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Percentage of home health stays in which patients used the emergency department but were not admitted to the hospital during the 60 days following the start of the home health stay.
Measure Specs
General Information
Numerator
Number of home health stays for patients who have a Medicare claim for outpatient emergency department use and no claims for acute care hospitalization 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.
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