Four clinicians with the Rutland Area Visiting Nurse Association & Hospice received the national designation of COS-C, Certificate for OASIS Specialist - Clinical. Staff nurses Betty Bishop, RN, Audrey Eary, RN, and Peg Ryan-Heibler, RN and physical therapist Jeannie Cushman, PT, MS achieved the COS-C designation after successfully completing a 100 item, 2? hour exam. Initiated in October of 2004, over 1,400 home care clinicians from around the country have achieved this status and over 1,800 have taken the exam. The Outcome Assessment Information Set (OASIS) is a quality measure used in home health agencies across the country to enhance care for patients in the home. The OASIS is a key component of Medicare's partnership with the home care industry to foster and monitor improved home health care outcomes and is an integral part of the revised Conditions of Participation for Medicare-certified home health agencies. The Rutland Area Visiting Nurse Association & Hospice is a not-for-profit Medicare-certified home health agency providing health care services ranging from highly-technical skilled care to wellness programs in the Rutland community.