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OASIS-C

M1400. (M1400) When is the patient dyspneic or noticeably Short of Breath??0

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OASIS-C

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    1. OASIS-C Respiratory Status Contact: Cindy Skogen, RN (OEC) 651-201-3818, or health.oasis@state.mn.us for questions. Source: Center for Medicare and Medicaid Services Respiratory Status 1

    2. Respiratory Status 2 This item is used both for Medicare PPS payment calculation and for quality measures.This item is used both for Medicare PPS payment calculation and for quality measures.

    3. Identifies the level of exertion/activity that results in dyspnea or shortness of breath Critical assessment rule If oxygen used continuously, mark response based on assessment of the patient’s SOB while using oxygen If oxygen used intermittently, mark response based on the patient’s SOB without the use of oxygen M1400 Dyspnea Respiratory Status 3 FYI – It is how the patient uses the oxygen continuously vs. intermittently not how the physician orders the oxygen when determining to assess dyspnea with or without oxygen. FYI – It is how the patient uses the oxygen continuously vs. intermittently not how the physician orders the oxygen when determining to assess dyspnea with or without oxygen.

    4. For a chairfast or bedbound patient, evaluate the level of exertion required to produce shortness of breath while performing ADLs or at rest “0” if not SOB during the day of assessment “1” if demanding bed-mobility activities produce dyspnea in the bedbound patient (or physically demanding transfer activities produce dyspnea in the chairfast patient) M1400 Dyspnea (cont.) Respiratory Status 4

    5. (M1410) Respiratory Treatments utilized at home: (Mark all that apply.) ? 1 - Oxygen (intermittent or continuous) ? 2 - Ventilator (continually or at night) ? 3 - Continuous / Bi-level positive airway pressure ? 4 - None of the above M1410 Respiratory Status 5 Instructional Guidance Instructions to Class Instructional Guidance Instructions to Class

    6. Identifies any of the listed respiratory treatments being used by this patient in the home Excludes any respiratory treatments that are not listed in the item (e.g., does not include nebulizers, inhalers, etc.) “3” reflects both CPAP and BiPAP M1410 Respiratory Treatments Respiratory Status 6 Emphasize that addition of BiPAP is new in OASIS-C.Emphasize that addition of BiPAP is new in OASIS-C.

    7. Questions??? E-mail: health.oasis@state.mn.us Respiratory Status 7

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