How to Answer M2102 (Types and Sources of Assistance) on the OASIS - Part II
M2102 – Types and Sources of Assistance, Part II
Last month we discussed the general guidance regarding M2102. This month we take a closer look at the first three categories of this item and what is included in each.
In category A, the assessing clinician reports on the amount of assistance needed with ADLs. In the description of this category, transferring, ambulation, bathing, dressing, toileting, eating and feeding are specifically mentioned. Also, remember the general OASIS conventions state that the use of “for example” means that the clinician may also consider other relevant circumstances or attributes when scoring the item. The OASIS Q&As indicate that shampooing the hair and cleansing around urinary catheters/peri care is should also be considered when selecting your response.
The second category, category B, includes IADLs. Assistance with meals, housekeeping, laundry, telephone, shopping and finances are specifically mentioned in the question. OASIS Q&A 168.5.6 specifically addresses meals on wheels and other similar organizations. It clarifies that community-based services such as meals on wheels, would be considered when answering this item. In this case, the clinician would determine which IADL requires the most need and then the availability and ability of the caregiver to meet that need.
The third category in this item, category C, includes medications. When answering this item the clinician should take into consideration all prescribed and over-the-counter medications administered by all routes. Medications given at the MD’s office should not be considered when answering this item, only those that are given in the home. It is also important to note that if the MD has specifically ordered the home health agency to administer the medication, e.g. the flu vaccine, response three is the appropriate response in this row. Remember that the response should be selected based on the medication that the patient needs the most assistance with.
As always, refer to Chapter 3 of the OASIS Guidance manual and the Q&As for more detailed examples. Join us next month as we discuss categories d through G.