Discharged to the Community Needing Toileting Assistance
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of home health quality episodes at the end of which the patient was discharged, with no formal assistance available, needing toileting assistance.
Numerator
Number of home health quality episodes where the discharge assessment indicated the patient, was totally dependent in toileting, and remained in community without formal assistive services.
Denominator
Number of home health quality episodes ending with a discharge during the reporting period, other than those covered by generic or measure-specific exclusions.
Exclusions
Home health quality episodes that end with inpatient facility transfer or death.
Use of Risk Adjustment
Risk Adjustments
Not risk adjusted since 2019. Previously adjusted for variation in patient characteristics
Stratifications
Data Attributes
Type of Data Collection
Data Collection Methods
Standardised Patient Assessments created using the OASIS assessment tool data. OASIS-based measures are created using counts of HH quality episodes.
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Potentially Avoidable Event (PAE) measures are a subset of outcome measures that are derived from OASIS data but are not a part of the home healthQRP. PAE measures were developed as part of the Outcome-Based Quality Improvement (OBQI) initiative that preceded the home healthQRP. PAE measures are not reported on Care Compare but are available to home health agencies via internet Quality Improvement and Evaluation System (iQIES) reports.
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Evidence Source
www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HomeHealthQualityInits/Home-Health-Quality-Measures Home Health Quality Measures – Potentially Avoidable Events www.cms.gov/files/document/home-health-pae-measures-table-oasis-d112-2019.pdf