OASIS_Scrubber_Specifications.pdf

The Alabama Department of Public Health seeks a vendor to provide an Outcome and Assessment Information Set (OASIS) Scrubber service. This is a software as a service (SaaS) platform. The vendor’s platform must be web-based, automated, and provide real-time data solution that will audit our OASIS assessments for clinical and coding inconsistencies so our clinicians can correct any errors and maintain accurate OASIS documentation. The platform must also comply with CMS regulation 42 C.F.R.§484.250(a), which requires HHAs to submit OASIS assessments and Home Health Care Consumer Assessment of Healthcare Providers and Systems Survey (HH CAHPS) data to meet the quality reporting requirements of section 1895(b)(3)(B)(v) of the Act.

Platform must help to:

• Maximize reimbursement, while meeting CMS requirements

• Improve quality and Star Ratings

• Provide staff oversight and education

• Improve patient satisfaction

• Eliminate the need for manual reviews

• Improve documentation accuracy

• Hold clinicians accountable for accuracy and timely fixing of errors and inconsistencies

• Ensure optimal reimbursement for work

• Improve quality of care delivered to patients

Platform must improve performance with:

• Real-time, customizable dashboard for a complete picture of organization's health, based on the inconsistencies found in each branch/location.

• Immediate identification of OASIS Clinical and Financial errors through integrated EMR alerting, to fix issues that impact reimbursement and hurt public scores.

• Immediate identification of patients at risk for hospital readmissions, falls and other adverse events.

• Real-time Risk Adjusted Home Health Compare, Star Ratings, PDGM, Value-Based Purchasing, Hospitalization, and many more, reports; backed by the largest state and national benchmarks.

• Unique drilldowns allow for deeper look at the individual patient, clinician, and team level performances.

Platform must:

• Be able to interface with Home Care Home Base, EHR software, to automatically transmit data, thus requiring no manual or development work from our team.

• Pull data instantly, or daily, so real-time information will be available to make daily decisions.

Platform must offer:

1. OASIS scrubbing platform.

• Automatically receive data from Home Care Home Base.

• Identify errors and inconsistencies and alert us on findings to fix.

• Notify us of all unresolved issues with a daily email.

• Documentation review tools via benchmarking reports, must help to educate clinicians and keep track of their documentation accuracy and alert resolution performance.

2. Data analytics and benchmarking with a suite of

• Clinical Quality Reports

• Hospital Utilization Reports

• Financial/Operational Reports

• Staff Performance Scorecard Reports

• Patient Satisfaction (HHCAHPS)

3. Dedicated customer manager

• Assigned a dedicated customer manager.

4. Training on all subscribed products

• Initial and ongoing training, virtual or webinar.

5. The Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Home Health Care

Survey services, hereafter referred to as the "Home Health Care CAHPS Survey to measure the experiences of people receiving home health care from Medicare-certified home health care agencies.