Home Health Compare scores on measures to be used in value-based purchasing
Effective Nov 3, 2015
Published Nov 3, 2015
Last Reviewed Dec 28, 2015
Agencies in the nine states participating in CMS’ upcoming value-based purchasing payment model should compare their scores on value-based purchasing measures with their state’s median scores.
The latest Home Health Compare data, released in October, represent scores from the second quarter of 2014 through the first quarter of 2015. Although the data are several quarters behind the 2015 baseline that will ultimately provide the minimum scores necessary for earning “achievement” points, scores rarely change significantly from quarter to quarter, notes Seattle-based OCS HomeCare by National Research Corporation.
The data below are the medians for “larger” agencies, defined as those having HHCAHPS results in the Home Health Compare database.
Note: The final 2016 PPS rule states that agencies will be measured only on care provided to Medicare beneficiaries within the agency’s state. Home Health Compare data currently include all Medicare and Medicaid patients cared for by agencies.
|
|
Arizona
|
Florida
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Iowa
|
Massachusetts
|
Maryland
|
North Carolina
|
Nebraska
|
Tennessee
|
Wash.
|
Flu vaccine
|
74%
|
68%
|
78%
|
75%
|
77%
|
75%
|
82%
|
76%
|
76%
|
Pneumococcal vaccine
|
75%
|
68%
|
84%
|
73%
|
77%
|
76%
|
86%
|
78%
|
78%
|
Medication education
|
96%
|
97%
|
94%
|
97%
|
95%
|
95%
|
97%
|
94%
|
91%
|
Oral medication management
|
52%
|
54%
|
45%
|
53%
|
56%
|
49%
|
47%
|
53%
|
49%
|
Pain
|
65%
|
73%
|
65%
|
69%
|
70%
|
66%
|
66%
|
65%
|
62%
|
Transferring
|
60%
|
61%
|
55%
|
59%
|
61%
|
59%
|
58%
|
58%
|
57%
|
Ambulation/locomotion
|
62%
|
66%
|
58%
|
62%
|
66%
|
61%
|
58%
|
65%
|
59%
|
Bathing
|
70%
|
73%
|
64%
|
65%
|
69%
|
63%
|
66%
|
68%
|
65%
|
Dyspnea
|
71%
|
68%
|
64%
|
67%
|
75%
|
69%
|
67%
|
66%
|
68%
|
Emergency department use without hospitalization
|
13%
|
10%
|
14%
|
12%
|
11%
|
14%
|
11%
|
13%
|
14%
|
Hospitalization
|
14%
|
16%
|
16%
|
17%
|
16%
|
16%
|
16%
|
17%
|
15%
|
Communication domain
|
85%
|
86%
|
87%
|
86%
|
86%
|
88%
|
86%
|
88%
|
84%
|
Professional domain
|
87%
|
89%
|
89%
|
89%
|
88%
|
90%
|
88%
|
91%
|
87%
|
Specific care issues domain
|
81%
|
83%
|
87%
|
85%
|
83%
|
86%
|
85%
|
85%
|
80%
|
Overall satisfaction
|
81%
|
85%
|
86%
|
85%
|
83%
|
87%
|
84%
|
87%
|
80%
|
Would definitely recommend
|
77%
|
80%
|
83%
|
83%
|
79%
|
82%
|
79%
|
84%
|
78%
|
Source: OCS HomeCare by National Research Corporation, Seattle
|