Drug Regimen Review Conducted With Follow-Up for Identified Issues - Post-Acute Care

Identifying Attributes

Care Settings
Home Care
Country
United States of America
Publishing Organisation
Centers for Medicare & Medicaid Services (CMS): Home Health Quality Reporting Program
Type of Quality Indicator
Process
IOM Quality Dimension
Effectiveness
Domain
Medication-Related

Defining Attributes

Definition

Percentage of home health quality episodes in which a drug regimen review was conducted at the start of care or resumption of care and completion of recommended actions from timely follow-up with a physician occurred each time potential clinically significant medication issues were identified throughout that quality episode.

Numerator

Number of quality episodes in which: 1) The agency conducted a drug regimen review at the start of care or resumption of care or the patient is not taking any medications and 2) If potential clinically significant medication issues were identified at any time during the quality episode, then the home health agency contacted a physician (or physician-designee) and completed prescribed/recommended actions by midnight of the next calendar day in response to all the identified issues throughout the quality episode.

Denominator

Number of quality episodes ending with a discharge or, transfer to an inpatient facility, or death at home during the reporting period.

Exclusions

None

Use of Risk Adjustment
No
Risk Adjustments

None

Stratifications

None

Data Attributes

Type of Data Collection
Standardised clinical data
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
60 days
Frequency of Data Collection in Days
60
Reporting Methods

Home Health Quality Reporting (CMS and providers) CMS Care Compare - Home health services and CMS Provider Compare (CMS, providers and publicly reported online).

Reporting Frequency
Quarterly
Reporting Frequency in Days
91
Indicator Has Recommended Targets
No

Source and Reference Attributes

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
Yes
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
12 March 2025