CMS has recently posted an updated home health process quality measure table as a result of the revisions made to the timely initiation of care measure. The document was modified to further align with the revised Home Health Conditions of Participation (CoPs), which took effect Jan. 13.
 
Under the revised CoPs, CMS now allows for a physician-ordered resumption of care (ROC) date beyond 48 hours for patients coming from an inpatient facility. This means physicians can specify a resumption of care (ROC) date more tailored to specific patients’ needs and preferences, the CoPs state (HHL 1/15/18).
 
As a result of this change in logic, no agencies will be penalized in their timely initiation of care measures when a physician-ordered ROC date occurs later than two days after inpatient stay and the agency completes the ROC assessment on the physician-ordered ROC date.