How to Answer M2102 (Types and Sources of Assistance) on the OASIS - Part III
M2102 – Types and Sources of Assistance, Part III
Last month we discussed the first three categories of this item. This month we will discuss the last four.
Category d addresses medical procedures/treatments. In the description of the category, the examples of changing wound dressings (including wound VACs) and home exercise programs are given, but this category includes so much more. This item also includes anti-embolism stockings, orthotic devices, prosthetic devices, insertion/removal of catheters, self-catheterization, intermittent catheterization and measurement of vital signs & blood glucose.
The next category, category e, addresses the management of equipment. Specifically mentioned in the description of this item is oxygen, IV/infusion equipment, enteral/parenteral nutrition and ventilator therapy equipment or supplies. Also included in this item is: continuous passive motion machines, hoyer lifts, wheelchairs, canes, walkers, needles, syringes, foley supplies, wound VAC supplies and equipment associated with epidural or subcutaneous infusions. It is also important to know what OASIS Q&A 170.5 states about what is considered equipment, “CMS is not intending to provide an exhaustive list of all medical equipment that could be used in the home health setting, but rather expects the clinician to determine what is considered medical equipment, using the examples provided in the item and good clinical judgement.”
Category F addresses supervision and safety. Chapter 3 of the OASIS Guidance Manual states that this category “includes needs related to the ability of the patient to safely remain in the home.” Cognitive, functional and other health deficits of the patient should be taken into account. Chapter 3 goes on to give us some examples: calls to remind the patient to take their medications, in-person visits to ensure that the home environment is safely maintained and physical presence of another person to ensure that the patient doesn’t wander, fall or for other safety reasons.
The final category in this M item addresses advocacy or facilitation. Chapter 3 of the OASIS Guidance Manual states that “advocacy or facilitation of patient’s participation in appropriate medical care includes taking patient to medical appointments, following up with filling prescriptions, or making subsequent appointments, etc.”
As always, being familiar with the guidance in chapter 3 of the OASIS Guidance Manual and the OASIS Q&As is the only way to ensure you are answering these M items correctly.