Chapter 21: OASIS Assessments
Chapter Overview
What You'll Learn:
- OASIS assessment types and the Non-OASIS track
- OASIS-E1 vs E2 (high level)
- Clinical assist on OASIS Start of Care
- What happens after QA approve (Active vs Awaiting physician signature)
Text-only.
21.1 Assessment Types
| Type | Typical label |
|---|---|
| Start of Care | OASIS - Start of Care (SOC) |
| Resumption of Care | OASIS - Resumption of Care (ROC) |
| Recertification | OASIS - Recertification |
| Transfer | OASIS - Transfer |
| Discharge | OASIS - Discharge |
| Other | Transfer Discharge, Death at Home |
Non-OASIS track (when selected at admission / episode):
- Non-OASIS Start of Care
- Non-OASIS Recertification
- Non-OASIS Discharge
Episode may show OASIS vs Non-OASIS as the clinical track.
21.2 E1 vs E2
Titles resolve like Oasis E1 … / Oasis E2 … based on assessment version/effective dating.
- Default many agencies still see E1 depending on dates.
- E2 adds items such as A1255 Transportation on demographics.
- Therapy Need & Plan visibility differs by version — follow the items shown on screen for that assessment.
Use the version printed in the assessment header as source of truth for that chart.
21.3 How Each Assessment Type is Initiated
This is a common source of confusion — read carefully.
| Assessment | How it is started |
|---|---|
| SOC (Start of Care) | Patient Admission only — Admit Patient / Start New Admission (Chapter 14). Creates the Care Order + SOC assessment together. There is no "Initiate OASIS SOC" button on Care Orders or Schedule Center. |
| ROC (Resumption of Care) | Care Order Actions → Create OASIS ROC only (Chapter 15). Appears only when the Care Order status is ON_HOLD, the certification period is still open, and the episode is on the OASIS track. Opens the Create OASIS ROC Visit modal from Care Orders — not from Schedule Center. |
| Recertification | Care Order Actions → Initiate OASIS Recertification (or Non-OASIS). Active / Nearly Expiration: responsible open episode. Expired: late Recert from the latest Expired only when no open episode remains. Never from ON_HOLD or Discharged. See Chapter 15 §15.8. |
| Discharge | Care Order Actions → Initiate OASIS Discharge (or Non-OASIS variant). |
| Transfer | Care Order Actions → Initiate Transfer / Initiate Transfer Discharge (moves episode toward ON_HOLD for a later ROC when appropriate). |
| Death at Home | Care Order Actions → Initiate Patient Death. Creates an OASIS Death assessment (even when the episode clinical track is Non-OASIS). |
Schedule Center cannot create OASIS assessments. Create Manual Visit excludes SOC, ROC, Recert, Discharge, Transfer, and Death visit types. Those are workflow-driven from Admission or Care Order Actions.
21.4 Completing an Assessment
- Open from Care Order Actions / scheduled assessment visit / Documents.
- Complete sections; run Check for Errors.
- Review Clinical Plausibility Alerts (Non-Blocking) if shown.
- Submit into the QA queue when ready.
Open Medication Profile (toolbar) for the patient med list — including Medication Reconciliation inside that modal. Wound worksheet links may appear as Wound Worksheet.
21.5 Clinical Assist (OASIS SOC)
On OASIS - Start of Care, the toolbar includes Clinical assist.
- Click Clinical assist.
- Review AI suggestions under tabs: Interventions, Goals, Medical necessity, Homebound.
- Accept items you want applied into the assessment / aide-order related fields; ignore or reject the rest.
- Always re-read accepted text before submitting to QA — Clinical Assist is a draft helper, not an automatic complete of the OASIS.
Currently available on OASIS SOC (not every assessment type). If agency AI is disabled by Super Admin, the feature is blocked with the disable reason shown.
Related: SN Visit Voice Narrative (Chapter 20), floating Beso (Chapter 2).
21.6 After QA Approve (important)
When QA uses Approve & Finalize:
- Care Order becomes Active (operations unlock; PA/HIPPS/POC side-effects as configured).
- Document may still show attention Awaiting physician signature.
- Toast may say episode activated and that physician signature may still be pending.
MD signature is attention / tracking — not “episode stays inactive until signed.”
Staff use Confirm physician signature in QA when the signed return is verified.
21.7 Recert / ROC / Discharge
Start from Care Order Actions (see Chapter 16) — never from Schedule Center:
- Initiate OASIS Recertification / Initiate Non-OASIS Recertification
- Create OASIS ROC (ON_HOLD + open cert period + OASIS track only)
- Initiate OASIS Discharge / Initiate Non-OASIS Discharge
Successor HHA plans must be re-activated (Chapter 19).
21.8 Quick Checklist
- Correct type + track (OASIS vs Non-OASIS)
- Version (E1/E2) matches expected items
- Errors/alerts reviewed
- SOC: optional Clinical assist reviewed before QA
- Understand Active vs awaiting signature after QA
Next: Chapter 22: QA Center