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.
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
1.15 Denominator
Number of home health stays that begin during the 12-month observation period.
Exclusions
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.
Measure Record
Most Recent Endorsement Activity
Endorsed All-Cause Admissions and Readmissions Project 2015-2017
Public Comments