Alternative Risk-Adjustment Approaches to Assessing the Quality of Home Health Care: Final Report. TABLE 4a: Risk-Adjusters Specific to ADL Outcome Models

07/01/2006

TABLE 4a. Risk-Adjusters Specific to ADL Outcome Models
Variables OASIS Items Specification
ALL ACTIVITY OF DAILY LIVING OUTCOME MODELS1
Clinical Factors:
   Obesity M0290_2 Yes
No (reference category)
   Frequency of pain interfering with activity M0420 No pain, or does not interfere with activity (reference category)
Less often than daily
Daily but not constantly
All of the time
ADDITIONAL ITEM IN TRANSFERRING MODELS2
Clinical Factors:
   Current ambulation M0700 Walks independently (reference category)
Requires use of device
Able to walk only with supervision
Chairfast, able to wheel self
Chairfast, unable to wheel self
Bedfast, unable to ambulate
ADDITIONAL ITEM IN IMPROVEMENT IN AMBULATION MODEL
Clinical Factors:
   Current transferring M0700 Transfers independently (reference category)
Transfers with minimal assistance or device
Unable to transfer; can bear weight
Unable to transfer; unable to bear weight
Bedfast, able to turn and position self
  1. Improvement in Bathing, Grooming, Dressing (upper), Dressing (lower), Toileting, Transferring, Eating, and Ambulation; Stabilization in Bathing, Grooming, and Transferring.
  2. Improvement in Transferring and Stabilization in Transferring.

 

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