The Impact of Quality Reporting on Star Ratings

A tightly interwoven loop illustrates the impact of quality reporting on star ratings … and the importance of the relationship between the two. Star ratings encourage providers to strive for higher levels of quality. They support consumers’ health care decision-making by providing easily recognizable differences in quality when selecting a health care provider. The higher the quality, the higher the star rating and vice versa.

The star rating reflects how homecare agencies compare with one another and also identifies areas that need improvement.  In addition,  star ratings provide the ability to compare your agency to state and national averages, as well as local competitors. Most agencies fall in the middle range, with a 3-star rating. Find your agency’s star rating here.

Star Ratings are Determined Two Ways:

  1. Patient Survey Star Ratings: based on actual patient satisfaction and experience. Patients receive surveys directly to their homes.
  2. Quality of Patient Care Star Ratings: OASIS assessment responses and Medicare claims data determine these ratings

8 Measures of the Quality of Patient Star Rating:

Process Measures:

  • Timely initiation of care
  • Drug education on all medications provided to the patient/caregiver

Outcome measures:

  • Improvement in ambulation
  • Improvement in bed transferring
  • Improvement in bathing
  • Improvement in pain interfering with the activity
  • Improvement in shortness of breath
  • Acute care hospitalization during the first 60 days of home health

How Can I Improve My Star Ratings?

Evaluate to Improve – Evaluate the knowledge of your educators, team leaders, and trainers. If the staff that is doing the training are not fully competent, the team they train will not be either.

Educate – There any many changes coming with OASIS-D. Most education initiatives should focus on the new OASIS-D changes. We recommend incorporating a star item focus in with your OASIS training.

Planning and Implementing – Once you have identified your deficiencies, you can decide where to focus your efforts.

  • Focus on getting it right at the SOC vs. the D/C
  • Create a performance improvement team – involve all disciplines
  • Create measurable goals
  • Identify areas of focus for each goal
  • Create new processes
  • Improve communication in your agency to help with timeliness
  • Educate staff on star ratings, targets, and plan!
  • Ask for expert help. Consider an external audit.

Expert in Post-Acute Coding, Billing, and More. Quality Matters.

Let QIRT guide you to increased quality and higher star ratings. Real-time and historical data helped QIRT identify the greatest challenges facing our clients. The Journey Program is a client-centered plan custom designed to meet unique agency challenges. QIRT can be your partner and guide on the path to quality.

QIRT.comContactUs@QIRT.com  |  855.485.QIRT

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