report quality of patient care for home health agency

The reporting of quality data by home health agencies (HHAs) is mandated by Section 1895 (b) (3) (B) (v) (II) of the Social Security Act (“the Act”). This statute requires that ‘‘each home health agency shall submit to the Secretary such data that the Secretary determines are appropriate for the measurement of health care quality. Such data shall be submitted in a form and manner, and at a time, specified by the Secretary for purposes of this clause.’’.

Full Answer

What is the home health agency quality of patient care rating?

The home health agency quality of patient care rating shows you how a home health agency compares to other home health agencies on measurements of their performance.

How are home health agencies required to report quality data?

This statute requires that ‘‘each home health agency shall submit to the Secretary such data that the Secretary determines are appropriate for the measurement of health care quality. Such data shall be submitted in a form and manner, and at a time, specified by the Secretary for purposes of this clause.’’

What are the outcome measures of home health quality?

The HH QRP measures and the broader list in the Home Health Quality Initiative, include four types of Outcome measures: Improvement measures (i.e., measures describing a patient's ability to get around, perform activities of daily living, and general health); Measures of potentially avoidable events (i.e., markers for potential problems in care);

What is patient safety and quality in home health care?

Patient Safety and Quality in Home Health Care - Patient Safety and Quality - NCBI Bookshelf Home health care clinicians seek to provide high quality, safe care in ways that honor patient autonomy and accommodate the individual characteristics of each patient’s home and family.

What is quality care reporting?

Public reporting of health care quality data allows consumers, patients, payers, and health care providers to access information about how clinicians, hospitals, clinics, long-term care (LTC) facilities, and insurance plans perform on health care quality measures.

How do you assess the quality of care?

Measure aspects of care that go beyond technical quality, e.g. responsiveness, acceptability and trust. Measure perceived quality and compare with clinical quality. Measure quality at different points in the patient pathway through the health system. Measure the immediate and upstream drivers of quality of care.

What is QA in home health?

Quality Assurance Auditor (Home Health) Maintains accurate patient records for billing purposes and audits patient's charts for RAP and Final billings.

What is the Oasis assessment tool?

The Outcome and Assessment Information Set (OASIS) is a comprehensive assessment designed to collect information on nearly 100 items related to a home care recipient's demographic information, clinical status, functional status, and service needs (Centers for Medicare and Medicaid Services [CMS], 2009a).

What are the 3 method of measuring quality?

Examples of such methods include: Observation of service delivery (by expert observers, peers, supervisors) Mystery client method.

What are examples of quality indicators in healthcare?

Examples include:Number of beds and the types of services available.Whether the hospital is accredited or has other types of specialty certification.The use of electronic patient medical records or prescription ordering systems.Percentage of physicians who are board-certified.Nurse-to-patient staffing ratios.

How is quality assured in healthcare?

It involves assessing or evaluating quality; identifying problems or issues with care delivery and designing quality improvement activities to overcome them; and follow-up monitoring to make sure the activities did what they were supposed to.

How can healthcare improve quality assurance?

8 Healthcare Quality Improvement Tips1) Analyze your data and outcomes. ... 2) Set goals. ... 3) Create a balanced team. ... 4) Include Human Factors Inputs. ... 5) Create an executable plan. ... 6) Become Familiar with the PDSA cycle. ... 7) Communicate goals and progress. ... 8) Research other organizations and collaborate.More items...•

Why is quality assurance important in health care?

Quality assurance programs not only help hospitals improve clinical outcomes but also offer an effective way to increase staff engagement by inviting team members at every level to provide their input and help improve the hospital as a whole.

What is a CMS Casper report?

CASPER is the acronym for Certification and Survey Provider Enhanced Reporting system. The CASPER reports are generated from Minimum Data Set (MDS) data 3 Page 4 4 types of CASPER reports are available.

How do you score the oasis?

Each item of the OASIS instructs respondents to endorse one of five responses that best describes their experiences over the past week. Response items are coded from 0 to 4 and can be summed to obtain a total score ranging from 0 to 20.

What data is collected for Oasis?

The OASIS assessment collects information in a standardized format about patients' comorbidities, physical, psychological and psychosocial functioning in addition to the living arrangement. Patients in the SEER-Medicare data diagnosed in 1999 and later have been linked with OASIS data from 1999 and later.

When will home health agencies begin collecting data?

For example, if the COVID-19 PHE ends on April 30, 2021, home health agencies will be required to begin collecting data using the updated versions of the item sets beginning with patients discharged on January 1, 2023.

How does CMS improve quality?

CMS's Quality Strategy vision for improving health delivery can be said in three words: better, smarter, healthier. CMS is focusing on: 1 Using incentives to improve care. 2 Tying payment to value through new payment models. 3 Changing how care is given through:#N#Better teamwork.#N#Better coordination across healthcare settings.#N#More attention to population health.#N#Putting the power of healthcare information to work

What are the five measures of health care?

The five measures are: (1) Care of Patients, (2) Communications between Providers and Patients, (3) Specific Care Issues, (4) Overall Rating of Care, and (5) Patient willingness to recommend HHA to family and friends. Outcome Measures. Outcome measures assess the results of health care that are experienced by patients.

What is HH QRP?

The HH QRP also includes one measure of cost/resource use: Medicare Spending per Beneficiary – Post-Acute Care (MSPB-PAC) Home Health. This measure assesses the Medicare spending of a home health agency, compared to the average Medicare spending of home health agencies nationally for the same performance period.

Is a process measure risk adjusted?

Unlike the outcome measures, process measures are not risk-adjusted. Risk adjustment is not considered to be necessary for process measures because the processes being measured are appropriate for all patients included in the denominator (patients for whom the measure is not appropriate are excluded).

When will the Home Health Compare refresh?

Starting with the April 2020 Home Health Compare refresh, the Improvement in Pain Interfering with Activity measure will be removed from the QoPC Star Ratings. Provider Preview Reports showed these changes in January 2020. The data reporting period for the April 2020 refresh will be July 1, 2018 to June 30, 2019 for OASIS-based measures and CY 2018 for the claims-based measure. This change was made because the Improvement in Pain Interfering with Activity will be removed from the Home Health Quality Reporting Program per the CY2020 Final Home Health Prospective Payment System Rule.

What is Care Compare?

To make the information easier to use, Care Compare provides tools like “star ratings" that summarize some of the current health care provider performance measures. The star ratings offer consumers another tool to help them make health care decisions. Consumers will still find value in the other quality information on Care Compare.

When will the CMS refresh?

Due to unforeseen circumstances, CMS has determined that there will not be a refresh for the Compare site in July 2020.

Does Q20 include Willingness to recommend?

Overall Rating of Care Provided by the Home Health Agency (Q20) The star rating does not include the Willingness to Recommend the HHA item because the results for this item were very similar to those based on the Overall Rating of Care.