OASIS Collection Requirements as Part of the CoPs for HHAs and Supporting Regulations

Forms and Documents

Document Name	Status
Form CMS-R-245 Medicare and Medicaid OASIS Collection Requirements (Data collection) Form and Instruction	Modified
Form CMS-R-245 Medicare and Medicaid Programs OASIS Collection Requirements (Training) Form and Instruction	Modified
OASIS-C1 Public Comments & Responses. 09.27.13.docx Supplementary Document	2013-11-25
OASIS-C1 Revisions since 60 day PRA package filing. 10.01.2013.docx Supplementary Document	2013-11-25
Attachment A. OASIS C to C1 Items Timepoints and Uses.10-01-13.pdf Supplementary Document	2013-11-25
OASIS Burden Calculations.09.30.13.docx Supplementary Document	2013-11-25
REVISED Supporting Statement A_OASISC1.Clean Copy Version.10.02.13.doc Supporting Statement A	2013-11-25

IC Document Collections

IC ID	Document Title	Status
43666	Medicare and Medicaid OASIS Collection Requirements (Data collection) Form and Instruction	Modified
180130	Medicare and Medicaid Programs OASIS Collection Requirements (Training) Form and Instruction	Modified

ICR Details

OMB Control No: 0938-0760	ICR Reference No: 201312-0938-002
Status: Historical Active	Previous ICR Reference No: 201206-0938-001
Agency/Subagency: HHS/CMS	Agency Tracking No: 21017
Title: OASIS Collection Requirements as Part of the CoPs for HHAs and Supporting Regulations
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/06/2014
	Date Received in OIRA: 12/06/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2017	36 Months From Approved	12/31/2014
Responses	17,280,904	0	16,483,830
Time Burden (Hours)	15,320,253	0	16,567,968
Cost Burden (Dollars)	0	0	0

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Abstract: We are seeking approval of revisions to a currently approved data collection instrument titled: Outcome and Assessment Information Set (OASIS-C). The revised/ upgraded version of the OASIS item set is titled OASIS -C1. OASIS is a core standard assessment data set that Home Health Agencies (HHAs) integrate into their own patient-specific, comprehensive assessment to identify each patient's need for home care that meets the patient's medical, nursing, rehabilitative, social, and discharge planning needs. The Medicare conditions of participation (CoPs) have mandated the use the OASIS data set by HHAs when evaluating adult, non-maternity patients receiving skilled services since 1999. OASIS data are used for both HHA quality measurement and payment adjustment. The current version of the OASIS data set (OASIS-C) includes items which must be updated to enable agencies to report patient diagnoses using the ICD-10 coding set. In addition, since the OASIS-C was implemented in January 2010, a number of changes to the format and/or wording of items and response options have been recommended. These revisions are designed to improve item clarity, address issues raised by stakeholders, and increase harmonization with data collection in other post-acute settings. . Also, in 2012, CMS and its contractors identified opportunities to eliminate collection of eight items at various collection time points, as well as make clarifications to item wording. A more detailed description of these changes and their impact on the total burden associated with the collection of the proposed OASIS-C1 data set is detailed in the Supporting Statement A.

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Authorizing Statute(s): US Code: 42 USC 1395bbb Name of Law: Conditions of participation for home health agencies; home health quality
   US Code: 42 USC 1395x Name of Law: DEFINITIONS OF SERVICES, INSTITUTIONS, ETC; Home Health Agency
   PL: Pub.L. 109 - 171 5201(c)(2) Name of Law: Deficit Reduction Act of 2005: Home health - pay for reporting of quality information
   PL: Pub.L. 105 - 33 4601(e) Name of Law: Balanced Budget Act of 1997 (authority for collecting data required for casemix system)
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 37542	06/21/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 67150	11/08/2013
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Medicare and Medicaid OASIS Collection Requirements (Data collection)	CMS-R-245	OASIS-C1
Medicare and Medicaid Programs OASIS Collection Requirements (Training)	CMS-R-245	OASIS-C1

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	17,280,904	16,483,830	0	797,074	0	0
Annual Time Burden (Hours)	15,320,253	16,567,968	0	-1,247,715	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: In order to minimize the burden related to collection of the OASIS data set, CMS and its contractors identified opportunities to eliminate collection of eight items at various time points. The total number of items in the OASIS dataset decreases from 114 in OASIS-C to 110 in OASIS-C1. The number of items collected at Start of Care decreases from 95 to 91, at Resumption of Care there is a decrease from 80 to 76, at Transfer it decreases from 19 to 18 and at Discharge the number of items collected drops from 62 to 56. The Supporting Statement A provides a more detailed description of these changes and their impact on the total burden associated with the collection of the OASIS-C1 dataset.

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Annual Cost to Federal Government: $1,500,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/06/2013

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