QAPI Program Utilization_Manual

HOME HEALTH QUALITY MEASURES Also known as: Home Health Compare Origin: These measures are collected via the OASIS data set (USDHHS, Home Health) . Goal: To improve care quality outcomes of Medicare certified home health agencies. These measures below are written as: What the public sees on the CMS Home Health Compare website, followed bay: ( What the Agency sees on OBQI Risk-Adjusted Outcome Report) Percentage of patients who: 1. Get better in walking or moving around (Improvement in ambulation) 2. Get better at getting in and out of bed (Improvement in transferring) 3. Who have less pain when moving around (Improvement in pain interfering with activity) 4. Whose bladder control improves (Improvement in urinary incontinence) 5. Get better at bathing (Improvement in bathing) 6. Get better at taking their medicines correctly (by mouth) (Improvement in the management of oral medications) 7. Are short of breath less often (Improvement in dyspnea) 8. Stay at home after a homecare episode ends (Discharge to community) 9. Had to be admitted to the hospital (Acute care hospitalization) 10. Need urgent, unplanned medical care (Emergent care) » Quality Measures of other Healthcare Providers Being knowledgeable of other providers’ quality measure gives home health the basis upon which to form alliances across healthcare settings to jointly improve specific outcomes, control cost, and increase market share. These include: • Physician Quality measure • Hospital Quality Measures • Nursing Home Quality Measures The list below includes those measures that have strong application to home health patient assessment and care: • For Type 1 or 2 Diabetes Mellitus - Hemoglobin A1c control - Low density lipoprotein control - High blood pressure control • For CHF (left ventricular systolic dysfunction) - ACE Inhibitor or Angiotensin Receptor Blocker therapy - Beta blocker therapy • For those with prior heart attack - Beta blocker therapy • Antiplatelet therapy for those with coronary artery disease • For stroke and stroke rehabilitation - Patient discharged on antiplatelet therapy - Anticoagulant therapy prescribed for atrial fibrillation at d/c - Screening for dysphagia - Consideration of rehabilitation services •For osteoporosis - Communication with physician managing ongoing care post fracture 98