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HC1309H
Adult Re-Assessment, 485 P.O.C., Recertification Worksheet and OASIS Follow-up
An updated version of this form is now available.

This form has been updated to reflect the Process Measures Indicators (P) based on the March 2010 CMS Process-Based Quality Improvement Manual and to add new features based on suggestions and comments from our customers and product development partners that will make the form more valuable and easier to use.


Click here to learn more about the form enhancements.

Use this new OASIS-C 1/2010 8-page booklet form to document the re-assessment of OASIS data, 485 (Plan of Care) re-certification and the patient’s progress toward goals. This is one of two versions available for documenting Adult Re-Assessment and OASIS Follow-Up. To see alternative version Adult Re-Assessment and OASIS Follow-Up (item # HC1308H) which does not include 485 elements, select the title in Related Products below.

Easy Order Option - Print and Fax Order Form
Features:
  • Color-coding allows for three forms in one
    • BLACK/GRAY items on the form are part of the Comprehensive Assessment and Narrative Areas
    • GREEN items represent mandated OASIS items
    • SHADED in GREEN are tied to reimbursement (PPS)
  • Expanded Nutritional Risk Assessment and 23 coded Risk Factors
  • Home Health Compare Quality Indicatorse
  • Non-Routine Supply Indicatorsol)
  • Outcome Measure Indicators that affect risk-adjusted and descriptive reports
  • Streamlines documentation if no changes have occurred
Specifications:
8-5/8 x 11, 8 pages, handwritten, 100 per package
Related Products:
IS010Ultimate OASIS-C Training - Item By Item
HC1300HComprehensive Adult Assessment, 485 P.O.C. Worksheet and Outcome and Assessment Information Set – START OF CARE VERSION & Resumption of Care
HC1302HCompletion of Care, OASIS Data Sets and Discharge/Transfer Summary
HC1305HOutcome and Assessment Information Set – DISCHARGE FROM AGENCY & DISCHARGE Summary
HC1307HComprehensive Adult Physical Therapy Assessment, 485 P.O. C. Worksheet, and OASIS Outcome and Assessment Information Set – START OF CARE VERSION & Resumption of Care
HC1308HAdult Re-Assessment and OASIS Follow-up
HC1314HAdult Physical Therapy Re-Assessment, 485 P.O.C. Recertification Worksheet, and OASIS Follow-up
HC1306HPhysical Therapy Discharge from Agency Version
HC1311HHome Health PPS Estimator Worksheet
HC1040HFall Risk Assessment
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