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Home Health Compare (HHC) - in both English and Spanish - is available at www.medicare.gov. New quality data are posted quarterly. Generally, the update occurs around the 3rd week of the 3rd month of each quarter. The data is usually reflective of 6 months prior. On a monthly basis, administrative information is updated on the website. Home health agencies are responsible for ensuring that their address, phone numbers, and types of services offered are kept up to date. In 2008, the refresh will occur as follows: | Refresh Date | Reporting Period | | March 27, 2008 | October 2006 - September 2007 | | July 17, 2008 | January 2007 - December 2007 | | September 18, 2008 | April 2007 - March 2008 | | December 18, 2008 | July 2007 - June 2008 |
To verify you have the most recent data, the correct date of the update is shown under the measure on the Quality Graphs tab/page when a home health agency is selected. You will see the following statement: This information comes from the Home Health Outcome and Assessment Information Set (OASIS) during the time period. The dates shown on the Overview and Find Criteria pages reflect changes to the formatting of those pages and not data reporting period. An Open Door Forum was held with CMS-OCSQ and the University of Colorado to discuss a planned update to the risk adjustment model to be applied in late July 2008. By the time of the September refresh on HH Compare everything should have been recalculated using the new models. Because quality measures are updated quarterly to reflect more recent data, a new workbook containing national and state outcome rates is released to coincide with each quarterly update. The workbook and instructions to use can be found in the Downloads section at http://www.cms.hhs.gov/HomeHealthQualityInits/11_HHQIOBQIMeasureCalculation.asp Agency reports for OBQI/M calculations are ran the 2nd Saturday of each month and is available on the following Monday. For example: Current OBQI/M data is available through the month of January. On May 10 calculations will be ran to include data through the month of February. These calculations will be available to the user on May 12. Home Health Compare quality measures All measures are part of the larger set of data, Outcome Assessment Information Set (OASIS), collected by Medicare-certified home health agencies. - Improvement in Ambulation/Locomotion
- Improvement in Bathing
- Improvement in Transferring
- Improvement in Management of Oral Medication
- Improvement in Pain Interring with Activity
- Acute Care Hospitalization
- Emergent Care
- Discharge to Community
- Improvement in Dyspnea
- Improvement in Urinary incontinence
Effective 12/07 the following measures will be published. The updated quality measures in consumer language include: - Percentage of patients whose wounds improved or healed after an operation (New Measure)
- Percentage of patients who need unplanned medical care related to a wound that is new, is worse, or has become infected. (New Measure)
As part of home care, the nurse must assess and instruct the patient or caregiver on the signs of normal wound healing, signs and symptoms of wound infection, wounds that are getting worse, or new wounds, and the importance of calling the home health agency first with concerns about the wound. The home health agency also has a responsibility to visit the patient frequently enough to assess the wound, assist in care for the wound according to the doctor's orders, and look for any preventable problems such as pressure relief and proper nutrition. A Revised Patient Tally Report Workbook using Branch report information is available in the Downloads Section on the OBQI page. Reporting Home Health Quality Data for Annual Payment Update - We are posting a new page to describe the requirements of the Deficit Reduction Act (DRA) of 2005 for home health agencies and the tools CMS developed to support this effort. OASIS Implementation Manual - Part I, the corrected Chapter 8 is released with crosswalk showing the changes. Click on the OASIS User Manual in the column to the left.
Page Last Modified: 05/20/2008 12:33:42 PM
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