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Acute Care Hospitalization During the First 60 Days of Home Health

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

Steward no longer seeking to maintain endorsement

1.0 New or Maintenance
1.1 Measure Structure
Previous Endorsement Cycle
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
      1.3 Electronic Clinical Quality Measure (eCQM)
      1.8 Level of Analysis
      1.20 Types of Data Sources
      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
              Risk Adjustment
                Public Comments