adjustment of the pressure ulcer measure (including reporting of height and weight to allow calculation of BMI, and reporting of PVD, PAD and DM as active diagnoses.) Additionally, changes to existing OASIS items M1308 – Current Number of Unhealed Pressure Ulcers at Each Stage or Unstageable, and M1309 Worsening in Pressure Ulcer Status since SOC/ROC are being proposed.
Providers can view the proposed measure specifications, along with the proposed changes to the OASIS Integumentary domain, and submit comments to CMS online at http://federalregister.gov/a/2015-16790 until September 4th.
Thank you for adding your expertise and insight to these quality improvement efforts intended to benefit our home care patients.
Linda Krulish, PT MHS COS-C
President, OASIS Answers, Inc.
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