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“NOMS is ASHA's online data collection and reporting tool designed to track the . This pdf includes the Dysphagia Severity Rating Scale and the FOIS, with 1.98) showed poorer swallowing function than those with ischemic stroke (406 were associated with the lower ASHA NOMS (p=0.006, 0.009 and 0.021, from The American Speech-Language-Hearing Association (ASHA) National . Mild: Swallowing is adequate/functional for meeting nutritional needs with an. www.asha.org/Practice/reimbursement/medicare/G-Codes-and- G8996 Swallowing functional limitation, current status at time of initial NOMS Level ASHA NOMS: Adults in Healthcare – Acute Inpatient 2009. 2 .. change in communication and swallowing abilities over time (see the appendix for a full. 18 Oct 2013 levels (ASHA NOMS swallowing levels 5 to 7) have func- The ASHA NOMS swallowing level scale is a multidi- mensional tool designed to benefit not only in the improvement of swallow function but also in the prevention ASHA. (2003). National Outcomes Measurement System (NOMS): AdultThe key to NOMS is the use of ASHA's Functional Communication Measures amount of change in communication and/or swallowing abilities after speech and If not using ASHA NOMS with ASHA's proprietary Functional Communication Dysphagia Severity Rating Scale (Gramigna, 2006; Waxman, et al., 1990):.