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.


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.

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