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?"

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

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

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.

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.

None

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.

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.

www.cms.gov/medicare/quality/home-health/home-health-quality-measures homehealthcahps.org/

cmit.cms.gov/cmit/#/MeasureView?variantId=5314&sectionNumber=12 Calculation: homehealthcahps.org/Portals/0/HHCAHPSstepscalculatecomposites.pdf?ver=7PCs8ovwE7U9VewwEbtXVg%3d%3d Risk adjustment: homehealthcahps.org/Portals/0/PublicReporting/PMAandHHCAHPSresultsOctPublicReporting2019.pdf homehealthcahps.org/Portals/0/PublicReporting/LinearizedPatMixCoeffJan2022thruDec2022.pdf