oasis-c emergent care contact: cindy skogen, rn (oec) 651-201-3818, or [email protected] for...
TRANSCRIPT
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OASIS-C
Emergent Care
•Contact: Cindy Skogen, RN (OEC)•651-201-3818, or
•[email protected] for questions.
•Source: Center for Medicare and Medicaid Services
Emergent Care 1
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M2300 Emergent Care
• (M2300) Emergent Care: Since the last time OASIS data were collected, has the patient utilized a hospital emergency department (includes holding/observation)?
⃞ 0 – No [ Go to M2400 ]
⃞ 1 – Yes, used hospital emergency department WITHOUThospital admission
⃞ 2 – Yes, used hospital emergency department WITH hospital
admission
⃞ UK – Unknown [ Go to M2400 ]
Emergent Care 2
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M2300 Emergent Care (cont.)
• Identifies whether the patient was seen in a hospital emergency department at or since the previous OASIS assessment
• Responses to this item include the entire period at or since the last time OASIS data were collected, including hospital emergency department utilization that results in a qualifying hospital admission necessitating Transfer OASIS data collection
• Includes holding and observation in the emergency department setting only
Emergent Care 3
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M2300 Emergent Care (cont.)
• Excludes:– Urgent care services not provided in a hospital emergency
department– Doctor's office visits scheduled less than 24 hours in advance– Care provided by an ambulance crew without transport– Care received in urgent care facilities
• Urgent care facilities defined as freestanding walk-in clinics (not a department of a hospital) for pts in need of immediate medical care
Emergent Care 4
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M2300 Emergent Care (cont.)
• Select “0-No” if a patient was directly admitted to the hospital and was not treated or evaluated in the ER
And • Had no other emergency department visits at or since
the last OASIS assessment
Emergent Care 5
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M2300 Emergent Care (cont.)
• Select “1” or “2” if a patient went to a hospital emergency department regardless of who directed them to go or if it was pt/CG decision– “Hospital admission” is defined as admission to a hospital where
the stay is for 24 hours or longer, for reasons other than diagnostic testing
Emergent Care 6
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M2300 Emergent Care (cont.)
• If patient went to a hospital ED, was “held” for observation, then released, the patient did receive emergent care – The time period that a patient can be "held" without admission
can vary
• OASIS Transfer is not required if the patient was never actually admitted to an inpatient facility
Emergent Care 7
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M2300 Emergent Care (cont.)
• Select “1 - Yes, used hospital emergency department WITHOUT hospital admission” - not “2” for a patient who:
• At or since the last time OASIS was collected, experienced both a direct admission to the hospital without treatment or evaluation in ER
And • Accessed a hospital ER that did not result in an inpatient
admission
Emergent Care 8
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M2300 Emergent Care (cont.)
• Select “1 - Yes, used hospital emergency department WITHOUT hospital admission” when:– A patient dies in a hospital emergency department
• Note a Transfer OASIS is completed• Not "Death at Home”
Emergent Care 9
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M2300 Emergent Care (cont.)
• Select “2 - Yes, used hospital emergency department WITH hospital admission”– If a patient utilized a hospital emergency department more than
once, at or since the last OASIS assessment
And– Any ER visit, at or since the last OASIS assessment resulted in
hospital admission
• Otherwise, select Response 1
Emergent Care 10
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M2300 Emergent Care (cont.)
• Select “2” if patient went to hospital ED and was subsequently admitted to the hospital – An OASIS Transfer assessment is required (assuming the
patient stay was for 24 hours or more for reasons other than diagnostic testing)
Emergent Care 11
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M2310 Emergent Care Reason• (M2310) Reason for Emergent Care: For what reason(s) did the patient receive
emergent care (with or without hospitalization)? (Mark all that apply.)
Emergent Care 12
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M2310 Emergent Care Reason (cont.)
• (M2310) Reason for Emergent Care: For what reason(s) did the patient receive emergent care (with or without hospitalization)? (Mark all that apply.)⃞ 1 – Improper medication administration, medication side effects,
toxicity, anaphylaxis⃞ 2 – Injury caused by fall ⃞ 3 – Respiratory infection (e.g., pneumonia, bronchitis)⃞ 4 – Other respiratory problem⃞ 5 – Heart failure (e.g., fluid overload)⃞ 6 – Cardiac dysrhythmia (irregular heartbeat)⃞ 7 – Myocardial infarction or chest pain⃞ 8 – Other heart disease
Emergent Care 13
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M2310 Emergent Care Reason (cont.)
⃞ 9 – Stroke (CVA) or TIA⃞ 10 – Hypo/Hyperglycemia, diabetes out of control⃞ 11 – GI bleeding, obstruction, constipation, impaction⃞ 12 – Dehydration, malnutrition⃞ 13 – Urinary tract infection⃞ 14 – IV catheter-related infection or complication⃞ 15 – Wound infection or deterioration⃞ 16 – Uncontrolled pain⃞ 17 – Acute mental/behavioral health problem⃞ 18 – Deep vein thrombosis, pulmonary embolus⃞ 19 – Other than above reasons⃞ UK – Reason unknown
Emergent Care 14
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M2310 Emergent Care Reason (cont.)
• Identifies the reasons for which the patient sought care in a hospital emergency department
• If more than one reason contributed to the hospital emergency department visit, mark all appropriate responses
– For example, if a patient received care for a fall at home and was found to have medication side effects
– Mark both responses.
• Note response 2 is any fall, any time
Emergent Care 15
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M2310 Emergent Care Reason (cont.)
• If the reason is not included in the choices, mark Response 19 – Other than above reasons
• If the patient has received emergent care in a hospital emergency department multiple times since the last time OASIS data were collected, include the reasons for all visits
• A new wound not caused by a fall would be “19 – Other than above reasons”
Emergent Care 16
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Questions???E-mail: [email protected]
Cindy Skogen, RN; Oasis Education Coordinator
651-201-3818
Emergent Care 17