OASIS-E Spotlight : Provision of Current Reconciled Medication List to Subsequent Provider at Discharge

May 15, 2023

Making sense of CMS guidelines is more challenging than ever after the launch of OASIS-E and the abundance of changes that go along with it. KanTime’s OASIS Spotlight series will spotlight specific OASIS items to simplify the ruling and help clinicians significantly improve their understanding of OASIS so they can move forward with accuracy.

A2121: PROVISION OF CURRENT RECONCILED MEDICATION LIST TO SUBSEQUENT PROVIDER AT DISCHARGE

Per the OASIS-E Guidance Manual: “The transfer of a current reconciled medication list at the time of discharge or transfer, can improve care coordination, quality of care, help subsequent providers reconcile medications and may mitigate adverse outcomes related to medications. Communication of medication information at discharge/transfer is critical to ensure safe and effective transitions from one health care setting to another.”

CMS defines the “ Current Reconciled Medication list -This refers to a list of the patient’s current medications at the time of discharge that was reconciled by the agency prior to the patient’s discharge. “

Time points:

Discharge from agency

Complete A2121 only if :

M0100 , This Assessment is Currently Being Completed for the Following Reason =
1.
Discharge from agency
– AND –
M2420 Discharge Disposition =
2.
Patient remained in the community (with formal assistive services)
– OR –
3. Patient transferred to a non-institutional hospice

This means that at discharge – A subsequent provider is identified when the patient has been discharged to home under the care of a home health agency (M2420 response 2) or home hospice (M2420 response 3)

At the time of discharge to another provider, did your agency provide the patient’s current reconciled medication list to the subsequent provider?

Code 0, No if at transfer or discharge to a subsequent provider, your agency did not provide the patient’s current reconciled medication list to the subsequent provider.

Code 1, Yes if at transfer or discharge to a subsequent provider, your agency did provide the patient’s current reconciled medication list to the subsequent provider.

Code 2, NA if at transfer to a subsequent provider, your agency was not made aware of the transfer in a timely manner and was, therefore, unable to provide the patient’s current reconciled medication list to the subsequent provider.

Dash IS NOT a valid response for this item.

We provide clinicians that are part of the KanTime enterprise system with links to the guidance from CMS for each individual OASIS item.

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