Reporting Activities of Daily Living (ADLs)
folder_openChanges to Protocols and Guidelinescalendar_todayPosted February 19, 2010
The purpose of this announcement is to alert survey vendors and home health agencies (HHAs) about three important changes regarding reporting the total count of deficits in the activities of daily living (ADLs) or the OASIS value for each ADL. The changes described in this announcement will be made in Table 4.1 on page 25, in the discussion of ADLs on page 27, and in Appendices B, L, M, and N of the Home Health Care CAHPS Survey Protocols and Guidelines Manual. A revised version of the Manual reflecting these changes will be posted on the project Web site at https://homehealthcahps.org within the next few weeks. Until a revised version of the Manual is posted on the project Web site, survey vendors and HHAs should follow the guidelines and instructions related to reporting ADLs described in this document.
Error in Table 4.1 in the Protocols and Guidelines Manual, Version 2.0
Please be advised that there is an error in Table 4.1 on page 25 of the Home Health Care CAHPS Survey Protocols and Guidelines Manual, Version 2.0. Specifically, Table 4.1 on page 25 currently indicates that the HHA must provide the number of ADLs for which the patient is “not dependent.” The description of that variable in Table 4.1 should have indicated that the HHA must provide the number of ADLs for which the patient is not independent. The correct depiction of this variable in Table 4.1 is shown below, where the word “dependent” has been changed to “independent.”
Excerpt from Table 4.1 on Page 25 of the Protocols and Guidelines Manual, Version 2.0
| Variable/Data Required |
Reason Needed |
| Number of ADLs for which patient is not independent (0-5) |
Survey analysis |
Reporting the Feeding or Eating ADL
Home health agencies are no longer required to include in the monthly patient information files that they provide to their survey vendors the ADL item ADL Feed (M1870–Feeding or Eating), because this ADL is not reported for OASIS Follow-Up assessments. Consequently, the range of values in HHAs’ patient files for “ADL Deficits,” which is the total number of ADLs for which the patient is not independent, will be changed from 0–6 to 0–5 as shown in the excerpt from Table 4.1 above. This means that if an HHA is reporting the total count of ADL deficits rather than the OASIS value for each ADL, the Feeding or Eating ADL should not be included in the count. If an HHA reports the OASIS value for each ADL, the value for the Feeding or Eating ADL should not be reported.
Valid Values for the Bathing ADL in the XML Template and Related Documents for Data Submission
The valid range of the OASIS value for the Bathing ADL in OASIS-B is 0–5; however, the range of the OASIS value for the Bathing ADL in OASIS-C is 0–6. Please be advised that the valid range shown for reporting the OASIS value of the Bathing ADL shown in Appendices B, L, M, and N in the Protocols and Guidelines Manual, Version 2.0 is 0–5. This range will be changed in the aforementioned appendices from 0–5 to 0–6 so that the maximum OASIS value from OASIS-C can be provided.