by Kerry Termine, DPT, HCS-D, COS-C
What are the Quality Measure (QM) Reports?
The Internet Quality Improvement and Evaluation System (iQIES) QM reports are on-demand reports that provide home health agencies with Quality Reporting Program (QRP) measure data for up to a rolling 12-months of measure data results.
There is an agency-level report and a patient-level or “tally” report for both Outcome Measures and Process Measures. These reports allow agencies to track their quality measure data regardless of quarterly submission deadlines.
Assessment-based (OASIS) measure data is updated twice per month on both the agency-level reports and the tally reports. Each update contains a rolling 12-months of data. Claims-based measure data is updated annually and only on the agency-level reports. There are no QM reports with patient-level claims-based measure data.
Outcome Measure Reports
Home health agencies can use their Outcome Report to monitor their outcome measures. This agency-level Outcome Report has four comparison rates:
- HHA Observed – the current agency performance (not risk-adjusted) for a measure for the selected current period
- HHA Adjusted Prior – the risk-adjusted agency performance for a measure for the selected prior period
- HHA Care Compare Risk-Adjusted Rate (if applicable) – the agency’s Care Compare risk-adjusted performance for the measure for the selected period
- National Observed Rate – the average performance of all agencies that have a home health stay for the selected period
The Outcome Tally Report can be used by agencies to look at measure data at the patient-level. The report indicates quality episodes where measures were triggered on the Outcome Report. These reports can be used to further investigate undesirable outcomes and develop education and/or new policies and procedures to avoid recurrence in the future.
Process Measures Reports
Home health agencies can use their Process Measures Report to monitor their OASIS-based process measures. This agency-level Process Measures Report has three comparison rates:
- HHA Observed – the current agency performance (not risk-adjusted) for a measure for the selected current period
- HHA Adjusted Prior – the risk-adjusted agency performance for a measure for the selected prior period
- National Observed Rate – the average performance of all agencies that have a quality episode of care for the selected period
The Process Tally Report can be used by agencies to look at measure data at the patient-level. The report indicates quality episodes where measures were triggered on the Process Measures Report. These reports can be used to further investigate undesirable process measure data and develop education and/or new policies and procedures to avoid recurrence in the future.
Questions related to OASIS coding and documentation of the OASIS responses can be sent to the Home Health Quality Help Desk: homehealthqualityquestions@cms.hhs.gov.
___
Stay up to date on new CMS information related to HHVBP and OASIS accuracy.
- Follow OASIS Answers on Facebook, Instagram, or LinkedIn
- Sign up for our email list for regular updates and resources
