Percentage of Home Health Quality Episodes During Which the Patient's Ability to Take Their Medicines Correctly (by Mouth) Got Much Worse

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
Safety
Domain
Medication-Related

Defining Attributes

Definition

Percentage of home health quality episodes during which the patient's ability to take their medicines correctly (by mouth) got much worse.

Numerator

Number of home health quality episodes where the value recorded on the discharge assessment indicates total dependence in management of oral medications, while the value recorded on the start/resumption of care assessment indicated total independence.

Denominator

Number of home health quality episodes ending with a discharge during the reporting period, other than those covered by generic or measure-specific exclusions.

Exclusions

Home health quality episodes for which the patient, at start/resumption of care, was not totally independent in taking oral medicines, OR episodes that end with inpatient facility transfer or death.

Use of Risk Adjustment
No
Risk Adjustments

None

Stratifications

None

Data Attributes

Type of Data Collection
Data Collection Methods
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
No

Source and Reference Attributes

Evidence Source

Centers for Medicare and Medicaid Services (CMS) Home Health Quality Reporting Program

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
No
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
Yes
Upload Date
23 July 2025