HH Compare. IMPACT Act. Measure HHVBP

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3 Measure HH Compare Star Rating Improvement in Bathing X X X Improvement in Bed Transferring X X X Improvement in Ambulation/Locomotion X X X Improvement in Management of Oral Medications X X Improvement in Dyspnea X X X Improvement in Pain Interfering in Activity X X X Improvement in Status of Surgical Wounds Discharged to Community % of Patients with Pressure Ulcers that are New or Worsened New to HHC in 2019 X HHVBP X IMPACT Act X

4 Measure HH Compare Star Rating Acute Care Hospitalization During the First 60 Days of Home Health X X X HHVBP IMPACT Act ED Use Without Hospitalization During the First 60 Days of Home Health X X Re-hospitalization During the First 30 Days of Home Health ED Use Without Hospitalization Readmission During the First 30 Days of Home Health Discharge to Community Potentially Preventable 30-Day Post Discharge Readmission Measure X X New to HHC in 2019 New to HHC in 2019 X X Resource Use Measure Risk Adjusted Claims Based Total Estimated Medicare Spending Per Beneficiary New to HHC in 2019 X

5 Measure Drug Education on All Medications Provided to Patient/Caregiver During All Episodes of Care HH Compare Timely Initiation of Care X X Depression Assessment Conducted Multifactor Fall Risk Assessment Conducted for All Patients Who Can Ambulate Diabetic Foot Care and Patient/Caregiver Education Implemented During all Episode of Care Star Rating HHVBP X X Removed in Performance Year 3 (2018) Flu Immunization Received for Current Flu Season X Removed April 2018 Pneumococcal Polysaccharide Vaccine (PPV) Ever Received X X Drug Regimen Review Conducted with Follow-Up for Identified Issues X X X New to HHC in 2019 X IMPACT Act X

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18 MEASURE DESCRIPTION HHA #1 HHA #2 IOWA AVERAGE NATIONAL AVERAGE How often patients got better at walking or moving around 68% 50% 57% 63% How often patients got better at getting in and out of bed 63% 37% 49% 59% How often patients got better at bathing 72% 53% 62% 68% How often patients had less pain when moving around 99% 100% 99% 99% How often patients breathing improved 99% 100% 98% 98% How often patients wounds improved or healed after an operation 61% Not available 57% 68% How often the home health team taught patients (or their family / caregivers) about their drugs 73% 72% 85% 88% How often patients got better at taking drugs correctly by mouth 51% 38% 50% 65% How often the home health team checked patients risk for falling 98% 99% 87% 89% How often the home health team checked patients for depression 99% 98% 98% 99% How often the home health team made sure that their patients have received a flu shot for the current flu season For patients with diabetes, how often the home health team got doctor s orders, gave foot care, and taught patients about foot care How often patients receiving home health care needed any urgent, unplanned care in the hospital emergency room without being admitted to the hospital 96% 97% 97% 98% 81% 100% 96% 97% 17% 9% 12% 12% How often home health patients had to be admitted to the hospital 16% 14% 15% 16%

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58 Criteria: Respiratory Patient Patient Patient Does patient not have respiratory diagnosis? Did the respiratory assessment correlate with the M item for dyspnea? Was physician notified for all respiratory signs and symptoms? Was respiratory education documented? Was understanding of education by patient/caregiver documented? Did the patient/caregiver contact the HHA prior to going to the ER? If yes, did the nurse call the physician and/or make a visit? Was there anything the HHA could have done to prevent emergent care for respiratory reasons? Total per Patient - Total Compliance -

59 Criteria: Pain Patient Patient Patient Did the pain assessment correlate with the M item for pain on OASIS? Was physician notified for all pain signs and symptoms? Were all pain assessments complete and thorough? Was pain education documented? Was understanding of education by patient/caregiver documented? Did the patient/caregiver contact the HHA prior to going to the ER? If yes, did the nurse call the physician and/or make a visit? Was there anything the HHA could have done to prevent emergent care for uncontrolled pain? Total per Patient - Total Compliance -

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