1. Respiratory Status OASIS-C Contact: Cindy Skogen, RN (OEC)
for questions.
Source: Center for Medicare and Medicaid Services
Respiratory Status

2. 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

3. 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

4. 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

5. 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

6. 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

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