Late Loss Functional Status ADL Flow Sheet (OSA) - DIGITAL FORM
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Updated 2024
Briggs Late Loss Functional Status ADL Flow Sheet (OSA)is for use in coding Section G of the Optional State Assessment (OSA) for states using the MDS 3.0 Item Set for Medicaid case mix reimbursement.
This monthly flowsheet (Front side covers for first 15 days of the month with the reverse side covering days 16 through 31) is used to record a resident's functional status in these 4 domains:
• | Bed Mobility | • | Transfers |
• | Eating | • | Toilet Use |
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*SUBSCRIPTION: Form access is licensed for 1-year per agency/facility location. Multiple sites require a quote. This digital form is delivered as a form-fillable PDF and includes 1-year of updates. To receive your electronic file and updates you must complete and return a content license agreement and provide an end-user email address and contact name for file delivery (please allow 2-3 business days for order fulfillment) and provide the facility/agency address. After 1- year, your subscription will automatically renew.
All Briggs Digital on Demand products require a credit card payment (or pre-payment) to receive digital files electronically.
Briggs Healthcare does not allow use of any of its intellectual property without a valid license and payment of fees.