Patient Willingness to Recommend Home Health Agency to Family or Friends

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
Outcome
IOM Quality Dimension
Person-Centredness
Domain
Consumer Experience

Defining Attributes

Definition

Proportion of respondents who answered "Definitely Yes" to the question "Would you recommend this agency to your family and friends if they needed home health care?"

Numerator

The number of respondents in the quarter who answered "Definitely Yes" to this question.

Denominator

The total number of respondents in the quarter who answered this question.

Exclusions

Patients under 18 years of age at any time during their stay, patients who died during the sample month, patients who received fewer than 2 visits from home health agency personnel during a 60-day look-back period, patients have been previously selected for the HHCAHPS sample during any month in the current quarter, patients who are currently receiving hospice, or are discharged to hospice, maternity only patients, no publicity status patients, and patients receiving only non-skilled (aide) care are excluded.

Use of Risk Adjustment
Yes
Risk Adjustments

The patient mix adjustment factors are derived from coefficients obtained from Ordinary Least Squares regression analyses on each separate HHCAHPS response item for the identified patient characteristics. They are calculated directly from these regression coefficients for each HHCAHPS response item by multiplying the coefficients by negative one (−1.0). Patient mix adjustment factors to account for home health agency differences in patient mix are calculated for the latest quarter and applied to home health agency raw scores for each of the latest quarter's HHCAHPS response items. The latest quarter's composite measures are then formed from these adjusted scores. The last four quarters of adjusted scores are then averaged to produce the current quarter's published scores. Published scores are adjusted for differences between an home health agency's patient composition according to the HHCAHPS patient mix characteristics and the overall national composition of home health patients on these same characteristics. Patient mix characteristics: non English survey response, age, education level, residence status (if living alone), self reported health status, mental/emotional status, diagnoses of schizophrenia or dementia/cerebral degeneration.

Stratifications

None

Data Attributes

Type of Data Collection
Surveys
Data Collection Methods

The Consumer Assessment of Healthcare Providers and Systems (CAHPS) Home Health Care Survey is a standardised survey instrument and data collection methodology for measuring home health patients perspectives on their home health care in Medicare-certified home health care agencies. Home health agencies must contract with an approved HHCAHPS Survey vendor and administer the survey on an ongoing (monthly) basis and submit HHCAHPS Survey data to the HHCAHPS Data Centre on a quarterly basis.

Frequency of Data Collection
Quarterly
Frequency of Data Collection in Days
91
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). A score for the overall rating is based on survey data from four quarters, computed by averaging the results obtained from each of the four separate quarters.

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)
Yes
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
12 March 2025