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Evidence-Based Care, Best Practices, and OASIS-C

By now, all clinicians understand the importance of evidence-based care, right? Alas, sometimes I am flabbergasted when clinicians tell me they do not value the care the “new” Outcome and Assessment Information Set (OASIS)–C process questions seek to measure, such as the questions about interventions for immunizations, depression, or medication reconciliation. These clinicians have told me they want to practice homecare the way they always have. But OASIS-C’s process questions are included in the OASIS assessment because there is overwhelmingly convincing research that the interventions addressed in these questions result in better patient outcomes (Niewenhous, 2010). These are not “bothersome questions.” They are evidencebased best practices. In order to achieve health and well-being for our patients, we need to engage in evidence-based care.