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Patient Experience and Function

3-Item Care Transition Measure (CTM-3)

The CTM-3 is a hospital level measure of performance that reports the average patient reported quality of preparation for self-care response among adult patients discharged from general acute care hospitals within the past 30 days.

CBE ID
0228

CARE: Improvement in Mobility

The measure calculates a skilled nursing facility’s (SNFs) average change in mobility for patients admitted from a hospital who are receiving therapy. The measure calculates the average change in mobility score between admission and discharge for all residents admitted to a SNF from a hospital or another post-acute care setting for therapy (i.e., PT or OT) regardless of payor status. This is a risk adjusted outcome measure, based on the mobility subscale of the Continuity Assessment and Record Evaluation (CARE) Tool and information from the admission MDS 3.0 assessment.

CBE ID
2612

CARE: Improvement in Self Care

The measure calculates a skilled nursing facility’s (SNFs) average change in self care for patients admitted from a hospital who are receiving therapy. The measure calculates the average change in self care score between admission and discharge for all residents admitted to a SNF from a hospital or another post-acute care setting for therapy (i.e., PT or OT) regardless of payor status. This is a risk adjusted outcome measure, based on the self care subscale of the Continuity Assessment and Record Evaluation (CARE) Tool and information from the admission MDS 3.0 assessment.

CBE ID
2613

Change in Basic Mobility as Measured by the AM-PAC:

The Activity Measure for Post Acute Care (AM-PAC) is a functional status assessment instrument developed specifically for use in facility and community dwelling post acute care (PAC) patients. It was built using Item Response Theory (IRT) methods to achieve feasible, practical, and precise measurement of functional status (Hambleton 200, Hambleton 2005).

CBE ID
0429

Change in Daily Activity Function as Measured by the AM-PAC:

The Activity Measure for Post Acute Care (AM-PAC) is a functional status assessment instrument developed specifically for use in facility and community dwelling post acute care (PAC) patients. It was built using Item Response Theory (IRT) methods to achieve feasible, practical, and precise measurement of functional status (Hambleton 2000, Hambleton 2005).

CBE ID
0430

Emergency Transfer Communication Measure

Percentage of all patients transferred from an Emergency Department to another healthcare facility whose medical record documentation indicated that all required information was communicated (sent) to the receiving facility within 60 minutes of transfer For all data elements, the definition of ‘sent’ includes the following:
• Hard copy sent directly with the patient, or 
• Sent via fax or phone within 60 minutes of patient departure, or
• Immediately available via shared Electronic health record (EHR) or Health Information Exchange (HIE) (see definition below)

CBE ID
0291

Experience of Care and Health Outcomes (ECHO) Survey

The ECHO is a survey that includes 5 multiple item measures and 12 single item measures:

Multiple Item Measures:

Getting treatment quickly
-Get treatment as soon as wanted when it was needed right away
-Get appointments as soon as wanted
-Get professional help by telephone
How well clinicians communicate
-Clinicians listen carefully
-Clinicians explain things in an understandable way
-Clinicians show respect
-Clinicians spend enough time
-Feel safe with clinicians
-Patient involved as much as wanted in treatment
Perceived improvement

CBE ID
0008

Fall 2022 Post-Comment Meeting

Following the conclusion of the Fall 2022 public comment period, the project committee reviews submitted comments. After its review, the committee may choose to revise its recommendations within in response to a specific comment or series of comments. In addition the project committee will re-vote on measures in which consensus was not reached during the Fall 2022 measure evaluaiton meeting. Any revisions will be reflected in the final report.