Home Health Quality Improvement Campaign

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1 Home Health Quality Improvement Campaign Description of Monthly Report for Improvement in Oral Medications

2 Monthly Report for Improvement in Management of Oral Medications All data displayed illustrate the Agency s improvement in the management of oral medications. Data source: OASIS C Inclusions: Reports are episodes that are SOC/ROC to discharge from agency not to an inpatient facility. Patients aged between 18 and 120 years of age Reports are not produced for agencies with less than 5 discharges Reports are provided by Medicare Provider Number (or CMS Certification Number) for agencies registered with the Home Health Quality Improvement National Campaign. Additionally, parent and branch agency reports are available (if appropriate). Time period: Rolling 12 months Data update: Monthly by approximately the 20th of each month Registration to receive the data reports: 1

3 M2020 Management of Oral Medications Patient's current ability to prepare and take all oral medications reliably and safely, including administration of the correct dosage at the appropriate times/intervals. Excludes injectable and IV medications. (NOTE: This refers to ability, not compliance or willingness.) 0 Able to independently take the correct oral medication(s) and proper dosage(s) at the correct times. 1 Able to take medication(s) at the correct times if: individual dosages are prepared in advance by another person; OR another person develops a drug diary or chart. 2 Able to take medication(s) at the correct times if given reminders by another person at the appropriate times 3 Unable to take medication unless administered by another person. NA No oral medications prescribed. # of discharges for specified month that had an improvement in the management of oral medications # of Agency discharges for the specified month Improvement rate for the management of oral medications for the specified month ((Improvement / Discharges)*100) Data interpretation: The higher the percentage indicates better performance in the management of oral medications. 2

4 M2000 Drug Regimen Review Does a complete drug regimen review indicate potential clinically significant medication issues, e.g., drug reactions, ineffective drug therapy, side effects, drug interactions, duplicate therapy, omissions, dosage errors, or noncompliance? 0 Not assessed/reviewed [ Go to M2010 ] 1 No problems found during review [ Go to M2010 ] 2 Problems found during review NA Patient is not taking any medications [ Go to M2040 ] % of discharges for each of the drug regimen review categories who had an improved oral medication rate # of discharges for each drug regimen review category of data will not add up to 100%. In the example above, for those who were not assessed for a drug regimen review in the month of January, of the 3 applicable discharges, only 1 discharge indicated an improvement in their oral medication management (33.3%). The higher the percentage indicates better performance in the management of oral medications. 3

5 M2002 Medication Follow up Was a physician or the physician designee contacted within one calendar day to resolve clinically significant medication issues, including reconciliation? 0 No 1 Yes % of discharges for each of the medication follow-up categories who had an improved oral medication rate # of discharges for each medication follow-up category Note: the value for NA is derived from those instances where M2000 (Drug Regimen Review) is equal to a 0 (Not assessed/reviewed) or a 1 (No problems found during review) of data will not add up to 100%. In the example above, for those who did not have a medication follow up ( No ) in the month of January, of the 3 applicable discharges, 2 discharges indicated an improvement in their oral medication management (66.7%). The higher the percentage indicates better performance in the management of oral medications. 4

6 M2004 Medication Intervention If there were any clinically significant medication issues since the previous OASIS assessment, was a physician or the physician designee contacted within one calendar day of the assessment to resolve clinically significant medication issues, including reconciliation? 0 No 1 Yes NA No clinically significant medication issues identified since the previous OASIS assessment % of discharges for each of the medication intervention categories who had an improved oral medication rate # of discharges for each medication intervention category of data will not add up to 100%. In the example above, for those who did not have a medication intervention ( No ) in the month of January, of the 13 applicable discharges, 7 discharges indicated an improvement in their oral medication management (53.8%). The higher the percentage indicates better performance in the management of oral medications. 5

7 (M2010) Patient/Caregiver High Risk Drug Education Has the patient/caregiver received instruction on special precautions for all high risk medications (such as hypoglycemics, anticoagulants, etc.) and how and when to report problems that may occur? 0 No 1 Yes NA Patient not taking any high risk drugs OR patient/caregiver fully knowledgeable about special precautions associated with all high risk medications % of discharges for each of the patient high risk drug education categories who had an improved oral medication rate # of discharges for each patient high risk drug education category of data will not add up to 100%. In the example above, for patient who did not receive high risk drug education ( No ) in the month of January, of the 3 applicable discharges, 2 discharges indicated an improvement in their oral medication management (66.7%). The higher the percentage indicates better performance in the management of oral medications. 6

8 (M2015) Patient/Caregiver Drug Education Intervention Since the previous OASIS assessment, was the patient/caregiver instructed by agency staff or other health care provider to monitor the effectiveness of drug therapy, drug reactions, and side effects, and how and when to report problems that may occur? 0 No 1 Yes NA Patient not taking any drugs % of discharges for each of the patient drug education intervention categories who had an improved oral medication rate # of discharges for each patient drug education intervention category of data will not add up to 100%. In the example above, for patient who did not receive a drug education intervention ( No ) in the month of January, of the 11 applicable discharges, 4 discharges indicated an improvement in their oral medication management (36.4%). The higher the percentage indicates better performance in the management of oral medications. 7

9 M0066 Birth Date: / / month / day / year % of discharges for each age category who had an improved oral medication rate # of discharges for each patient age category of data will not add up to 100%. In the example above, for patients aged grouping had 8 applicable discharges, 5 discharges indicated an improvement in their oral medication management (62.5%). The higher the percentage indicates better performance in the management of oral medications. 8

10 (M0140) Race/Ethnicity: (Mark all that apply.) 1 American Indian or Alaska Native 2 Asian 3 Black or African American 4 Hispanic or Latino 5 Native Hawaiian or Pacific Islander 6 White % of discharges for each race category who had an improved oral medication rate # of discharges for each patient race category of data will not add up to 100%. In the example above, for patients with the race of white had 18 applicable discharges, 8 discharges indicated an improvement in their oral medication management (44.4%). The higher the percentage indicates better performance in the management of oral medications. 9

11 This material was prepared by the West Virginia Medical Institute, the Quality Improvement Organization supporting the Home Health Quality Campaign, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. Publication number: 9SOW WV HH BBK A App. 04/10. 10

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