CMS Rule Making Process Begins for OASIS D Item Set

IAHHC sent out the following information concerning the OASIS-D data set process:

CMS filed a notice and request for comment on proposed revisions to the OASIS item set. The notice was posted on the Federal Register website March 9 and is scheduled for publication March 12.

CMS is seeking approval from the Office of Management and Budget for January 1, 2019 implementation of OASIS-D. Public comment will be open for 60 days.

CMS has also posted a 2019 OASIS change table online. In the crosswalk, you will see items that are replacing current items as well new items to be added, such as J1900 (Number of Falls since SOC/ROC, whichever is more recent).

The current version of the item set, OASIS-C2, went into effect just last year. The proposed modifications are driven by the IMPACT Act.

A draft of OASIS-D is expected in July and a finalized version is expected as early as November, CMS officials said during the Q&A portion of a February home health, hospice and durable medical equipment (DME) open door forum.

Related link: View the change table here:

Frontotemporal Degeneration: The Importance of Knowledge, Advocacy and Support to Advance Quality Care | American Society on Aging

Tuesday, January 16, 2018

2-3pm EST

Part of the National Alzheimer’s and Dementia Resource Center webinar series sponsored by the Administration for Community Living.

Register now for FREE

Includes complimentary CEUs

This web seminar provides an overview of frontotemporal degeneration (FTD) disorders and how they differ from Alzheimer’s disease and other dementias. Attendees will learn the symptoms, approaches to care and importance of support for the family system. An individual living with FTD and his wife will share their experiences and strategies for maintaining quality of life.

Participants in this web seminar will be able to:

  • Identify three ways FTD differs from Alzheimer’s disease and other dementias;
  • Identify the three main clinical presentations of FTD and their symptoms; and,
  • Describe two positive approaches to care in FTD

Source: Frontotemporal Degeneration: The Importance of Knowledge, Advocacy and Support to Advance Quality Care | American Society on Aging

QSEN-Related Simulation Objectives are a Key to Improving Patient Care | Healthy Simulation

Programs that conduct simulations in nursing education in either service or academia should take a moment to review the objectives of a few of their scenarios. Do the objectives include QSEN competencies? As a reminder, here are the six competencies:

  • Patient Centered Care
  • Safety
  • Informatics
  • Teamwork and Collaboration
  • Quality Improvement
  • Evidence-Based Practice.

In 2005, the Quality and Safety Education for Nurses (QSEN) initiative was funded by a grant from the Robert Wood Johnson Foundation to improve healthcare education and prevent patient errors. The goal of QSEN is to ensure that all nurses have the knowledge, skills, and attitudes (KSA) necessary to continuously improve the quality and safety of the healthcare systems in which they work. Over a thousand faculty were educated under a “train-the-trainer” model and as word of the competencies spread across the country, QSEN competencies became integrated into undergraduate and postgraduate programs. Eventually QSEN competencies were included in simulation. However, a recent survey study of nursing faculty by Gerry Altmiller (2017) discovered a huge range in the estimate of faculty having received QSEN education (20% to 80%). Reasons for not using QSEN included faculty’s lack of training and lack of knowledge how to integrate simulation. Altmiller concluded that faculty training should be ongoing and that “competencies in nursing education remains varied and inconsistent”.

Incorporation of QSEN competencies into simulation provide a significant opportunity to improve patient safety outcomes. The QSEN website has a ton of useful information, especially through the resources tab. Your program can access the QSEN faculty training for free for 3 months, as well as take advantage of the other resources such as examples of simulations and implementation strategies. A simple search for “simulation” on the website will help you find teaching strategies involving the methodology. Hint: Select “older posts” to find other QSEN sim posts!

Celeste M. Alfes published a very helpful article on the QSEN website entitled “ Developing A QSEN Competency Checklist for Simulation Experiences”.   The article includes free checklists for including QSEN competencies, learning objectives, competency checklists and evaluations in simulation scenarios.

Source: QSEN-Related Simulation Objectives are a Key to Improving Patient Care | Healthy Simulation

Pressure Ulcer Prevention in Vulnerable Elders

Here is an excellent, in depth, webinar on pressure ulcer prevention from the National Pressure Ulcer Advisory Panel. Enjoy!

Pressure Ulcer Prevention in Vulnerable Elders

October 1, 2015

Presenters: Steven Antokal, RN, BSN, CWCN, CCCN, DAPWCA & Aimee Garcia, MD, CWS


  1. Describe the unique aspects of aging skin in a geriatric population.
  2. Understand the clinical factors that make pressure ulcers more prevalent in the elderly population.
  3. Identify regulatory guidelines as they pertain to pressure ulcers in different care settings.

Click HERE to download the handouts.
Click HERE to download the course information.
Click HERE to access the webinar evaluation and CE test.

Download the Webinar Here – Pressure Ulcer Prevention in Vulnerable Elders