Home Health Care State Averages For HHA Quality Measures

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This dataset contains State averages of several home health agency quality measures for Home Health Agencies. This survey is designed to measure the experiences of people receiving home health care from Medicare-certified home health agencies. The Home Health Care Consumer Assessment of Healthcare Providers and Systems (HHCAHPS) is conducted for home health agencies by approved HHCAHPS Survey vendors.

Complexity

In November 2002, the Quality Initiative was launched to ensure quality health care for all Americans through accountability and public disclosure. The initiative aims to (a) empower Americans with quality of care information to help them make more informed decisions about their health care, and (b) stimulate and support providers and clinicians to improve the quality of healthcare. The Quality Initiative was launched nationally in November 2002 for nursing homes (the Nursing Home Quality Initiative), and expanded in 2003 to the nation’s hospitals and home health care agencies.
On September 25, 2006, the Agency for Healthcare Research and Quality (AHRQ) published a call in the Federal Register for survey items or measures representing areas of quality home health care that are viewed as important to consumers, their families, and intermediaries and initiated a review of existing literature in the area. AHRQ developed a draft survey instrument after several rounds of cognitive testing. A field test was conducted in 2008 with 34 home health agencies to test the psychometric properties of the survey and finalize its content. A final Home Health Care CAHPS Survey was developed in the summer of 2008. The Survey was endorsed by the National Quality Forum in March 2009 and approved by the United States Office of Management and Budget in July 2009.
The national implementation of the HHCAHPS Survey began in October 2009 with agencies participating on a voluntary basis prior to when quality reporting requirements for the home health annual payment update (APU) began in the third quarter of calendar year 2010. The Centers for Medicare & Medicaid Services (CMS) began publicly reporting results from the HHCAHPS Survey on Home Health Compare on the Medicare.gov Web site in April of 2012.
As described in the 2010 Home Health Prospective Payment System (HHPPS) Final Rule (42 CFR 409, 424, 484 [10 November 2009]), HHCAHPS was linked to the quality reporting requirement for the CY 2012 annual payment update (APU). As described in the 2011 HHPPS Final Rule (42 CFR Parts 409, 418, 424 et al. [17 November, 2010]), quality reporting for the 2013 APU was required of all Medicare-certified home health agencies who served 60 or more patients between April 1, 2010 and March 31, 2011 who met survey-eligibility criteria. Medicare-certified home health agencies that served 59 or fewer patients between April 1, 2010 and March 31, 2011 who met survey-eligibility criteria were able to apply for exemption from participating in the HHCAHPS Survey.
To receive the annual payment update (APU) for any given year, home health agencies that do not qualify for an exemption from participating in the HHCAHPS Survey for the specified APU must contract with an approved HHCAHPS Survey vendor and administer the survey on an ongoing (monthly) basis and submit HHCAHPS Survey data to the HHCAHPS Data Center on a quarterly basis. More information about the HHCAHPS Survey and participation requirements is available in the “HHA Responsibilities” document. To apply for an exemption, HHAs must count and report to CMS the number of patients served during the specified 12-month period via the online HHCAHPS Survey Participation Exemption Request Form.
Of the 25 core questions, 17 core questions are grouped into three survey “composites” or groupings of like topics, for the purpose of public reporting. The three composites that are publicly reported are “Care of Patients”, “Communications Between Providers and Patients”, and “Specific Care Issues”. We also report the results of two global or overall measures (questions) called “Overall Rating of the Home Health Agency” and “Would You Recommend this Agency to Family and Friends”.
The survey is designed to meet the following three broad goals:
1.To produce comparable data on the patient’s perspective that allows objective and meaningful comparisons between home health agencies on domains that are important to consumers.
2. Public reporting of survey results will create incentives for agencies to improve their quality of care.
3. Public reporting will enhance public accountability in health care by increasing the transparency of the quality of care provided in return for public investment.

Date Created

2012-04-16

Last Modified

2018-04-11

Version

2018-04-11

Update Frequency

Quarterly

Temporal Coverage

N/A

Spatial Coverage

United States

Source

John Snow Labs => Centers for Medicare and Medicaid Services

Source License URL

John Snow Labs Standard License

Source License Requirements

N/A

Source Citation

N/A

Keywords

Home Health Care Survey, HCAHPS, Online Surveys, Home Care Agency, Home Health Agency, Home Care Services, Home Health Care Services, Healthcare at Home, Access Healthcare, Quality Ratings

Other Titles

Patient Survey Results, CMS Home Health Care Consumer Assessment of Healthcare Providers and Systems, Patient Satisfaction Survey

NameDescriptionTypeConstraints
State_AbbreviationTwo-letter state abbreviation in the mailing address of the hospital. This includes information on hospitals in:stringrequired : 1
Quality_of_Patient_Care_Star_RatingIndicates the number of stars given by consumers for quality of care during Home Health Care survey.numberlevel : Ratio
HHT_Patient_Care_In_A_Timely_MannerIndicates the rate for Home Health Team that how often they began treating their patients in a timely manner.numberlevel : Ratio
HHT_Patient_Care_Included_Drug_Health_EducationIndicates the rate for Home Health Team that how often they taught patients or their caregivers about their drugs.numberlevel : Ratio
HHT_Patient_Care_Included_Assessment_for_Risk_of_FallingIndicates the rate for Home Health Team that how often they checked their patient's risk of falling.numberlevel : Ratio
HHT_Patient_Care_Assessment_for_DepressionIndicates the rate for Home Health Team that how often they checked their patients for depression.numberlevel : Ratio
HHT_Patient_Care_Assured_Flu_Shot_Is_Given_for_Current_SeasonIndicates the rate for Home Health Team that how often they made sure that their patients received flu shots for the current flu season.numberlevel : Ratio
HHT_Patient_Care_Assured_Pneumococcal_Vaccine_Is_GivenIndicates the rate for Home Health Team that how often they made sure that their patients received Pneumococcal Vaccine.numberlevel : Ratio
HHT_Patient_Care_Include_Footcare_Education_to_Diabetic_PatientsIndicates the rate for Home Health Team that how often they got doctor's orders about foot care and taught patients with diabetes about foot care.numberlevel : Ratio
Patients_Got_Better_At_Walking_Or_Moving_AroundIndicates the rate for Home Health Team that how often patients got better at walking or moving around.numberlevel : Ratio
Patients_Got_Better_At_Getting_In_And_Out_Of_BedIndicates the rate for Home Health Team that how often their patients got better at getting in and out of bed.numberlevel : Ratio
Patients_Got_Better_At_BathingIndicates the rate for Home Health Team that how often patients got better at bathing.numberlevel : Ratio
Patients_Had_Less_Pain_When_Moving_AroundIndicates the rate for Home Health Team that how often patients had less pain when moving around.numberlevel : Ratio
Patients_Breathing_ImprovedIndicates the rate for Home Health Team that how often patients breathing improves by their treatment.numberlevel : Ratio
Patients_Wounds_Improved_Or_Healed_After_An_OperationIndicates the rate for Home Health Team that how often patients wounds improved or healed after an operation.numberlevel : Ratio
Patients_Got_Better_At_Taking_Their_Drugs_Correctly_By_MouthIndicates the rate for Home Health Team that how often patients got better at taking their drugs correctly by mouth.numberlevel : Ratio
Home_Health_Patients_Had_To_Be_Admitted_To_HospitalIndicates the rate for Home Health Team that how often patients hve had to be admitted to hospital.numberlevel : Ratio
HHC_Patients_Needed_Urgent_Unplanned_Care_In_ER_Without_AdmissionIndicates the rate for Home Health Team that how often patients receiving Home Health Care needed urgent unplanned care in ER without being admitted.numberlevel : Ratio
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