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