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The Benchmark Email

...benchmarks, strategies and ideas for improving your agency
A service of Fazzi Associates, Inc.

 

February 2, 2010

Insights From Fazzi's December OASIS-C Skills
Assessment Testing Results

Question: I heard that Fazzi just completed an OASIS-C test with over 5,000 clinicians. Do you have any insights as to specific problem areas clinicians are struggling with in the revised assessment document?

Answer: Our very first OASIS Skills Assessment Testing session including OASIS-C has indeed ended, and we made some amazing discoveries. In total, we had almost 5,300 clinicians from 146 agencies complete the test. Participating agencies ranged from small rural agencies to very large home care networks. In all, over 30 states were represented.

What did we learn from this OASIS-C based testing period? The answer is a lot! Here are just a few of our discoveries:

  • The average clinician score was 73.87%, down from 77% on our September OASIS B-1 test in September. Scores ranged from 24% - 100%.
  • The average time needed to complete the test was 112 minutes. This increased from 60 minutes on our September test.
  • Auditors received the highest average score (83.5%), followed by managers (81%), therapists (73%) and registered nurses (72%). Both therapists and registered nurses scored lower in this test, however auditors and managers average scores remained the same.
  • Testers from Oregon scored the highest cumulative percentage with an average score of 84%.
  • The highest scoring agency received an average score of 93% for all tested clinicians. Twenty-six agencies scored in the 80 - 90% average range.
  • (M1910) Has this patient had a multi-factor Fall Risk Assessment was the most frequently missed assessment item with only 28% responding correctly. The second most frequently missed question was (M0104) Date of Referral with only 36% responding correctly.

As we continue to analyze the data, there is no doubt that we will unveil even more discoveries that are sure to help agencies make improvements with their OASIS assessments. One thing is clear, as with most changes, things will get worse before they get better. What's most important is that you start recognizing where improvements can be made within your own agency and begin implementing a system to improve these problem areas. OASIS-C trainings, whether online or on-site, are a great start. Fazzi's monthly online OASIS NP Trainings always focus on the most problematic OASIS items. You should also regularly assess your clinician skill levels on an agency-wide and individual basis to ensure that your training targets the areas you need it most.