Home Health & Hospice Week

Quality:

Check Out These Risk Adjustment Factors For Star Ratings

CMS tries to compensate for factors out of an agency’s control.

If you feel like your patient survey star ratings will be unfair due to your patient population, Medi-care is trying to ease your fears.

As part of its newly unveiled patient survey star rating calculation methodology (not to be confused with the “quality of patient care” star ratings going up in July), the Centers for Medicare & Medicaid Services will use these factors to adjust home health agencies’ scores:

• Age: 18–49, 50–64, 65–74 (reference group), 75–84, 85+

• Education: < grade 8, some HS, HS grad or GED (reference), Some College, College grad +

• Self-reported overall health status: Excellent, Very Good, Good (Reference), Fair, Poor

• Self-reported mental/emotional status: Excellent/Very Good, Good (Reference), Fair/Poor

• Diagnoses: Schizophrenia, Dementia

• Patient lives alone

• Survey answered by proxy

• Language in which the survey was completed. 

Source: www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HomeHealthQualityInits/Downloads/Thursday-May-7-2015-Patient-Survey-Star-Ratings-Special-Open-Door-Forum-Presentation-Slides.pdf

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