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Quarterly Quality Data Refresh on CMS Home Health Compare

Home health quality data has been refreshed on CMS Home Health Compare (data updated Oct 30, 2019) as follows:

Quality of patient care measures:
Quality of patient care star ratings – reporting data for 18Q2_19Q1
Note: The quality of patient care star rating summarizes 8 of the 23 quality measures reported on Home Health Compare. It provides a single indicator of an agency’s performance compared to other agencies.

Managing daily activities (3 measures) – reporting data for 18Q1_18Q4

  1. How often patients got better at walking or moving around
  2. How often patients got better at getting in and out of bed
  3. How often patients got better at bathing

Managing pain and treating symptoms (4 measures) – reporting data for 18Q1_18Q4

  1. How often patients had less pain when moving around
  2. How often patients’ breathing improved
  3. How often patients’ wounds improved or healed after an operation
  4. *How often patients developed new or worsened pressure ulcers (Note: *After October 2019, this measure will no longer reflect updated data)

Preventing harm (9 measures) – reporting data for 18Q1_18Q4

  1. How often the home health team began their patients’ care in a timely manner
  2. How often the home health team taught patients (or their family caregivers) about their drugs
  3. How often patients got better at taking their drugs correctly by mouth
  4. How often the home health team checked patients’ risk of falling
  5. How often the home health team checked patients for depression
  6. How often the home health team made sure that their patients have received a flu shot for the current flu season
  7. How often the home health team made sure that their patients have received a pneumococcal vaccine (pneumonia shot)
  8. For patients with diabetes, how often the home health team got doctor’s orders, gave foot care, and taught patients about foot care
  9. How often physician-recommended actions to address medication issues were completed timely

Preventing unplanned hospital care (6 measures) – reporting data as follows:

  1. How often home health patients had to be admitted to the hospital (18Q1_18Q4)
  2. How often patients receiving home health care needed any urgent, unplanned care in the hospital emergency room – without being admitted to the hospital (18Q1_18Q4)
  3. How often home health patients, who have had a recent hospital stay, had to be re-admitted to the hospital (16Q1_18Q4)
  4. How often home health patients, who have had a recent hospital stay, received care in the hospital emergency room without being re-admitted to the hospital (16Q1_18Q4)
  5. How often patients remained in the community after discharge from home health
  6. Rate of potentially preventable hospital readmissions 30 days after discharge from home health (*new measure) (16Q1_18Q4)

Payment and value of care (1 measure)

  1. How much Medicare spends on an episode of care at this agency, compared to Medicare spending across all agencies nationally (18Q1_18Q4)

Patient survey results (6 measures) reporting data for 18Q2 _19Q1

  1. Patient survey summary star rating.
  2. How often the home health team gave care in a professional way
  3. How well did the home health team communicate with patients
  4. Did the home health team discuss medicines, pain, and home safety with patients
  5. How do patients rate the overall care from the home health agency
  6. Would patients recommend the home health agency to friends and family

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