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

07/01/2006

TABLE 4c. Risk-Adjusters Specific to Physiologic Outcome Models
Variables OASIS Items Specification
ALL PSYCIOLOGIC OUTCOME MODELS EXCEPT PAIN1
Clinical Factors:
   Obesity M0290_2 Yes
No (reference category)
ADDITIONAL ITEMS IN DYSPNEA IMPROVEMENT MODEL
Clinical Factors:
   Smoking M0290_1 Yes
No (reference category)
   Respiratory treatments:    
      Oxygen M0500_1 Yes
No (reference category)
      Ventilator M0500_2 Yes
No (reference category)
ADDITIONAL ITEMS IN UTI IMPROVEMENT MODEL
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
   Therapy received in home:    
      IV/Infusion M0250_1 Yes
No (reference category)
ADDITIONAL ITEM IN INCONTINENCE MODELS2
Clinical Factors:
   Current toileting M0680 Able to get to and from the toilet independently (reference category)
Able to get to and from toilet when reminded, assisted, or supervised
Unable to get to toilet, but can use bedside commode
Unable to get to toilet or use bedside commode, but can use bedpan T
otally dependent in toileting
   Treated for UTI in past 14 days M0510 Yes
No (reference category)
ONLY OUTCOME-SPECIFIC ITEM IN IMPROVEMENT IN PAIN MODEL
Clinical Factors:
   Intractable pain M0430 Yes
No (reference category)
  1. Improvement in Number of Surgical Wounds, Status of Surgical Wounds, Dyspnea, Urinary Tract Infection, Urinary Incontinence, Bowel Incontinence, and Speech; Stabilization in Speech.
  2. Improvement in Urinary Incontinence, Bowel Incontinence.

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