Percentage of home health stays in which patients were discharged to the community and do not have an unplanned admission to an acute care hospital or long-term care hospital in the 31 days and remain alive in the 31 days following discharge to community.

Number of home health stays for patients who do not have an unplanned admission to an acute care hospital or long-term care hospital in the 31-day post- discharge observation window, and who remain alive during the post-discharge observation window.

Number of home health stays that begin during the 2-year observation period.

Patients under 18 years of age, discharged to a psychiatric hospital; discharged against medical advice or to disaster alternative care sites or federal hospitals, discharged to court/law enforcement; to hospice, those who experienced a short-term acute care stay or psychiatric stay for non-surgical treatment of cancer in the 30 days prior to PAC admission, those discharged to another home health agency and baseline nursing facility residents that return to their nursing home as a place of residence.

Adjusted for where appropriate: age, sex, payment source, care start/admission source, risk of hospitalisation, available assistance, living arrangement, clinical factors (pain, pressure ulcer, stasis ulcer, dyspnoea, urinary status, bowel incontinence, cognitive function, anxiety, confusion, depression screening, behavioural symptoms), ADLs, medication management, supervision / safety assistance, health condition diagnoses.

None

Outcome and Assessment Information Set (OASIS).

Home Health Quality Reporting (CMS and providers). Not reported on CMS Care Compare or CMS Provider Data Catalogue.

www.cms.gov/medicare/quality/home-health/home-health-quality-measures www.cms.gov/files/document/home-health-outcome-measures-table-oasis-e2023.pdf-0 Reporting: www.cms.gov/files/document/2022novemberhh-third-edition-qrp-public-reporting-tip-sheet.pdf