The totals from table 29 are used to calculate the hourly burden estimates in table 30 based on the following calculations: Start of Care Estimated time spent per each 2025 OASIS-E1 SOC Assessment/Patient = 56.4 clinician minutes 200 data elements (range of 0.15 to 0.3) minutes per data element = 56.4 minutes of clinical time spent to complete data entry for the OASIS-E1 SOC assessment 21 data elements counted as 0.15 minutes/data element (3.15 minutes) 9 data elements counted as 0.25 minutes/data element (2.25 minutes) 170 data elements counted as 0.30 minutes/data element (51 minutes) Clinician Estimated hourly burden for all HHAs (11,904) for 2025 OASIS-E1 SOC assessments = 8,099,309 hours 56.4 clinician minutes per SOC assessment 8,616,286 assessments = 485,958,530 minutes/60 minutes per hour = 8,099,309 hours for all HHAs Estimated time spent per each 2027 OASIS SOC Assessment/Patient = 57.3 clinician minutes 204 data elements (range of 0.15 to 0.3) minutes per data element = 57.3 minutes of clinical time spent to complete data entry for the OASIS SOC assessment 23 data elements counted as 0.15 minutes/data element (3.45 minutes) 9 data elements counted as 0.25 minutes/data element (2.25 minutes) 172 data elements counted as 0.30 minutes/data element (51.6 minutes) Clinician Estimated hourly burden for all HHAs (11,904) for 2027 OASIS SOC assessments = 8,228,553 hours 57.3 clinician minutes per SOC assessment 8,616,286 assessments = 493,713,188 minutes/60 minutes per hour = 8,228,553 hours for all HHAs Resumption of Care Estimated time spent per each 2025 OASIS-E1 ROC Assessment/Patient = 47.1 minutes 169 data elements (range of 0.15 to 0.3) minutes per data element = 47.1 minutes of clinical time spent to complete data entry for the OASIS-E1 ROC assessment 19 data elements counted as 0.15 ( minute/data element (2.85 minutes) 9 data elements counted as 0.25 minute/data element (2.25 minutes) 140 data elements counted as 0.30 minute/data element (42 minutes) Clinician Estimated Hourly Burden for all HHAs for 2025 OASIS-E1 ROC assessments = 823,310 hours 47.1 clinician minutes per ROC assessment 1,184,618 ROC assessments =55,795,508 minutes/60 minutes = 929,925 hours for all HHAs Estimated time spent per each 2027 OASIS ROC Assessment/Patient = 48 minutes 173 data elements (range of 0.15 to 0.3) minutes per data element = 48 minutes of clinical time spent to complete data entry for the OASIS ROC assessment 21 data elements counted as 0.15 minute/data element (3.15 minutes) 9 data elements counted as 0.25 minute/data element (2.25 minutes) 142 data elements counted as 0.30 minute/data element (42.6 minutes) Clinician Estimated Hourly Burden for all HHAs for 2027 OASIS ROC assessments = 947,694 hours 48 clinician minutes per ROC assessment 1,184,618 ROC assessments = 56,861,664 minutes/60 minutes = 947,694 hours for all HHAs Table 30 summarizes the estimated clinician hourly burden for the OASIS that will be implemented in 2027 with the proposed rule's changes of an increase in four data elements at start of care and resumption of care compared to the anticipated 2025 OASIS-E1 burden
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