Discharged to the Community Needing Wound Care or Medication 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 wound care or medication assistance.
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 3 or 4, or a non-healing surgical wound, or a non-healing stasis ulcer, or was totally dependent in medication administration.
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 that end with inpatient facility transfer or death.
Use of Risk Adjustment
Risk Adjustments
None
Stratifications
Data Attributes
Type of Data Collection
Data Collection Methods
Outcome and Assessment Information Set (OASIS) submitted by home health agencies. 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
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.