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Acute Care Hospitalization During the First 60 Days of Home Health

CBE ID
0171
Endorsement Status
Endorsement Removed
E&M Committee Rationale/Justification

Steward no longer seeking to maintain endorsement

1.0 New or Maintenance
Maintenance
1.1 Measure Structure
Single Measure
Previous Endorsement Cycle
Full Year 2015
Is Under Review
No
1.6 Measure Description

Percentage of home health stays in which patients were admitted to an acute care hospital during the 60 days following the start of the home health stay.

Measure Specs
General Information
1.7 Measure Type
Outcome
1.3 Electronic Clinical Quality Measure (eCQM)
No
1.8 Level of Analysis
Facility
1.20 Types of Data Sources
Claims Data
1.14 Numerator

Number of home health stays for patients who have a Medicare claim for an unplanned admission to an acute care hospital in the 60 days following the start of the home health stay.

1.15 Denominator

Number of home health stays that begin during the 12-month observation period.

Exclusions

The following are excluded: 

1) Home health stays for patients who are not continuously enrolled in fee-for-service Medicare for the 60 days following the start of the home health stay or until death.
2) Home health stays that begin with a Low Utilization Payment Adjustment (LUPA) claim. 
3) Home health stays in which the patient receives service from multiple agencies during the first 60 days.
4) Home health stays for patients who are not continuously enrolled in fee-for-service Medicare for the 6 months prior to the home health stay.

Most Recent Endorsement Activity
Endorsed All-Cause Admissions and Readmissions Project 2015-2017
Initial Endorsement
Last Updated
Removal Date
Steward Organization
Centers for Medicare & Medicaid Services
Steward POC email
[email protected]
Risk Adjustment
Statistical risk model
Use
Use In Federal Program
Home Health Quality Reporting
Home Health Value Based Purchasing
Public Comments