A JOURNEY TO EXCELLENCE [email protected][email protected] The Basics What is Star Rating? What is a normal Star Rating? How is Star Rating calculated? When are Star Ratings posted and where? https://www.medicare.gov/homehealthcompare/search.html [email protected] 1. 2. 3.
4. 5. 6. 7. 8. 9. Timely Start of Care Drug Education on all Medications Provided to Patient/Caregiver Flu Vaccine Received for Current Flu Season Improvement in Ambulation Improvement in Bed Transferring Improvement in Bathing Improvement in Pain Interfering With Activity Improvement in Shortness of Breath Acute Care Hospitalization
[email protected] The Analysis of Findings 1. Make Groups: For each of the 9 quality measures, the scores are sorted low to high 2. Assign Group Rating: Each group is assigned an initial ranking from 0.5 to 5.0 3. Adjust Ratings: Ratings may need to be adjusted if your HHA's score is not statistically different from the two national middle scores of 2.5 and 3.0 4. Get Average Adjusted Rating: To obtain one overall score for your HHA rather than scores measure-by-measure, the adjusted ratings are averaged across the 9 measures and rounded to the nearest 0.5 [email protected]
The Process of Change Measure 1: Timely Initiation of Care Clean operations affect this Sales Intake Scheduling Start of Care Standardized referral form to include all necessary information. Complete referral information Complete intake process with accuracy
Quick communication between these 2 steps Transition of referral information to clinician Clinicians who understand the importance of how the pre-SOC process should be contacting patients early in the day of SOC [email protected] Measure 2: Drug Education Completed at TRANSFER/DISCHARGE (M2015) Patient/Caregiver Drug Education Intervention: At the time of, or at any time 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, adverse drug reactions, and significant side effects, and how and when to report problems that may occur?
0 - No 1 - Yes NA - Patient not taking any drugs [email protected] Measure 3: Flu Vaccine Completed at TRANSFER/DISHARGE (M1046) Influenza Vaccine Received: Did the patient receive the influenza vaccine for this years flu season? 1 - Yes; received from your agency during this episode of care (SOC/ROC to Transfer/Discharge) 2 - Yes; received from your agency during a prior episode of care (SOC/ROC to Transfer/Discharge) 3 - Yes; received from another health care provider (for example, physician, pharmacist) 4 - No; patient offered and declined 5 - No; patient assessed and determined to have medical contraindication(s) 6 - No; not indicated - patient does not meet age/condition guidelines for influenza vaccine
7 - No; inability to obtain vaccine due to declared shortage 8 - No; patient did not receive the vaccine due to reasons other than those listed in responses 4 7 [email protected] Measure 4: Ambulation Completed at SOC/ROC/RCT/DC from Agency (M1860) Ambulation/Locomotion: Current ability to walk safely, once in a standing position, or use a wheelchair, once in a seated position, on a variety of surfaces. 0 - Able to independently walk on even and uneven surfaces and negotiate stairs with or without railings (specifically: needs no human assistance or assistive device). 1 - With the use of a one-handed device (for example, cane, single crutch, hemiwalker), able to independently walk on even and uneven surfaces and negotiate stairs with or without railings. 2 - Requires use of a two-handed device (for example, walker or crutches) to walk alone on a level surface and/or requires human supervision or assistance to negotiate stairs or steps or uneven surfaces. 3 - Able to walk only with the supervision or assistance of another person at all
times. 4 - Chairfast, unable to ambulate but is able to wheel self independently. 5 - Chairfast, unable to ambulate and is unable to wheel self. 6 - Bedfast, unable to ambulate or be up in a chair. [email protected] Measure 5: Bed Transferring Completed at SOC/ROC/TRANSFER/DC from Agency (M1850) Transferring: Current ability to move safely from bed to chair, or ability to turn and position self in bed if patient is bedfast. 0 - Able to independently transfer. 1 - Able to transfer with minimal human assistance or with use of an assistive device. 2 - Able to bear weight and pivot during the transfer process but unable to transfer self.
3 - Unable to transfer self and is unable to bear weight or pivot when transferred by another person. 4 - Bedfast, unable to transfer but is able to turn and position self in bed. 5 - Bedfast, unable to transfer and is unable to turn and position self. [email protected] Measure 6: Bathing Completed at SOC/ROC/TRANSFER/DC from Agency (M1830) Bathing: Current ability to wash entire body safely 0 - Able to bathe self in shower or tub independently, including getting in and out of tub/shower. 1 - With the use of devices, is able to bathe self in shower or tub independently, including getting in and out of the tub/shower.
2 - Able to bathe in shower or tub with the intermittent assistance of another person: for intermittent supervision or encouragement or reminders, OR to get in and out of the shower or tub, OR for washing difficult to reach areas. 3 - Able to participate in bathing self in shower or tub, but requires presence of another person throughout the bath for assistance or supervision. 4 - Unable to use the shower or tub, but able to bathe self independently with or without the use of devices at the sink, in chair, or on commode. 5 - Unable to use the shower or tub, but able to participate in bathing self in bed, at the sink, in bedside chair, or on commode, with the assistance or supervision of another person throughout the bath. 6 - Unable to participate effectively in bathing and is bathed totally by another person. [email protected] Measure 7: Pain and Activity
Completed at SOC/ROC/RCT/DC from Agency (M1242) Frequency of Pain Interfering with patient's activity or movement: 0 - Patient has no pain 1 - Patient has pain that does not interfere with activity or movement 2 - Less often than daily 3 - Daily, but not constantly 4 - All of the time [email protected] Measure 8: Shortness of Breath Completed at SOC/ROC/RCT/DC from Agency (M1400) When is the patient dyspneic or noticeably
Short of Breath? 0 - Patient is not short of breath 1 - When walking more than 20 feet, climbing stairs 2 - With moderate exertion (for example, while dressing, using commode or bedpan, walking distances less than 20 feet) 3 - With minimal exertion (for example, while eating, talking, or performing other ADLs) or with agitation 4 - At rest (during day or night) [email protected] Measure 9: Acute Care Hospitalization No OASIS questions affect this
Determined by claims data Can we control this? Messaging with Patients Technology Build Rapport
[email protected] Day-to-Day Changewhat it looks like Increasing Star Rating Clinical Implementation Training for Accountability managers Clinical training Monitoring in Meetings Review of patient records Seeing the day-today details and holding the proper
people accountable. Teach striving for excellence 5 [email protected] Q&A Panel Discussion
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