. Author manuscript; available in PMC: 2015 Aug 9.

Published in final edited form as: Home Health Care Serv Q. 2012;31(4):267–301. doi: 10.1080/01621424.2012.703908

TABLE 4.

OASIS Reliability Findings^*

OASIS item: Items are listed in the order in which they appear in the assessment tool	Berg (1999)		Hittle et al. (2003)		Kinatukara et.al. (2005) Sequential/ Simultaneous		Madigan & Fortinsky (2000) Admission/ Discharge	Madigan & Fortinsky (2004)		Neal (2000)
	K^#	%^!	K^#	%^!	K^#	%^!	K^#	K^#	%^!	%^!
Gender	1.00	100	1.00
Race/Ethnicity	1.00	100	1.00			97.7/98.6^**				≥80
Payment sources	.47^**	94.6^**	.70			93.5/95.2				≤79
Reason for assessment	.18	87.2
Financial situation^±	.43^**	92.3^**				91.2/95.7				≤79
Years of schooling^±	.80	95.5
Primary language^±	.87	98.5
Requires interpreter^±	.66	98.5
Inpatient facility Ddscharge past 14 days	.87	93.4	.52			95/96.8				≤79
Inpatient discharge date		74.5								≤79
Inpatient facility diagnosis		80.2		79						≤79
Medical regime change in past 14 days^±	.55	81.1	.78		.12/.12	56/55				≤79
Medical regime change Dx		76.1		74						≤79
Conditions prior to inpatient stay or medical tegime change	.47^**	92.4^**	.52			84.8/90.1				≤79
Primary Dx^$^±		76.6		80					90.0	≤79
Primary Dx severity	.43	87.4^**	.74							≤79
Other diagnoses		82.7		72						≤79
Other Dx severity	.52	88.7^**	.58							≤79
Signs & symptoms^±	.41^**	91.9^**
Therapy (IV/infusion/ nutrition)^$^±	.88^**	98.9^**	.86			99.8/100		.96	99.1	≥80
Adherence to special treatment schedule^±	.76^**	98.5^**
Overall prognosis^±	.50	89.1	.72		.24/.21	78/81				≤79
Rehabilitation prognosis^±	.50	88.7	.77		.27/.11	71/67				≥80
Life expectancy 6 months or less^±	.16	93.8		98	.15/.01	96/96				≥80
High risk factors	.64^**	96^**	.69			92.8/91.8				≤79
Alcohol/Tobacco use	.44^**	94.8^**			.34/.44^**	95/97^**
Other psychosocial indicators	.53^**	97.2^**
Falls frequency^±	.52	94.4
Structural barriers^±	.35^**	87.2^**	.52			76.8/80.2				≤79
Safety hazards^±	.59^**	97.6^**	.56			96.8/96.5				≤79
Sanitation hazards^±	.74^**	98.8^**	.64			97.1/96				≥80
Current residence^±	.80	96.7	.86		.53/.72	86/87				≥80
Living situation^±	.74^**	96.6^**	.94			93.2/95.3				≥80
Assisting person	.59^**	81.6^**	.67			75/78.7				≤79
Primary caregiver^±	.80	94.8	.65							≤79
Frequency of caregiver assistance	.59	89.8	.52		.22/.44	50/48				≤79
Type of caregiver assistance^±	.39^**	77.1^**	.40			72/74.4				≤79
Extent of help^±	.55^**	86.9^**
Caregiver status^±	.56^**	94.8^**
Vision^$^±	.53	87.9	.85		.40/.53	78/81		.78	93.6	≤79
Hearing	.52	92.2	.69		.51/.57	76/84				≥80
Speech/Language	.66	93.1	.79		.37/.26	67/78				≥80
Frequency of pain^$^±	.55	83.1	.66		.37/.53	51/58	.61/.74	.77	81.5	≤79
Intractable pain^±	.58	90.1	.67		.37/.35	84/90				≤79
Presence of open wounds/lesions^$	.84	92.4	.85		.37/.56	77/77		.79	90.3	≤79
Presence of a pressure ulcer	.90	95.7	1.00		NA/.69	NA/96	.61/.74			≤79
Number of pressure ulcers by stage	.49^**	84.1^**	.83		NA/.69	NA/96				≥80
Presence of non-observable pressure ulcer^±		84.6		98						≥80
Stage of most problematic pressure ulcer	.86	94.9	.70		NA/.72	NA/94				≥80
Status of most problematic pressure ulcer	.30	76.9	.90							≥80
Presence of a stasis ulcer	.85	97.9	.79		NA/.49	NA/98				≤79
Number of stasis ulcers	1.0	100	1.00							≥80
Presence of non-observable stasis ulcer		100		98						≥80
Status of most problematic stasis ulcer		100	1.00							≥80
Presence of a surgical wound	.95	97.9	.84		NA/.72					≤79
Number of surgical wounds^±	.55	91.1	.84							≤79
Presence of non-observable surgical wound^±	1.00	100		100						≤79
Status of most problematic surgical wound	.49	83.3	.95		NA/.52					≤79
Dyspnea^$^±	.49	83.5	.82		.22/.42		.54/.66	.76	64.6	≤79
Respiratory treatments	.77^**	98.6^**	.95			98.8/100				≥80
Urinary tract Infection in past 14 days	.61	94.2	1.00		.28/.75	80/61		.86	97.5	≥80
Urinary incontinence severity^±	.53	81.8	.88		.14/.48	52/88				≤79
Urinary incontinence or catheter presence	.77	93.4	1.00		.20/.81	54/93		.77	90.4	≤79
Bowel incontinence^$^±	.66	94.8	.73		.39/.67	79/88		.87	95.3	≥80
Ostomy	.85	99.3	.66		1.00/.91	100/99				≥80
Cognitive function	.63	92.9	.63		.33/.47	59/70				≤79
Confusion	.62	90.3	.68		.29/.43	63/70		.66	86.7	≤79
Anxiety	.44	83.5	.61		.11/.46	41/65				≤79
Depression	.30^**	90.7^**	.54			85.3/91.3				≤79
Patient behaviors^±	.29^**	86.5^**	.44			80.1/88.7				≤79
Type of behaviors^$^±	.50^**	95.6^**	.52		.27/.45^**	43.5/47.5^**		.86	97.8	≤79
Frequency of behavior problems	.37	92.8	.96		.21/.33	88/93				≥80
Psychiatric nursing services received^±		99.3		98						≥80
Hopelessness^±		89.6	.56				1.0/.84
Thoughts of death^±		97.2	.53				1.0/no variance
Crying Spells^±							1.0/1.0
Withdrawal^±	.31	88.2	.57				1.0/1.0
Sleep problems^±	.27	79.2	.59				.69/.84
Grooming	.63	86.3	.72		.38/.50	48/67	.75/1.00	.81	88.1	≤79
Prior grooming^±	.62	88.5	.63		.33/.50	53/70
Dressing, upper^$^±	.68	88	.68		.46/.62	48/66		.89	90.8	≤79
Prior dressing, upper^±	.70	90.4	.59		.34/.54	51/67
Dressing, lower^$^±	.71	87.7	.78		.42/.61	50/62		.88	89.6	≤79
Prior dressing, lower^±	.71	90	.76		.36/.53	51/64
Bathing^$^±	.68	88.3	.77		.37/.53	37/51	.45/.67	.78	75.8	≤79
Prior bathing^±	.69	88.4	.67		.25/.38	32/45
Toileting^$^±	.82	95	.86		.55/.80	65/85		.87	94.1	≤79
Prior toileting	.74	93.1	.65		.31/.70	62/76
Transferring^$^±	.76	94.6	.79		.47/.71	57/75	.58/.87	.72	82.7	≤79
Prior transferring^±	.71	94	.57		.35/.46	54/59
Ambulation^$^±	.77	94.7	.87		.62/.72	66/76	.72/.90	.85	86.1	≤79
Prior ambulation^±	.72	93.2	.69		.33/.55	48/66
Eating/Feeding	.48	88.5	.89		.34/. 38	58/65		.67	90.8	≤79
Prior eating^±	.59	91.1	.59		.22/.32	54/64
Meal prep	.58	81.9	.71		.38/.38	53/53	.41/.75	.81	88.4	≤79
Prior meal prep^±	.69	87.4	.47		.29/.31	48/50
Transportation^±	.52	95.8	.63		.23/.37	78/83				≤79
Prior transportation^±	.56	88.2	.64		.13/.30	63/71
Laundry^±	.48	80.9	.64		.18/.59	75/85		.83	87.4	≤79
Prior laundry^±	.59	80.2	.50		.22/48	50/62
Housekeeping^±	.50	81.1	.54		.30/.44	56/62		.80	80.4	≤79
Prior housekeeping^±	.65	84.1	.46		.24/.31	43/43
Shopping^±	.50	84.5	.65		.32/.36	55/51		.75	78.0	≤79
Prior shopping^±	.61	83.0	.62		.28/.34	42/40
Telephone	.71	93.2	.73		.61/.64	71/79		.83	95.3	≥80
Prior telephone^±	.71	94.2	.56		.55/.60	69/75
Number of meds^±	.80	95.6
Mgmt. of oral meds	.73	92.1	.82		.54/.73	68/79	1.00/1.00	.91	94.2	≤79
Prior mgmt. of oral meds	.63	91.5	.72		.40/.50	57/67
Current mgmt of inhalant meds^±	.73	95.4	.91		.54/.58	82/86				≤79
Prior mgmt. of inhalant meds^±	.52	93.5	.91		.49/.42	76/70
Current mgmt. of injectable meds	.74	94.2	.91		.62/.94	90/97				≤79
Prior mgmt. of injectable meds^±	.53	94.0	1.00		.27/.35	73/61
Med compliance^±	.29	83.7
Patient mgmt of equipment	.67	93.8	.87		054/.66	91/95				≥80
Caregiver mgmt of equipment	.29	79.0		89	.02/.40	40/40				≤79
Therapy need					.06/.60	26/69
Acute care hospitalization								.84	91
Discharge to the community								1.00	100
Overall range by study	.16–1.0	74.5–100	.40–1.00	72–100	.02–1.00/ .01–.94	26–100/ 40–100	.41–1.00/. 66–1.00	.66–1.00	64.6–100	≤79– ≥80

Blank cells indicate the item was not measured in that study.

Indicates the OASIS items that impact the HHRG score.

^±

Indicates the item is no longer found in the OASIS-C.

Percentage agreement 80% minimum acceptance.

^**

Summary value for several items from original study.

Cohen’s kappa (κ): poor IRR ≤.40; moderate IRR .41–.60; substantial IRR .61–.80; excellent IRR ≥.81.