OASIS ITEM - Reporting Algorithm for M1313 CURRENT Look back to PRIOR STAGE REPORT AS NEW OR STAGE most recent at most recent SOC/ROC WORSENED? SOC/ROC at Discharge Not present Stage 1 YES Covered with a non- removable dressing/device, then documented as a Stage 1 at any home visit or If same pressure assessment(s) a. Stage 2 ulcer at most recent at Discharge Stage 2 NO SOC/ROC was: Stage 3 NA (Stage 3 or 4 could not Stage 4 become a Stage 2) Covered with a non-removable dressing/device and remains NO Unstageable until assessed as a Stage 2 at Discharge Not present Stage 1 Stage 2 YES Unstageable with documented Stage 1 and/or 2 at any home If same pressure b. Stage 3 visit or Follow-Up ulcer at most recent assessment(s) at Discharge Stage 3 NO SOC/ROC was: Stage 4 NA (Stage 4 could not become a Stage 3) Unstageable until assessed as a NO Stage 3 at Discharge Not present Stage 1 Stage 2 Stage 3 YES c. Stage 4 Unstageable with documented If same pressure at Discharge Stage 1, 2, and/or 3 at any home ulcer at most recent visit or Follow-Up assessment(s) SOC/ROC was: Stage 4 Unstageable until assessed as a NO Stage 4 at Discharge YES Not present d. If same pressure Unstageable ulcer at most recent Stage 1 due to SOC/ROC was: Stage 2 Stage 3 dressing NO Stage 4 at Discharge Unstageable Not present e. YES Stage 1 If same pressure Unstageable Stage 2 ulcer at most recent due to slough SOC/ROC was: Stage3 and/or eschar Stage 4 NO at Discharge Unstageable Not present f. Unstageable YES Stage 1 suspected – Stage 2 If same pressure deep tissue ulcer at most recent Stage 3 NA (Full thickness pressure injury SOC/ROC was: Stage 4 ulcer could not become a DTI) at Discharge Unstageable due to slough and/or eschar Unstageable Suspected DTI – or due to a non-removable NO dressing/device
OASIS ITEM - Reporting Algorithm for M1313 CURRENT STAGE at Discharge Look back to most recent SOC/ROC PRIOR STAGE at most recent SOC/ROC REPORT AS NEW OR WORSENED? a. Stage 2 at Discharge If same pressure ulcer at most recent SOC/ROC was: Not present Stage 1 Covered with a dressing/device, then documented as a Stage 1 at any home visit or assessment(s) YES Stage 2 NO Stage 3 Stage 4 NA (Stage 3 or 4 could not become a Stage 2) Covered with a non-removable dressing/device and remains Unstageable until assessed as a Stage 2 at Discharge NO b. Stage 3 at Discharge If same pressure ulcer at most recent SOC/ROC was: Not present Stage 1 Stage 2 Unstageable with documented Stage 1 and/or 2 at any home visit or Follow-Up assessment(s) YES Stage 3 NO Stage 4 NA (Stage 4 could not become a Stage 3) Unstageable until assessed as a Stage 3 at Discharge NO c. Stage 4 at Discharge If same pressure ulcer at most recent SOC/ROC was: Not present Stage 1 Stage 2 Stage 3 Unstageable with documented Stage 1, 2, and/or 3 at any home visit or Follow-Up assessment(s) YES Stage 4 Unstageable until assessed as a Stage 4 at Discharge NO d. Unstageable due to non- removable dressing at Discharge If same pressure ulcer at most recent SOC/ROC was: Not present YES Stage 1 Stage 2 Stage 3 Stage 4 Unstageable NO e. Unstageable due to slough and/or eschar at Discharge If same pressure ulcer at most recent SOC/ROC was: Not present Stage 1 Stage 2 YES Stage3 Stage 4 Unstageable NO f. Unstageable – suspected deep tissue injury at Discharge If same pressure ulcer at most recent SOC/ROC was: Not present Stage 1 Stage 2 YES Stage 3 Stage 4 Unstageable due to slough and/or eschar NA (Full thickness pressure ulcer could not become a DTI) Unstageable – Suspected DTI or due to a non-removable dressing/device NO
18MelissaAbbottOASISC2EnsuringAccuracyandConsistency2.pdf_000.docx