Table 1. HHVBP Performance Measures for 2020.
| Measure name | Measure type | Data source |
|---|---|---|
| ED use without hospitalization among first HH episodes | Utilization outcome | Medicare claims |
| Unplanned acute care hospitalization among first HH episodes | Utilization outcome | Medicare claims |
| Discharged to community | Outcome | OASIS |
| Improvement in dyspnea | Outcome | OASIS |
| Improvement in management of oral medications | Outcome | OASIS |
| Improvement in pain interfering with activity | Outcome | OASIS |
| TNC change in self-carea | Composite outcome | OASIS |
| TNC change in mobilitya | Composite outcome | OASIS |
| How often the home health team gave care in a professional way (professional care) | Patient experience outcome | HHCAHPS |
| How well did the home health team communicate with patients (communication)? | Patient experience outcome | HHCAHPS |
| Did the home health team discuss medicines, pain, and home safety with patients (discussion of care)? | Patient experience outcome | HHCAHPS |
| How do patients rate the overall care from the home health agency (overall care)? | Patient experience outcome | HHCAHPS |
| Would patients recommend the home health agency to friends and family (likely to recommend)? | Patient experience outcome | HHCAHPS |
| Influenza vaccination coverage for home health care personnelb | Process | Agency self-report |
| Herpes Zoster (shingles) vaccination for patientb | Process | Agency self-report |
| Advance care planb | Process | Agency self-report |
Abbreviations: ED, emergency department; HH, home health; HHCAHPS, Home Health Consumer Assessment of Healthcare Providers and Systems; HHVBP, home health value-based purchasing; OASIS, Outcome and Assessment Information Set; TNC, total normalized composite.
These measures were added for 2019 and all subsequent years of the HHVBP model. They replaced 3 other OASIS-based measures: improvement in ambulation-locomotion, improvement in bathing, and improvement in bed transferring. Previous years of the HHVBP model also included 3 OASIS-based process measures: drug education on medications provided to patient/caregiver during episodes of care was dropped for performance year 2018 and all subsequent years, and the influenza immunization received for current flu season and pneumococcal polysaccharide vaccine ever received measures were dropped for performance year 2019 and all subsequent years.
Home health agencies in HHVBP states receive points for reporting these measures, but their performance on these measures does not affect their total performance score. These measures were only available for agencies in HHVBP states and not included in our analyses.