OASIS-E1: M1400. Improvement in Dyspnea
Presented by Cindy Krafft
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Nonfinancial: Cindy Krafft has been involved at the senior leadership level of APTA Home Health, an Academy of the American Physical Therapy Association. She has worked with CMS to clarify regulatory expectations and address proposed payment methodologies.
The current payment methodology for Medicare Part A home health services is driven in part by eight specific items found in the OASIS instrument. Home Health Value Based Payment also adjusts payment upward or downward using a Total Performance Score (TPS) method, 35% of which is calculated based on OASIS accuracy. Incorrect OASIS responses to these specific items can negatively impact revenue. Clinicians have historically had challenges with accurate and consistent OASIS data collection. Agencies expend significant resources dealing with the rework associated with monitoring and getting responses corrected. This series of microcourses will focus on each of the payment-relevant and HHVBP-relevant OASIS items in detail. They will be explained in practical terms, include knowledge application, and be connected to related GG items to facilitate assessment consistency. Clinicians and quality assurance staff will benefit from a focused review of the OASIS items that relate to PDGM. The goal is for the data to be collected accurately the first time in order to ensure proper payment and decrease agency costs. This course will focus on the assessment of the ability to complete M1400 (Improvement in Dyspnea).
Meet your instructor
Cindy Krafft
Cindy Krafft brings more than 25 years of home health expertise that started with direct patient care and evolved to operational and management issues. Cindy recognizes that providing care in the home environment is different from providing care in any other setting, which is evident in both…
Chapters & learning objectives
1. M1400. Short of Breath
Assessment of shortness of breath requires a clear understanding of the relationship between activity level and dyspnea. In addition, there is specific guidance related to those patients that use supplemental oxygen. These important concepts will be tied together and reinforced with learning application activities.
More courses in this series
OASIS-E1: Introduction to Key Concepts
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OASIS-E1: Section A
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OASIS-E1: Sections B and C
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OASIS-E1: Sections D, E, and F
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OASIS-E1: Section G
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OASIS-E1: Section GG
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OASIS-E1: Sections H, I, J, and K
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OASIS-E1: Section M
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OASIS-E1: Sections N and O
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OASIS-E1: Transfer- and Discharge-Specific Items
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OASIS-E1: M1033. Risk for Hospitalization
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OASIS-E1: M1800. Grooming
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OASIS-E1: M1810. Upper Body Dressing
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OASIS-E1: M1820. Lower Body Dressing
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OASIS-E1: M1830. Bathing
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OASIS-E1: M1840. Toilet Transferring
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OASIS-E1: M1850. Transferring
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OASIS-E1: M1860. Ambulation
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OASIS-E1: M1400. Improvement in Dyspnea
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OASIS-E1: M2020. Management of Oral Medications
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OASIS-E1: M2420. Discharge Disposition
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OASIS-E1: M1845. Toileting Hygiene
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OASIS-E1: M1870. Feeding or Eating
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OASIS-E1: Putting Knowledge Into Practice
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Candid Conversations About OASIS-E1: Assessing Function (Sections G and GG)
Terry Greenhalgh, Cindy Krafft, and Tonya Miller
Candid Conversations About OASIS-E1: Wounds (Section M)
Terry Greenhalgh, Cindy Krafft, and Tonya Miller
Candid Conversations About OASIS-E1: Medications (Section N)
Terry Greenhalgh, Cindy Krafft, and Tonya Miller
OASIS-E1: Putting Knowledge Into Practice—Focus on Function
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OASIS-E1: GG0130. Self-Care
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OASIS-E1: GG0170. Mobility
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OASIS-E1: New Changes, Items GG0130 and GG0170, and Strategies for Success (Recorded Webinar)
Joseph Brence and Cindy Krafft
OASIS-E1: Quick Guide to PDGM and HHVBP Items (Text-Only)
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