Determining whether to make a change to M1740: cognitive, behavioral, and psychiatric symptoms that are demonstrated at least once a week, can be a challenge to any OASIS user, but knowing item intent and response specific instructions can help you conquer making unnecessary mistakes.
M1740 identifies specific behaviors associated with significant neurological, developmental, behavioral or psychiatric disorders that may be observed by the clinician or reported by the patient, family or others. Behaviors which are severe enough to make the patient unsafe to self or others, cause considerable stress to caregivers, or require supervision or intervention will be included in this item. It is NOT the intent of M1740 to report non-compliance or risky choices made by cognitively intact patients who are free of the aforementioned conditioned; risky behaviors could be smoking while on oxygen or refusing to use an assistive device.
When choosing the best response for this item, the assessing clinician will have to determine whether the patient has a disorder causing non-compliance or is consciously making the choice not to comply. OASIS auditors and reviewers should consider clinical documentation and physician documented diagnoses before making changes to M1740 and should not change the item based solely on the neurological or psychosocial section of the OASIS. You must always ensure the clinical record supports the change.
If you have any questions on specific OASIS items, please let us know. Quality in Real Time is committed to excellence and quality and we are here to help ensure your agency is meeting and exceeding industry standards!