Do We Really Need Another Form??
Putting people around a table does not make them communicate well. The very nature of home health care delivery adds the additional challenge of not being at that table very often or without much regularity.Information abounds regarding the importance of patient centered care using an interdisciplinary model in all settings but are good intentions getting us closer to reality?
Many home health agencies search for the tool that will make care planning effective and efficient. Some look to their software while others use a variety of paper tools and guides to try to change practice. Some see significant success while others struggle with trying to get clinicians engaged in the process.
Love it or hate it, OASIS is not leaving home health anytime soon as standardized data collection has become part of health care overall. Given the amount of resources – personal and financial – being consumed by education and auditing data collection, why would we view sending a“clean” OASIS document to CMS as the END of the process? If information is being collected, would it not be better for the clinicians to actually USE IT to plan care intentionally and focus on outcomes in real time?
We have a bridge to cross to move OASIS from a task to anintegral part of care delivery but we have to take the first step. A new andimproved form – electronic or paper – will not fix the fundamental problem. We have to get clinicians back in the discussion of data collection that is patient focused and use their time wisely.