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CMS Seeks Public Comments on Proposed IMPACT Act Cross-Setting Quality Measure: Percent of Home Health Episodes with an Admission and Discharge Functional Assessment and a Care Plan That Addresses Function by December 9, 2016

Jo-Lynn Jansen - Monday, November 21, 2016



The Centers for Medicare and Medicaid Services (CMS) is seeking public comments on a cross-setting post-acute care measure under the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act).  From these comments CMS is looking to:

  • Identify additional guidance required for the implementation in home health
  • Refine measure specifications
  • Identify setting-specific needs/concerns/barriers for capturing functional assessment and goal setting information using the data elements
  • Gather feedback on importance, feasibility, usability and potential impact of adding functional assessment data elements for quality measurement as new items to the OASIS item set

Click here for further information and directions on submitting comments by December 9, 2016.  


IMPACT Act Transfer Measure Public Comment Period Open Until 12/11/16

OASIS Answers - Wednesday, November 16, 2016


The Centers for Medicare & Medicaid Services (CMS) has posted an opportunity for public comment on new cross-setting quality measures mandated by the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014:  Transfer of Health Information and Care Preferences when an Individual Transitions. 

The IMPACT Act promotes person-centered care through the alignment of a set of quality measures across the post-acute settings of home health, inpatient rehabilitation facilities (IRF), skilled nursing facilities (SNF), and long term care hospitals (LTCH). 

The measures address the IMPACT Act mandate to specify quality measures on which PAC providers are required to submit standardized patient assessment data with respect to the following domain: “(E) Accurately communicating the existence of and providing for the transfer of health information and care preferences of an individual to the individual, family caregiver of the individual, and providers of services furnishing items and services to the individual, when the individual transitions— ‘‘(i) from a hospital or critical access hospital to another applicable setting, including a PAC provider or the home of the individual; or ‘‘(ii) from a PAC provider to another applicable setting, including a different PAC provider, a hospital, a critical access hospital, or the home of the individual.”

Detailed specifications for these measures and the call for public comments and materials have been posted on the CMS website: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/CallforPublicComment.html

Public comment period is open from 11/10/16 through 12/11/16. Comments should be submitted to: TOHPublicComments@rti.org


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WOCN Guidance on OASIS-C2

OASIS Answers - Wednesday, November 09, 2016


In conjunction with the scheduled OASIS-C2 implementation January, 2017, the Wound, Ostomy and Continence Nurses Society (WOCN) released their updated guidelines OASIS-C2 Integumentary Items: Best Practice for Clinicians on November 3, 2016.

The guidelines were developed by a panel of WOCN Society content experts to facilitate the classification of wounds by home health clinicians, and includes the OASIS-C2 modifications in the integumentary status item set including the use of Arabic numerals (1,2,3,4) for pressure ulcer staging (CMS, 2015a, 2015b). The document updates Wound, Ostomy and Continence Nurses Society’s Guidance on OASIS-C1 Integumentary Items: Best Practice for Clinicians (WOCN, 2014).

You may download the guidelines here.


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