Main update 6448 includes new Communication Note Types.

The four new communication note types that have been added are as following:
1. POLST/DNR
2. Physician Certification
3. SNF Form
4. Personal Care Home Form

These Communication Notes will be added to the Clinical Software with the next Clinical update.

Software updates related to documentation enhancements supporting comprehensive assessment collaboration are available with Main Office Software version 6446 and Clinical Point of Care Software version 2778.
The OASIS Guidance manual states in Chapter 1 under the heading Comprehensive Assessment and Plan of Care: “Agencies may have the comprehensive assessment completed by one clinician. If collaboration with other health care personnel and/or agency staff is utilized, the agency is responsible for establishing policies and practices related to collaborative efforts, including how assessment information from multiple clinicians will be documented within the clinical record, ensuring compliance with applicable requirements, and accepted standards of practice.”…“For items requiring patient assessment, the collaborating healthcare providers must have had direct contact with the patient.”

Software enhancements include adding the new GG items to the Therapy Assessments and Progress notes allowing Therapists and the individual completing the comprehensive assessment the opportunity to collaborate. The GG items available in the Therapy Assessments and Progress notes will not populate the items in the Comprehensive OASIS assessment.
All documented responses are available in the Print Form and View screens for the records.
The Print form of Comprehensive OASIS Start of Care and Resumption of Care will include a list at the top of all of the Visits with Employee and Discipline that occurred from the SOC or ROC date up to and including the M0090 date. The Recertification OASIS print form will contain a list of visits for the 7 days prior to the M0090 date.
The Trend button (represented as a peach colored button with a picture of a white piece of paper) available at the top of comprehensive documents in the Clinical Point of Care software will contain a new option GG items. The Discharge Goals established in the GG items will be available for evaluation of patient progress in meeting the discharge goal established in the Comprehensive OASIS.

As stated in the Guidance manual Agencies are responsible for specific policies and procedures to reflect collaboration practices. These software Enhancements are meant to assist agencies in meeting collaboration practices but do not establish or endorse specific policies or procedures.

Main Office Software version 6420 dated 01/16/19 and Clinical Point of Care software version 2760 dated 01/16/19 will contain enhancements to Advanced Directives. Additional Fields have been added to the data entry fields in the Comprehensive OASIS Assessments for POA, DPOAHC, and Living Will. If documentation is present indicating a patient Emergency Contact is a POA or DPOAHC the data will automatically be indicated in the Advanced Directive documentation section.
Advanced Directive will now have a distinct section in the Plan of Care/485 data entry fields in the Risk/Support tab.
A separate distinct Advanced Directive section print below the Patient Diagnosis on the Plan of Care Print Form.

Enhanced Error checking has been made available for OASIS Assessments with Main Office Software version 6415 dated 01/11/19 and Clinical Point Of Care Software version 2759 dated 01/11/19.
The enhanced error checks are related to the new GG and JJ question responses that will cause a Fatal Rejection when submitted to CMS but are not associated with a designated skip pattern.

Agencies should have Main Office software version 6409 dated 01/08/19 and Clinical Point of Care software version 2756 dated 01/08/19 to receive the latest most complete OASIS D error checking.

Agencies should have Main Office Software version 6409 dated 01/08/2019 or later prior to submitting OASIS D XML files.

Agencies will need to have Main office software version 6401 dated 01/02/2019 and Clinical software version 2741 dated 12/31/19 for the latest updates related to OASIS D data entry fields. Additional updates will be released in the coming day(s) to update OASIS D error checks. An additional message will be posted on Allegheny Messages at the time of the version update to resolve all OASIS Error/edit checks.

A new Communication note type, Falls, has been added to the Communication note types with Main Office software version 6381 and Clinical Point of Care software version 2731 both dated 11/12/18.
A Falls Communication note generated when a patient has a fall can be tracked in the Main office software through the Control Board or the Communication note Listing. Clinicians utilizing the Clinical Point of Care Software can count and review any entered details utilizing the Document log in order to respond to the New OASIS D item J1800 and J1900 related to any Patient falls since SOC/ROC with the corresponding number for Falls with No injury, Injury and Major Injury.

Agencies must ensure they are using Main Office Software Update Version 6359 or later and Clinical Point of Care Software Users must have Version 2728 to receive the updated ICD 10-CM code set that will be effective as of October 1, 2018.
The stated version updates will also include the new Grouper Version for OASIS due to the ICD 10-CM code set update.

The Print forms for Comprehensive OASIS Assessments in the Clinical Point of Care Software have been restored and are now available with version 2713 dated 07/11/18.

Beginning with Clinical Point of Care software version 2712 dated 07/10/2018 OASIS Comprehensive Assessments PRINT FORMS will not be available in the Clinical Point of Care software. This is a temporary change due to some initial programming required to be ready for OASIS D January 2019.
All OASIS Comprehensive Assessments should be Printed from the Main Office software until further notice.
A message will be posted in Allegheny Messages when the Print form has been restored for OASIS Comprehensive Assessments in the Clinical Point of Care Software.

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