Transfer of Health Information to the Provider
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
The measure assesses the timeliness of the transfer of health information, specifically transfer of a reconciled medication list. This measure evaluates for the transfer of information when a patient is transferred or discharged to a subsequent provider. For this proposed measure, the subsequent provider is defined as a short-term general hospital, a skilled nursing facility, intermediate care, home under care of an organised home health service organisation or hospice, hospice in an institutional facility, an inpatient rehabilitation hospital, an long-term care hospital, a Medicaid nursing facility, an inpatient psychiatric facility, or a critical access hospital.
Numerator
Number of home health quality episodes ending in discharge or transfer for which the OASIS indicated that the following is true: At the time of discharge/transfer, the agency provided a current reconciled medication list to the subsequent provider.
Denominator
The denominator is the number quality episodes ending in discharge or/transfer to a short-term general hospital, a skilled nursing facility, intermediate care, home under care of another organised home health service organisation or hospice, hospice in an institutional facility, a swing bed, an inpatient rehabilitation hospital, a long-term care hospital, a Medicaid nursing facility, an inpatient psychiatric facility, or a critical access hospital.
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