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Test your Knowledge Answers:

1) Social Determinants of Health (SDOH) are the conditions in the environments where people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks.

2) It is not required that the agency offer to administer the flu vaccine in order to select Response 4 - Patient offered and declined, only that the patient was offered the vaccine by any healthcare provider, and they refused.

3) If a Stage 3 pressure ulcer is in the process of closing, it remains an observable Stage 3 unless the wound bed was covered with a dressing that could not be removed or the wound bed was obscured with slough and eschar. If the wound margins are open and have now closed to the point where the opening is a pinpoint, the pressure ulcer would remain a Stage 3 until completely re-epithelialized at which time it would no longer be reported as a pressure ulcer on OASIS.

Remember, a pressure ulcer should NEVER be reverse staged.

4) The correct response would be NA - Patient was not discharged from an inpatient for M1000 - Inpatient Facilities because the patient's status would have been an outpatient for this situation.

5) To be compliant the SOC/ROC assessment must be completed by the end of the assessment timeframe. If a patient's height cannot be measured during the assessment timeframe, and no agency-obtained height from a documented visit conducted within the previous 30-day window is available, enter a dash (-) to indicate "no information" for M0160a - Height. Remember, CMS expects dash use to be a rare occurrence.

6) The item addresses the patient's ability to bathe in the shower or tub, not preference, regardless of where or how the patient currently bathes. Willingness and adherence are not the focus of this item. If assistance is needed to bathe in the shower or tub, then the level of assistance needed must be noted, and Response 2, or 3 should be selected.