Home Health Publicly Reported
Quality Measures Resource Binder

This material was prepared by Delmarva Foundation for Medical Care under a contract with the Centers for Medicare & Medicaid Services (CMS), a federal agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy.

Table of Contents 

Preface & Acknowledgements 

HHQI section

1. HHQI Intro/Overview

• Home Health Quality Initiative Introduction
• Home Health Quality Initiative Overview

2. Home Health Compare

• Home Health Compare Overview
• Home Health Compare Website Quick Start Guide
• Home Health Quality Initiative Quality Measures: Consumer Language

3. AHRQ

• AHRQ Report Summary
• AHRQ Report on Home Health Quality Measures for CMS Public Reporting

4. What is a Quality Measure?

5. Risk Adjustment

• Summary: Risk Adjustment for Public Reporting of Quality Measures
• Overview of Risk Adjustment and Outcome Measures for Home Health Agency OBQI Reports: Highlights of Current Approaches and Outline of Planned Enhancements
• Documentation of Prediction Models Used for Risk Adjustment of Home Health Agency Outcomes Reported on the CMS Home Health Compare Web Site

6. QIO Surveyor Relationships

• Summary: Relationship of Quality Improvement Organizations and State Survey Agencies
• Full text: Relationship of Quality Improvement Organizations and State Survey Agencies

7. FAQs

• Home Health Quality Initiative Frequently Asked Questions (FAQs)

OBQI section

Chapter 1 - The OBQI Basics

a. Outcome-Based Quality Improvement: Background

b. Outcome-Based Quality Improvement: Step by Step

c. Plan of Action

d. Plan of Action for Quality Improvement Case Summary

e. Risk Adjustment for Outcome Reporting

f. Organizational and System Interventions

g. Data Quality Audits

h. Resources

•  Literature
• Websites      
•  Quality Improvement Organizations

The Publicly Reported Outcome Measures Chapters

Chapter 2 – Acute Care Hospitalization

Chapter 3 - Improvement in Pain Interfering with Activity

Chapter 4 - Any Emergent Care Provided

Chapter 5 - Improvement in Ambulation/Locomotion

Chapter 6 - Improvement in Transferring

Chapter 7 - Improvement in the Management of Oral Medications

Chapter 8 - Improvement in Bathing

Chapter 9 - Improvement in Toileting

Chapter 10 - Stabilization in Bathing

Chapter 11 - Improvement in Confusion Frequency

Chapter 12 - Improvement in Upper Body Dressing

Each Outcome chapter contains the following content:

a. Chapter Format

b. Collecting OASIS Data

c. Measuring Patient Outcomes

d. Interpreting Outcome Reports

e. Specifying Target Outcome

f. Investigate Care Processes

g. Identifying Problems/Strengths and Best Practice

h. Develop Action Plan

i. Implement Action Plan

j. Monitor Action Plan

k. Short Stories

j. Resources