Quality Monitoring Using Case Mix and Adverse Event Outcome Reports: Implementing Outcome-Based Quality Improvement at a Home Health Agency.

摘要

This manual is the second in a three-manual series intended to assist home health agencies to implement the steps in outcome-based quality improvement (OBQI). The first manual, titled Implementing OASIS at a Home Health Agency to Improve Patient Outcomes (OASIS Implementation Manual), introduced agencies to OBQI and to its first step, the collection of uniform health status data on patients receiving home health care. The set of data items utilized in this step is termed the Outcome and Assessment Information Set or OASIS. Home health agencies subject to Medicare Conditions of Participation began collecting OASIS data on all patients receiving skilled care in summer 1999. The first agency-level reports resulting from the transmission of OASIS data will soon be available. These reports are intended for use in the agency's quality monitoring program. One report, titled the Case Mix Report, presents characteristics of the agency's patients at start (or resumption) of care. The second report, the Adverse Event Outcome Report, displays incidence rates for infrequent untoward events (outcomes) comparing the agency to a reference sample. This manual describes each of these reports in detail and discusses their use for quality monitoring purposes.