Table 1.
Elements of the OSCAR-Based Case-Mix Index
| Weight | |
|---|---|
| ADL dependencies: | |
| Proportion of residents totally dependent at eating | 3 |
| Proportion of residents requiring the assistance of one or two staff with eating | 2 |
| Proportion of residents independent or requiring supervision with eating | 1 |
| Proportion of residents totally dependent at toileting | 5 |
| Proportion of residents requiring assistance of one or two staff with toileting | 3 |
| Proportion of residents independent or requiring supervision with toileting | 1 |
| Proportion of residents totally dependent at transferring | 5 |
| Proportion of residents requiring assistance of one or two staff with transferring | 3 |
| Proportion of residents independent or requiring supervision with transferring | 1 |
| Proportion of residents who are bedfast | 5 |
| Proportion of residents who are chair-bound | 3 |
| Proportion of residents who are ambulatory | 1 |
| Special treatments: | |
| Proportion of residents receiving respiratory care | 1 |
| Proportion of residents receiving suctioning | 1 |
| Proportion of residents receiving intravenous therapy | 1 |
| Proportion of residents receiving tracheotomy care | 1 |
| Proportion of residents receiving parenteral feeding | 1 |
| Proportion of residents with mental retardation* | 1 |
| Proportion of residents with dementia* | 1 |
| Proportion of residents with documented psychiatric diagnosis (excluding dementias & depression)* | 1 |
| Proportion of residents receiving tube feeding* | 1 |
| Proportion of residents receiving physical, occupational, or speech therapies* | 1 |
Source: Adapted from Nursing Home Statistical Yearbook (Cowles 2002).
*
Added by the authors, which were absent from the original definition.
OSCAR, On-line Survey Certification and Reporting system; ADL, activity of daily living.