Home Health Clinicians Are Less Proficient in OASIS

Fewer home health care clinicians are proficient in OASIS (Outcome and Assessment Information Set) data compared to a year ago, according to recent test results from Fazzi Associates, a Northampton, Massachusetts-based home care and hospice consulting, training, outsourcing, benchmarking and research firm.

More than 5,000 clinicians from 366 agencies in 40 states took this year’s test, the National Oasis Testing Project, which was designed by OASIS experts.

This year’s average OASIS proficiency score clocked in at 56%, compared to last year’s overall average score of 74%.

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Managers scored 64%. The home health clinicians that were tested also included physical therapists, with a 58% score; registered nurses (55%); occupational therapists (54%); speech therapists (45%); and other aides (67%).

Participants struggled with integumentary items, specifically the pressure ulcer items included with the OASIS-C2 update that took effect in January, Fazzi noted. Participants also frequently missed questions related to wounds, activities of daily living (ADL), medication, and pain, among other topics.

Clinicians also scored poorly on OASIS topics like neuro-emotional/behavioral (31%), medications (42%) and clinical records (50%).

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There were some areas where participants did well, however, like elimination (99%), respiratory status (74%) and sensory status (74%).

Written by Tim Regan

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