Breaking Down the Home Health Quality of Patient Care Star Rating

09/02/15 Written by 

Consumers are often in an urgent state to find a home health provider and quickly look to the Home Health Compare (HHC) website for answers. While the intention is to provide an easy and reliable source of information as to the quality of care provided by home health agencies, it can be overwhelming for consumers given the amount of information available on the website.

This is why CMS has added two star ratings that will act as additional tools to assist consumers in selecting a provider. The information on this site is obviously very important to home health agencies, and CMS wants all stakeholders to learn about these star ratings and understand how they are affected by it. CMS encourages providers to review the information as it becomes available and to send any questions or comments to [email protected].

The two types of home health star ratings are as follows:

  1. Quality of Patient Care Star Rating: This was published on HHC in July of 2015 and is based on OASIS assessments and Medicare claims data.
  2. Patient Survey Star Rating: This rating is scheduled to be published on HHC in January of 2016 and will be based on HHCAHPS survey data.

The Quality of Patient Care Star Rating, which will be updated quarterly, uses a scale from 1 to 5 stars with most agencies falling in the middle with 3 or 3 ½ stars. The rating is based on the agency’s performance on 9 of the 29 quality measures reported on HHC:

Process of Care Measures

1. Initiated patient care in a timely manner (OASIS M0102; M0030)
2. Provided patient/caregiver drug education on all medications (OASIS M2015)
3. Ensured patients received flu vaccine for the current season (OASIS M1046)

Outcome of Care Measures

4. Got better at walking or moving around (OASIS M1860)
5. Got better at getting in and out of bed (OASIS M1850)
6. Got better at bathing themselves (OASIS M1830)
7. Was able to engage in activity with less pain (OASIS M1242)
8. Experiences less shortness of breath (OASIS M1400)
9. Required acute care hospitalization (Claims data)

All Medicare-certified HHAs are potentially eligible to receive star ratings. Episodes must have an end-of-care date within the 12-month reporting period regardless of the start date. Data must be reported for 5 of the 9 measures used in the calculation. And lastly, the HHA must be in operation for at least 6 months.

The provider preview reports will include the Quality of Patient Care Star Rating and rating calculations. These will be distributed approximately 3 ½ months before the ratings are published on HHC and HHAs can request that CMS review their rating if they can submit evidence that the data is inaccurate or incomplete. You can view a sample of the Provider Preview Report on the CMS website, along with other facts and methodology documents.

Interested in learning more?

Join us in our upcoming webinar to hear more about the Home Health Quality of Patient Care Star Rating, how this will be beneficial to consumers in selecting a provider moving forward, and how it may affect your agency. Visit our Upcoming Webinars page to register now!

Kristen Bright

Kristen Bright is a dedicated professional with a diverse background in healthcare marketing, communications, and human resources. Prior to joining Deyta in March of 2015, she earned her BA in Integrated Strategic Communication from the University of Kentucky and spent five years working within the assisted living industry. As the Marketing Manager, Kristen works to develop valuable resources to establish Deyta as the leader in advanced analytics and data-driven management solutions for home health and hospice organizations.
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