During the recent open door forum, CMS announced that the Home Health Compare will be updated to reflect data reported from January 2012 through December 2012 (CY 2012 Q1-Q4).
In addition, there have been some changes to the calculation of some quality measure. The changes include:
- Timely Initiation of Care measure: This measure was updated to conform to Medicare Conditions of Participation for prompt initiation of care upon resumption of care after discharge from an inpatient facility. The patient must be seen within 2 days of discharge, even if the physician specifies a later resumption of care date. This requirement does not apply if the patient was discharged from the inpatient facility without a home health care referral and a referral was made subsequent to the inpatient discharge.
- Multifactor Fall Risk Assessment Conducted for Patients 65 And Over: This measure has been changed to exclude patients who are chairfast or bedfast, but to include all patients who are age 18 and over. The descriptive name of the measure has been changed to Multifactor Fall Risk Assessment Conducted For All Patients Who Can Ambulate.
- Depression Assessment Conducted, Depression Interventions In Plan OF Care, and Depression Interventions Implemented During All Episodes Of Care: The exclusion based on level of consciousness has been changed to rely on OASIS item M1700 Cognitive Functioning in addition to items M1710 When Confused and M1720 When Anxious. A patient is excluded from the denominator for these measures if the response to any of the items M1700, M1710, or M1720 indicates that the patient’s level of consciousness is insufficient to enable a valid assessment of depression.
For information regarding the outcome measures of your agency or others go to the Home Health Compare website.
For more information regarding the changes to the process measures and to access the full Technical Documentation of Measures June 2013 Revisions, go to CMS website.
If you have any questions or would like more information regarding QIRT, please contact us.
Until next time,