Alternative Risk-Adjustment Approaches to Assessing the Quality of Home Health Care: Final Report. TABLE 5a: "Prior" Risk-Adjusters Specific to ADL Outcomes

07/01/2006

TABLE 5a. “Prior” Risk-Adjusters Specific to ADL Outcomes
Variables OASIS Items Specification
ITEM USED IN BATHING MODELS1
Clinical Factors:
   Bathing prior to admission M0670_P Independent (reference category)
Able with use of devices
Able with partial assistance
Requires assistance
Unable, bathed in bed/chair
Totally dependent
ITEM USED IN GROOMING MODELS2
Clinical Factors:
   Grooming prior to admission M0640_P Independent (reference category)
Able if utensils placed within reach
Able with assistance
Totally dependent
ITEM USED IN IMPROVEMENT IN UPPER BODY DRESSING MODEL
Clinical Factors:
   Dressing upper body prior to admission M0650_P Independent (reference category)
Able if clothing laid out or given
Needs some help
Totally dependent
ITEM USED IN IMPROVEMENT IN LOWER BODY DRESSING MODEL
Clinical Factors:
   Dressing lower body prior to admission M0660_P Independent (reference category)
Able if clothing laid out or given
Needs some help
Totally dependent
ITEM USED IN IMPROVEMENT IN TOILETING MODEL
Clinical Factors:
   Toileting prior to admission M0680_P Independent (reference category)
Able when assisted or supervised
Uses bedside commode
Uses bedpan independently
Totally dependent
ITEM USED IN TRANSFERRING MODELS3
Clinical Factors:
   Transferring prior to admission M0690_P Independent (reference category)
Able with minimal assistance
Unable but can pivot self
Needs assistance
Bedfast
ITEM USED IN IMPROVEMENT IN EATING MODEL
Clinical Factors:
   Eating prior to admission M0710_P Independent (reference category)
Able with intermittent assistance
Needs mechanical/personal assistance (levels 2-5)
ITEM USED IN IMPROVEMENT IN AMBULATION MODEL
Clinical Factors:
   Ambulation prior to admission M0700_P Independent (reference category)
Needs device to walk
Needs assistance to walk
Chairfast, able to wheel self
Chairfast, unable to wheel self Bedfast
  1. Improvement and Stabilization in bathing.
  2. Improvement and Stabilization in grooming.
  3. Improvement and Stabilization in transferring.

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