The following table contains the list of measures CMS will use to gauge performance and base payment adjustments — positive or negative — of up to 3% to 8% over the course of the demonstration.
Title
 
OASIS item data source
Other data source
Improvement in ambulation-locomotion
M1860 (Ambulation-locomotion)
 
 
Improvement in bed transferring
M1850 (Transferring)
 
Improvement in bathing
M1830 (Bathing)
 
Improvement in dyspnea
M1400 (Short of breath)
 
Discharged to community
M2420 (Discharge disposition)
 
Acute care hospitalization: Unplanned hospitalization during first 60 days of home health; hospitalization during first 30 days of home health
 
Claims data
Emergency department use without hospitalization
 
Claims data
Improvement in pain interfering with activity
M1242 (Frequency of pain interfering)
 
Improvement in management of oral medications
M2020 (Management of oral medications)
 
Prior functioning ADL/IADL
M1900 (Prior functioning ADL/IADL)
 
Care of patients
 
HHCAHPS
Communications between providers and patients
 
HHCAHPS
Specific care issues
 
HHCAHPS
Overall rating
 
HHCAHPS
Willingness to recommend
 
HHCAHPS
Process measures
 
Care management: Types and sources of assistance
M2102 (Types and sources of assistance)
 
Influenza vaccine data collection period
M1041 (Influenza vaccine data collection period)
 
Influenza immunization received
M1046 (Influenza vaccine received)
 
Flu vaccine received
M1051 (Pneumococcal vaccine)
 
Reason flu vaccine not received
M1056 (Reason flu vaccine not received)
 
Drug education on all medications provided
M2015 (Patient/caregiver drug education intervention)
 
Influenza vaccination coverage for agency personnel
 
New measure, reported by agencies through web portal
Herpes Zoster (Shingles) vaccination: Has the patient ever received this vaccination
 
New measure, reported by agencies through web portal
Advanced care plan
 
New measure, reported by agencies through web portal
Source:  2016 PPS final rule