Transfer of Health Information to the Patient
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
This measure assesses for and reports on the timely transfer of health information, i.e., a current reconciled medication list, to the patient when discharged from home health to a private home/apartment, board and care home, assisted living, group home, or transitional living.
Numerator
The number of quality episodes ending in a discharge from the agency for which the OASIS indicated that the following is true: At the time of discharge, the agency provided a current reconciled medication list to the patient, family, and/or caregiver.
Denominator
Number of quality episodes ending in discharge to a private home/ apartment, board/care, assisted living, group home, or transitional living.
Exclusions
Patients who die during the episode and patients discharged to a location not specified in denominator statement.
Use of Risk Adjustment
Risk Adjustments
None
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) To be reported on CMS Care Compare - Home health services and CMS Provider Compare by January 2024.
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Evidence Source
Centers for Medicare and Medicaid Services (CMS). Home health quality measures 2020 [Available from: www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HomeHealthQualityInits/Home-Health-Quality-Measures. Centers for Medicare and Medicaid Services (CMS). Home Health Quality Measures 2023 [Available from: www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HomeHealthQualityInits/Home-Health-Quality-Measures