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Home Health Quality Award Criteria

2017 Nevada and Utah Home Health Quality Award Criteria

Home health recipients of the 2017 HealthInsight Quality Award will be selected based on the following criteria for Nevada and Utah:

  1. The agency ranks in the 90th percentile using current ranking methods: Based on the 16 available quality measures and a minimum of one-full year of data.
  2. The agency has no condition of participation level deficiencies on their last Medicare certification survey: HealthInsight will verify this information.
  3. The agency demonstrates the following: A quality improvement project completed within the last year that targets one quality measure and promotes one element of patient-centered care. HealthInsight understands that a project may cross several quality measures and elements of patient-centered care. Please pick one in each category that is most applicable.

    Quality Measures

    • How often patients got better at walking or moving around
    • How often patients got better at getting in and out of bed
    • How often patients got better at bathing
    • How often patients had less pain when moving around
    • How often patients' breathing improved
    • How often patients' wounds improved or healed after an operation
    • How often the home health team began their patients' care in a timely manner
    • How often the home health team taught patients (or their family caregivers) about their drugs
    • How often patients got better at taking their drugs correctly by mouth
    • How often the home health team checked patients' risk of falling
    • How often the home health team checked patients for depression
    • How often the home health team determined whether patients received a flu shot for the current flu season
    • How often the home health team determined whether their patients received a pneumococcal vaccine (pneumonia shot)
    • For patients with diabetes, how often the home health team got doctor's orders, gave foot care, and taught patients about foot care
    • How often patients receiving home health care needed any urgent, unplanned care in the hospital emergency room - without being admitted to the hospital
    • How often home health patients had to be admitted to the hospital

    Elements of patient-centered care:

    • Respect for patient values, preferences and expressed needs
    • Coordination and integration of care
    • Information, communication and education
    • Physical comfort
    • Emotional support
    • Involvement of family and friends
    • Transition and continuity

2017 New Mexico Home Health Quality Award Criteria

Home health recipients of the 2017 HealthInsight Quality Award will be selected based on the following criteria for New Mexico:

  1. The agency ranks in the 85th percentile using current ranking methods: This is based on the 16 available quality measures and a minimum of one full year of data.
  2. The agency has no condition of participation level deficiencies on their last Medicare certification survey: HealthInsight will verify this information.
  3. The agency demonstrates the following: A quality improvement project completed within the last year that targets one quality measure and promotes one element of patient-centered care. HealthInsight understand that a project may cross several quality measures and elements of patient-centered care. Please pick one in each category that is most applicable.
  4. Quality Measures

    • How often patients got better at walking or moving around
    • How often patients got better at getting in and out of bed
    • How often patients got better at bathing
    • How often patients had less pain when moving around
    • How often patients' breathing improved
    • How often patients' wounds improved or healed after an operation
    • How often the home health team began their patients' care in a timely manner
    • How often the home health team taught patients (or their family caregivers) about their drugs
    • How often patients got better at taking their drugs correctly by mouth
    • How often the home health team checked patients' risk of falling
    • How often the home health team checked patients for depression
    • How often the home health team determined whether patients received a flu shot for the current flu season
    • How often the home health team determined whether their patients received a pneumococcal vaccine (pneumonia shot)
    • For patients with diabetes, how often the home health team got doctor's orders, gave foot care, and taught patients about foot care
    • How often patients receiving home health care needed any urgent, unplanned care in the hospital emergency room - without being admitted to the hospital
    • How often home health patients had to be admitted to the hospital

    Elements of patient-centered care:

    • Respect for patient values, preferences and expressed needs
    • Coordination and integration of care
    • Information, communication and education
    • Physical comfort
    • Emotional support
    • Involvement of family and friends
    • Transition and continuity

Excellence in Quality Improvement Recognition Certificate

Home health agencies that demonstrate the specified level of improvement over a one-year time frame will be recognized with a certificate for excellence in quality improvement. Eligibility for recognition includes:

  • No Condition of Participation level deficiencies on the last state survey
  • An decrease in the gap between the ranking for the previous year's award selection and the 100th percentile by 50 percent. For example, if the original ranking was the 20th percentile, the agency would have to improve to at least the 60th percentile: (20 + {[100 - 20] * 0.5}) = 60.

Home Health Consumer Assessment of Health Care Providers and Systems (HHCAHPS) Recognition Certificate

Home health agencies that demonstrate the specified level of achievement will be recognized with a certificate for providing patients with an excellent home care experience. Eligibility for recognition includes:
  • No Condition of Participation level deficiencies on the last state survey
  • An agency must rank in the top 25 percent on HHCAHPS scores. (This is based on a minimum of one-full year of data.)

Go to the 2017 New Mexico Home Health Award Application!

Go to the 2017 Nevada Home Health Award Application!

Go to the 2017 Utah Home Health Award Application!