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what are home health star ratings?
Reading: How to review a start of care home health
medicare & Medicaid Services (CMS) created the Care Compare website at medicare.gov as a key tool to help consumers choose a home health care provider. is designed to be a convenient and easily accessible source of official supplier quality information.
To make the information easier to use, care compare provides tools such as “star ratings” that summarize some of the current measures of performance of health care providers. Star ratings offer consumers another tool to help them make decisions about their health care. find value in other quality information on care comparison.
How are home health star ratings calculated?
because cms knows that the information published on care compare is very important to home health agencies, other stakeholders and consumers, using a transparent development process to ensure that all stakeholders:
- have the opportunity to learn how the star ratings were developed.
- provide information so care compare reflects those who use it or are affected by it.
- star rating for quality of patient care
- Patient Survey Star Ratings
- apply to a substantial proportion of home health care patients and have sufficient data to inform most home health care agencies.
- show a reasonable amount of variation between home health agencies and it should be possible for one home health agency to show improvement in performance.
- have high face validity and clinical relevance.
- be stable and not show substantial random variations over time.
- have changed over time based on the results of ongoing monitoring analyses, input from the technical expert panel, and feedback from stakeholders.
- timely initiation of care (process measure)
- improved ambulation (outcome measure)
- improvement in transfer to bed (outcome measure)
- bathroom improvement (outcome measure)
- improvement in shortness of breath (outcome measure)
- improved management of oral medications (outcome measure)
- acute care hospitalization (based on claims) (outcome)
- patient care (survey items: q9, q16, q19 and q24)
- communication between providers and patients (survey items: q2, q15, q17, q18, q22 and q23)
- specific attention problems (survey items: q3, q4, q5, q10, q12, q13 and q14)
- overall rating of care provided by home health agency (q20)
- stars of patient survey & home health cahps: en.clix.vn@gmail.com or call 1-866-354-0985
- patient care quality star rating: homehealthqualityquestions@cms.hhs.gov
- all requests for formal review of the patient care quality star rating, including requests to delete data: hhc_star_ratings_review_request@cms.hhs.gov.
- Do not mail any identifiable patient information, including medical record numbers, dates of birth, dates of services (including dates of visits, dates of admission, or dates of discharge), or any other data deemed identifier. or protected health information (phi) under hipaa.
cms has shared information in many ways. The way CMS calculates and reports star ratings is now based on stakeholder input and ongoing data analysis. cms expects star ratings to evolve and refine over time. cms we hope you will review the new information and give us your feedback.
what are the types of home health star ratings?
There are two types of home health star ratings:
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the quality of patient care (qopc) star rating is based on oasis reviews and medicare claims data. cms first published these ratings in July 2015 and continues to update them quarterly based on new data published in care comparison.
Patient survey star ratings are based on the cahps home health survey. cms first published these ratings in January 2016 and continues to update them quarterly based on new data published in care comparison.
details on patient care quality star rating
all medicare-certified hhas can potentially receive a star rating for patient care quality. hhas must have data from at least 20 quality completed episodes for each measure to be reported in the care comparison. full episodes are combined with initiation or resumption of care and oasis assessments at the end of care. episodes must have an end-of-care date within the 12-month reporting period, regardless of start date. For a patient care quality star rating to be calculated, you must have reported data for 5 of the 7 measures used in the patient care quality star rating calculation. The current methodology for calculating the patient care quality star rating can be accessed through the downloads section below. this methodology will be updated periodically as further improvements are made.
Each hha gets provider preview reports showing patient care quality star ratings and rating calculations approximately 3.5 months before the ratings are published to care comparison. Agencies have several weeks to review and send us proof of miscalculation to ask us to review your score. On March 26, 2015, cms sponsored a webinar (pdf) to review the report format and process for requesting a review of the patient care quality star rating. A sample report illustrating the Patient Care Quality Star Rating Provider Preview Report format and instructions for submitting review requests can be downloaded from the downloads section of this website. You can also view a sample report illustrating the Patient Care Quality Star Rating Provider Preview report format and webinar slides (pdf).
what measures are included?
The patient care quality star rating methodology includes measures of process and outcome quality that are currently reported in comparison of care. these measures should:
The 7 measures that are part of the quality of the patient star rating are:
details on patient survey star ratings
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cms bases patient survey star ratings on patient experience with measures of care. cms first published these ratings in January 2016 and cms posts all information regarding patient survey star ratings on the hhcahps website.
all medicare certified hhas have the potential to receive a star rating on the patient survey. however, hhas must have 40 or more completed surveys during the four-quarter reporting period to receive star ratings for that reporting period. Home health agencies that do not have 40 or more completed surveys to calculate star ratings will still have their hhcahps data reported publicly on the home health comparison website, but will not receive star ratings.
hhcahps scores based on fewer than 40 completed surveys do not have sufficient statistical reliability to ensure that those scores measure actual performance and not noise in the data to inform star ratings. more details on methods for calculating patient survey star ratings can be found on the hhcahps survey website.
Each hha gets provider preview reports showing patient survey star ratings about a month before the ratings are published on the care comparison. Agencies have several weeks to review and send us proof of miscalculation to ask us to review your score.
what measures are included?
Patient survey star ratings include four of the measures reported in the care comparison. they are:
star rating does not include willingness to recommend the hha item because the results for this item were very similar to those based on the overall care rating.
Where can I learn more about home health star ratings?
here are the people you can contact if you have questions or would like to provide feedback:
See the downloads section at the bottom of this page for more information on home health star ratings. These resources include sample preliminary reports and methodology for calculation using medicare and oasis claims-based measures. They also include an FAQ document that is updated regularly as new comments and questions are received. We encourage you to send any questions or comments you have about star ratings to clix.vn@gmail.com
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