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The Gerontologist 44:689-692 (2004)
© 2004 The Gerontological Society of America

Interrater Reliability of the Outcomes and Assessment Information Set: Results From the Field

Elizabeth A. Madigan, PhD, RN1, and Richard H. Fortinsky, PhD2

Correspondence: Address correspondence to Elizabeth A. Madigan, PhD, RN, Associate Dean for International Health, Associate Professor, Frances Payne Bolton School of Nursing, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, OH 44106-4904. E-mail: Madigan{at}

The Outcomes and Assessment Information Set (OASIS) is now used extensively for regulatory, reimbursement, research, and clinical purposes in home health care. However, little is known about the interrater reliability of OASIS items based on assessments from home-health-agency clinicians. Therefore, we evaluated OASIS item interrater reliability among 88 patients from 21 agencies. Of 25 items studied, all except 2 had weighted kappa values of {kappa} ≥ 0.60. We conclude that OASIS item interrater reliability was highly adequate in this study, but we recommend routine interrater-reliability evaluation by agencies to maximize the quality of OASIS data nationally.

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