QAPI Program Utilization_Manual

Measure Title Measure Description OASIS C Item(s) Used Month 1 ______ Month 2 ______ Month 3 ______ % of Compliance Action Plan (If needed) Pressure Ulcer Risk Assessment Conducted Percentage of home health episodes of care in which the patient was assessed for risk of developing pressure ulcers at start of care/resumption of care. SOC/ROC: (M1300) Pressure Ulcer Assessment Depression Risk Assessment Conducted Percentage of home health episodes of care in which patients with depression symptoms/diagnosis had a physician-ordered plan of care that includes interventions such as medication, referral for other treatment, or a monitoring plan for current treatment. SOC/ROC: (M2250) d. Depression intervention(s) plan of care Diabetic Foot Care And Patient Education In Plan Of Care Percentage of home health episodes of care in which the patient is diabetic and the physician-ordered plan of care includes regular monitoring for the presence of skin lesions on the lower extremities and patient education on proper foot care. SOC/ROC: (M2250) b. Diabetic foot care in plan of care Falls Prevention Steps In Plan Of Care Percentage of home health episodes of care for which the physician-ordered plan of care includes interventions to mitigate the risk of falls, for those assessed to be at risk. SOC/ROC: (M2250) c. Falls prevention in plan of care Pain Interventions In Plan Of Care Percentage of home health episodes of care in which the current physician-ordered plan of care includes intervention(s) to monitor and mitigate pain, for patients who were identified as having pain at the start/resumption of home health care. SOC/ROC: (M2250) e. Intervention(s) to monitor and mitigate pain in plan of care 69