Improvement in Toilet Transferring
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of home health quality episodes of care during which patients improved in ability to get to and from and on and off the toilet.
Numerator
Number of home health quality episodes of care where the value recorded on the discharge assessment indicates less impairment in getting to and from and on and off the toilet at discharge than at start (or resumption) of care.
Denominator
Number of home health quality episodes of care ending with a discharge during the reporting period, other than those covered by generic or measure-specific exclusions.
Exclusions
Home health quality episodes of care for which the patient, at start/resumption of care, was able to dress upper body without assistance or supervision, episodes that end with inpatient facility transfer or death, or patient is nonresponsive.
Use of Risk Adjustment
Risk Adjustments
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.
Stratifications
None
Data Attributes
Type of Data Collection
Data Collection Methods
Outcome and Assessment Information Set (OASIS). 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
Frequency of Data Collection in Days
Reporting Methods
Home Health Quality Reporting (CMS and providers). Not reported on CMS Care Compare or CMS Provider Data Catalogue.