OASIS quandry

[bbritton_64]

I own a small home health agency. Our operating system has recently began giving feedback on how questions are answered. My nurses have a hard time with the ADL questions when patients live alone without caregivers. Patients may walk with a cane or walker and are scored as a fall risk yet they answer questions such as grooming, upper and lower body dressing with a "0" knowing that the patients do these things themselves. I need examples of how to get my nurses to take into account the "safely" part of the performance of ADLs. Thank you.

[bbritton_64]

Thanks Libby. It is laughable for someone to assert that we are trying to lower the scores just for more money. My business partner and I run a very small agency. Many times barely surviving. If we were gaming the system I wouldn't have posed the question.

[berube]

I work for a very large HH company, actually they have their hand in almost every aspect of medical care

i also have done HH sonce 1986, and what they want u to do, is, answer the questions of SOC that will make the lt look the sickest, i totally understnd the way to answer if "as far as safety goes" thats not the issue, if i mark it "2," i am told to mark it "3". Ok so u say you wouldnt do it as u felt 2 was the very most appropriate answer, prob a stretch from "1". We r now told,,it will reflect in ur evaluation!!!!