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

07/01/2006

TABLE 5b. “Prior” Risk-Adjusters Specific to IADL Outcomes
Variables OASIS Items Specification
ALL INSTRUMENTAL ACTIVITY OF DAILY LIVING OUTCOME MODELS1
Clinical Factors:
   Conditions Prior to Medical Regiment:      
      Impaired decision-making M0220_4 Yes
No (reference category)
      Memory loss requiring supervision M0220_6 Yes
No (reference category)
ADDITIONAL ITEM IN HOUSEKEEPING MODELS2
Clinical Factors:
   Housekeeping prior to admission M0750_P Independent (reference category)
Light tasks only
Intermittent assistance
Usually requires assistance
Totally dependent
ADDITIONAL ITEM IN LAUNDRY MODELS3
Clinical Factors:
   Laundry prior to admission M0740_P Independent (reference category)
Light laundry only
Totally dependent
ADDITIONAL ITEM IN SHOPPING MODELS4
Clinical Factors:
   Shopping prior to admission M0760_P Independent (reference category)
Needs some assistance
Only if delivered
Totally dependent
ADDITIONAL ITEM IN LIGHT MEAL PREPARATION MODELS5
Clinical Factors:
   Meal preparation prior to admission M0720_P Independent (reference category)
Able, but not regularly
Totally dependent
ADDITIONAL ITEM IN TELEPHONE USE MODELS6
Clinical Factors:
   Telephone use prior to admission M0770_P Independent (reference category)
Able, with adapted phone
Answers, but has trouble calling
Sometimes answers, limited conversation
Can listen with assistive device
Totally dependent
ADDITIONAL ITEM IN MANAGEMENT OF MEDICATIONS MODELS7
Clinical Factors:
   Medication management prior to admission M0780_P Independent (reference category)
Able if prepared by another person
Totally dependent
  1. Improvement in Housekeeping, Laundry, Shopping, Light Meal Preparation, Telephone Use, and Medication Management; Stabilization in Housekeeping, Laundry, Shopping, Light Meal Preparation, Telephone Use, and Medication Management.
  2. Improvement and Stabilization in Housekeeping.
  3. Improvement and Stabilization in Laundry.
  4. Improvement and Stabilization in Shopping.
  5. Improvement and Stabilization in Light Meal Preparation.
  6. Improvement and Stabilization in Telephone Use.
  7. Improvement and Stabilization in Management of Medications.

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