Home health documentation checklist tool 2025

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2013 4.8 Satisfied (81 Votes)
2010 4.4 Satisfied (32 Votes)
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The Home Health Outcome and Assessment Information Set (OASIS) contains data items developed to measure patient outcomes and for improve home health care. The OASIS assessments are required of all home health agencies certified to accept Medicare and Medicaid payments.
Documenting at the patients home will enable clinicians to record medication, treatment, and care plan changes during the visit/shift. These changes will immediately be available for the next visit for the next clinician to administer the right medication and treatment.
A home care assessment is conducted with your loved ones needs, abilities, and safety in mind, and may include the following: A walk-through around the home to look for safety hazards and fall risks. A discussion about how to optimize the home for maximum safety.
A few common ones include: Heart disease or heart failure. In-home services can help clients establish a healthy lifestyle if they have heart disease or have had a heart attack. Stroke. Respiratory diseases like COPD, asthma and emphysema. Cancer. Alzheimers, dementia or confusion.
Circulatory Motor Sensory (CMS) testing of the extremities should be routinely performed: Early in the physical exam of a patient whenever there is a high index of suspicion that there may be circulatory or neurological impairment to a limb.
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The Outcome and Assessment Information Set The OASIS is the post-acute care (PAC) assessment instrument used by HHAs to collect and report patient assessment data to CMS. The OASIS includes items for patient clinical, functional and resource domains.
The Outcome and Assessment Information Set (OASIS) is a group of standard data elements designed to enable systematic comparative measurement of home health care patient outcomes at two points in time in adult skilled Medicare and Medicaid, non-maternity home health care patients.
The Outcome and Assessment Information Set (OASIS) is a comprehensive assessment designed to collect information on nearly 100 items related to a home care recipients demographic information, clinical status, functional status, and service needs (Centers for Medicare and Medicaid Services [CMS], 2009a).

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