(2003), "USA. Quality-of-care information about home health agencies", International Journal of Health Care Quality Assurance, Vol. 16 No. 6. https://doi.org/10.1108/ijhcqa.2003.06216fab.011Download as .RIS
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USA. Quality-of-care information about home health agencies
Quality-of-care information about home health agencies
Keywords: Quality of care, Home care, Patient needs
Medicare has published agency-specific home health quality information for Florida, Massachusetts, Missouri, New Mexico, Oregon, South Carolina, West Virginia and Wisconsin. A nationwide rollout of the information is planned for the Autumn.
The quality measures available include:
Four measures related to improvement in getting around.
Four measures related to meeting the patient's activities of daily living.
Two measures related to patient medical emergencies.
One measure related to improvement in mental health.
The measures address the percentage of patients who needed emergency care or required a hospital admission, who showed improvement in pain management and cognitive skills as well as those improving in walking, bathing, toileting and medication management.
The information comes from two sources: the Outcome and Assessment Information Set (OASIS), and the Quality Improvement Evaluation System (QIES). OASIS is a group of data elements that represent core items of a comprehensive assessment for an adult home care patient and which serve as the basis for the development of the care plan and ongoing management of the patient; and form the basis for measuring patient outcomes for purposes of outcome-based quality improvement.
These data are used to calculate the Home Health Quality Measures and are used to determine the service area for each home health agency that is used in the Home Health Compare search function. QIES encompasses all the aspects of data collection and reporting on home health agencies, some of which is collected and maintained by the State Survey Agency. This information includes the home health agency's name, address, telephone number, services offered and type of ownership. The QIES database also includes all OASIS assessment information submitted by home health agencies to their State Survey Agency
Further information: The information for these first eight states is available in the "Home Health Compare" section of the Medicare Web site at www.Medicare.gov Information on OASIS may be found at: www.cms.hhs.gov/oasis/hhoview.asp