Home Health & Hospice Week

Agencies now have 24 measures to manage under the pilot.

The 2016 HH PPS final rule gives home health agencies the information they’ve been waiting on

for months — the final list of starter measures for Value-Based Purchasing.

The Centers for Medicare & Medicaid Services retained all 15 proposed outcome measures,

but culled the process measures by four and the new measures by one. The final starter set includes 15

outcome measures (including five HHCAHPS), six process measures, and three New Measures, CMS

specifies in the 2016 HH PPS final rule released Oct. 29.

Outcome measures

1. Improvement in Ambulation-Locomotion, Data Source: OASIS (M1860)

2. Improvement in Bed Transferring, Data Source: OASIS (M1850)

3. Improvement in Bathing, Data Source: OASIS (M1830)

4. Improvement in Dyspnea, Data Source: OASIS (M1400)

5. Discharged to Community, Data Source: OASIS (M2420)

6. Acute Care Hospitalization: Unplanned Hospitalization during first 60 days of Home Health; Hospitalization during first 30 days of Home Health, Data Source: Claims

7. Emergency Department Use without Hospitalization, Data Source: Claims

8. Improvement in Pain Interfering with Activity, Data Source: OASIS (M1242)

9. Improvement in Management of Oral Medications, Data Source: OASIS (M2020)

10. Prior Functioning ADL/IADL, Data Source: OASIS (M1900)

11. Care of Patients, Data Source: CAHPS

12. Communications between Providers and Patients, Data Source: CAHPS

13. Specific Care Issues, Data Source: CAHPS

14. Overall rating of home health care, Data Source: CAHPS

15. Willingness to recommend the agency, Data Source: CAHPS

Process measures

16. Care Management: Types and Sources of Assistance, Data Source: OASIS (M2102)

17. Influenza Vaccine Data Collection Period: Does this episode of care include any dates on or between October 1 and March 31?, Data Source: OASIS (M1041)

18. Influenza Immunization Received for Current Flu Season, Data Source: OASIS (M1046)

19. Pneumococcal Polysaccharide Vaccine Ever Received, Data Source: OASIS (M1051)

20. Reason Pneumococcal vaccine not received, Data Source: OASIS (M1056)

21. Drug Education on All Medications Provided to Patient/Caregiver during all Episodes of Care, Data

Source: OASIS (M2015)

New Measures

22. Influenza Vaccination Coverage for Home Health Care Personnel, Data Source: Reported via new

HHVBPWeb portal

23. Herpes zoster (Shingles) vaccination: Has the patient ever received the shingles vaccination?, Data

Source: Reported via new HHVBPWeb portal

24. Advanced Care Plan, Data Source: Reported via new HHVBPWeb portal

Timeline: Data collection for the already existing measures (1-21) will commence Jan. 1. For the

New Measures, “HHAs will be required to begin reporting data no later than October 7, 2016 for the period July 2016 through September 2016 and quarterly thereafter,” CMS clarifies in the final rule. “As a result, the first quarterly performance report in July 2016 will not account for any of the New Measures.”