Home health quality data has been refreshed on CMS Care Compare – Home Health Services (data updated July 2021) as follows:
Quality of patient care measures:
Managing daily activities (3 measures) – reporting data for 19Q1_19Q4
- How often patients got better at walking or moving around
- How often patients got better at getting in and out of bed
- How often patients got better at bathing
Managing pain and treating symptoms (3 measures) – reporting data for 19Q1_19Q4
- How often patients’ breathing improved
- How often patients’ wounds improved or healed after an operation
- *How often patients developed new or worsened pressure ulcers (Note: *As of January 2020, this measure no longer reflects updated data)
Preventing harm (9 measures) – reporting data for 19Q1_19Q4
- How often the home health team taught patients (or their family caregivers) about their drugs
- How often patients got better at taking their drugs correctly by mouth
- How often the home health team checked patients’ risk of falling
- How often the home health team checked patients for depression
- How often the home health team made sure that their patients have received a flu shot for the current flu season
- How often the home health team made sure that their patients have received a pneumococcal vaccine (pneumonia shot)
- For patients with diabetes, how often the home health team got doctor’s orders, gave foot care, and taught patients about foot care
- How often the home health team checked patients’ medications and got doctor’s orders for medication issues in a timely manner
- How often the home health team began their patients’ care in a timely manner
Preventing unplanned hospital care (4 measures) – reporting data as follows:
- How often home health patients had to be admitted to the hospital (19Q1_19Q4)
- How often patients receiving home health care needed any urgent, unplanned care in the hospital emergency room – without being admitted to the hospital (19Q1_19Q4)
- How often patients remained at home within 31 days of being discharged from home health (19Q1_19Q4)
- How often patients were re-admitted to the hospital for a potentially-preventable condition after discharge from home health (17Q1_19Q4)
Payment and value of care (1 measure)
- How much Medicare spends on an episode of care at this agency, compared to Medicare spending across all agencies nationally (18Q1_19Q4)
Patient survey results (5 measures) reporting data for 19Q1_19Q4
- How often the home health team gave care in a professional way
- How well did the home health team communicate with patients
- Did the home health team discuss medicines, pain, and home safety with patients
- How do patients rate the overall care from the home health agency
- Would patients recommend the home health agency to friends and family .
As part of the July 2021 refresh, five OASIS-based measures were removed from Care Compare:
- Depression Assessment Conducted
- Diabetic Foot Care and Patient/Caregiver Education Implemented during All Episodes of Care
- Multifactor Fall Risk Assessment Conducted for All Patients Who Can Ambulate
- Pneumococcal Polysaccharide Vaccine Ever Receive
- Improvement in the Status of Surgical Wounds
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