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A Study of Reliability and Burden of Home Health Assessment Using OASIS
David F Hittle1, Peter W Shaughnessy2, Kathryn S Crisler3
1a Center for Health Services Research (CHSR), University of Colorado Health Sciences Center , Denver , CO
Home Health Care Services Quarterly
|October 11, 2017
Summary
The Outcome and Assessment Information Set (OASIS) demonstrates excellent interrater reliability for many items. Completing patient assessments with OASIS does not significantly increase clinician time, supporting its use in home health care.
Area of Science:
- Health Services Research
- Nursing Informatics
- Quality Improvement
Background:
- The Outcome and Assessment Information Set (OASIS) is crucial for home health care quality reporting and payment.
- Evaluating the reliability and time efficiency of OASIS is essential for its effective implementation.
Purpose of the Study:
- To assess the interrater reliability of individual OASIS items.
- To compare the time clinicians spend on patient assessments with and without OASIS.
Main Methods:
- Interrater reliability was determined through independent assessments by two clinicians on 66 patients.
- Incremental assessment time was evaluated using interview data from two groups of clinicians: one using OASIS, one not.
Main Results:
- Many OASIS items showed excellent interrater reliability (kappa > .80).
- Most items demonstrated substantial reliability (kappa > 0.60).
- Assessment time with OASIS was comparable to assessments without it.
Conclusions:
- OASIS demonstrates strong reliability for data collection in home health.
- The use of OASIS does not add significant time burden to clinical assessments.
- Findings support ongoing OASIS development and inform agency interpretation of quality reports.
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