Respiratory Status OASIS-C Contact: Cindy Skogen, RN (OEC) health.oasis@state.mn.us for questions. Source: Center for Medicare and Medicaid Services Respiratory Status

M1400 (M1400) When is the patient dyspneic or noticeably Short of Breath? ⃞ 0 – Patient is not short of breath ⃞ 1 – When walking more than 20 feet, climbing stairs ⃞ 2 – With moderate exertion (e.g., while dressing, using commode or bedpan, walking distances less than 20 feet) ⃞ 3 – With minimal exertion (e.g., while eating, talking, or performing other ADLs) or with agitation ⃞ 4 – At rest (during day or night) This item is used both for Medicare PPS payment calculation and for quality measures. Respiratory Status

M1400 Dyspnea Identifies the level of exertion/activity that results in dyspnea or shortness of breath Critical assessment rule If oxygen used continuously, mark response based on assessment of the patient’s SOB while using oxygen If oxygen used intermittently, mark response based on the patient’s SOB without the use of oxygen FYI – It is how the patient uses the oxygen continuously vs. intermittently not how the physician orders the oxygen when determining to assess dyspnea with or without oxygen. Respiratory Status

M1400 Dyspnea (cont.) For a chairfast or bedbound patient, evaluate the level of exertion required to produce shortness of breath while performing ADLs or at rest “0” if not SOB during the day of assessment “1” if demanding bed-mobility activities produce dyspnea in the bedbound patient (or physically demanding transfer activities produce dyspnea in the chairfast patient) Respiratory Status

M1410 (M1410) Respiratory Treatments utilized at home: (Mark all that apply.) ⃞ 1 - Oxygen (intermittent or continuous) ⃞ 2 - Ventilator (continually or at night) ⃞ 3 - Continuous / Bi-level positive airway pressure ⃞ 4 - None of the above Instructional Guidance Instructions to Class Respiratory Status

M1410 Respiratory Treatments Identifies any of the listed respiratory treatments being used by this patient in the home Excludes any respiratory treatments that are not listed in the item (e.g., does not include nebulizers, inhalers, etc.) “3” reflects both CPAP and BiPAP Emphasize that addition of BiPAP is new in OASIS-C. Respiratory Status

Questions??? E-mail: health.oasis@state.mn.us Cindy Skogen, RN; Oasis Education Coordinator 651-201-3818 Respiratory Status