Home Quality Indicator Repository Discharged to the Community With an Unhealed Stage 2 Pressure Ulcer

Discharged to the Community With an Unhealed Stage 2 Pressure Ulcer

Identifying Attributes

Care Settings
Care Transitions
Country
United States of America
Publishing Organisation
Centers for Medicare & Medicaid Services (CMS): Home Health Quality Measures - Potentially Avoidable Events
Type of Quality Indicator
Outcome
IOM Quality Dimension
Effectiveness
Domain
Appropriate Care

Defining Attributes

Definition

Percentage of home health quality episodes at the end of which the patient was discharged with a stage 2 pressure ulcer that has remained unhealed for 30 days or more while a home health patient.

Numerator

Number of home health quality episodes where, at discharge, patient remained in the community without formal assistive services and had a pressure ulcer of stage 2 more than 30 days old, and the patient has been on service at least 30 days.

Denominator

Number of home health quality episodes for which discharge disposition is unknown at discharge, OR for 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
No
Risk Adjustments

Not risk adjusted since 2019. Previously adjusted for variation in patient characteristics

Stratifications

Data Attributes

Type of Data Collection
Standardised clinical data
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
Entry of home health service and the last 5 days of every 60 day period beginning with the start of care date.
Frequency of Data Collection in Days
60
Reporting Methods
Reporting Frequency
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 in Days
60
Indicator Has Recommended Targets
No

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

Technical Specifications
Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
No
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
23 July 2025

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Date Modified 23 July 2025