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Acute Care Hospitalization During the First 60 Days of Home Health

CBE ID
0171
Endorsed
New or Maintenance
Is Under Review
No
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 Type
    Electronic Clinical Quality Measure (eCQM)
    Level Of Analysis
    MAT output not attached
    Attached
    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.

    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.

    All information required to stratify the measure results
    Off
    All information required to stratify the measure results
    Off
    Testing Data Sources
  • Risk Adjustment
    Risk adjustment approach
    Off
    Risk adjustment approach
    Off
    Conceptual model for risk adjustment
    Off
    Conceptual model for risk adjustment
    Off
  • Most Recent Endorsement Activity
    Endorsed All-Cause Admissions and Readmissions Project 2015-2017
    Initial Endorsement
    Next Planned Maintenance Review
    Fall 2023
    Endorsement Status
    E&M Committee Rationale/Justification

    Steward no longer seeking to maintain endorsement

    Last Updated
    Removal Date
  • Detailed Measure Specifications
    No
    Logic Model
    Off
    Impact and Gap
    No
    Feasibility assessment methodology and results
    No
    Address health equity
    No
    Measure’s use or intended use
    No
    508 Compliance
    Off
    If no, attest that all information will be provided in other fields in the submission.
    Off