OASIS-E Spotlight: Temporal Orientation

July 17, 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.

C0300: TEMPORAL ORIENTATION: YEAR, MONTH, DAY

This week we’ll continue to look at the items that make up the BIMS.

Temporal Orientation is basically the ability to place yourself in the correct time.

Per CMS guidance, allow the patient up to 30 seconds for each answer and do not provide clues.

Time points:

    • Start of Care
    • Resumption of Care
    • Discharge from agency

Temporal Orientation (Orientation to year, month and day)

Ask patient: “Please tell me what year it is right now.”

    1. Able to report correct year
      Code 0, Missed by > 5 years or no answer
      Code 1, Missed by 2-5 years
      Code 2, Missed by 1 year
      Code 3, Correct

Ask patient: “What month are we in right now?”

    1. Able to report correct month
      Code 0, Missed by > 1 month or no answer
      Code 1, Missed by 6 days to 1 month
      Code 2, Accurate within 5 days

Ask patient: “What day of the week is today?”

    1. Able to report day of the week
      Code 0, Incorrect or no answer
      Code 1, Correct

Dash is a valid response for these items, however a dash indicates “no information” and CMS expects dash use to be a rare occurrence.

Stay tuned for next Monday’s spotlight so your practice can continue to stay ahead of the curve and provide elite patient care through the Oasis E changes.

We provide clinicians that are part of the Kantime enterprise system with links to the guidance from CMS for each individual OASIS item. If you would like to learn more about how better happens, contact us at sales@kanrad.com to schedule a demo.

Ready to see How better Happens?

Request a Demo

We Think You May Also Like

BLOG

Examining the 5 Biggest Staffing Issues in Hospice Care

Today, more people are living longer than ever — and that’s a great thing! However, as lifespans advance and lengthen, and the last Baby Boomers enter retirement, the demand for home hospice care is surging. And the situation is only getting more complicated. By 2030, all Baby Boomers will be over the age of 65, […]

BLOG

What Is Longitudinal Care? And Why It’s the Future of Post-Acute Care

The post-acute care industry is in the midst of profound change. Traditional, fragmented approaches to care are giving way to models that emphasize continuity, coordination, and the patient’s long-term well-being. At the heart of this transformation is longitudinal care: a framework that not only improves patient outcomes but also aligns seamlessly with the industry’s shift […]

BLOG

Best Practices for Training Workforces to Support Technology Adoption

When home health and hospice agencies invest in new technology, the expectation is usually clear: increased efficiency, improved compliance, and better outcomes. But even highly advanced systems can fall flat if workforces aren’t prepared to use them. A lack of training, compounded with fear and resistance from staff, can derail even the best technology investments. […]