How Does It All Fit Together

How Does It All Fit Together?

The following table depicts the relationships that exist between quality measures, OBQI reports, OASIS, OBQM reports and the new enhanced survey and certification process.

Quality OASIS Outcome Measure OASIS Adverse Event Survey & Certification Measure (OBQI Report) MOs (OBQM report) (Home Health Compare) Patients who get Improvement in upper body MO650 Substantial decline Tier 2 Adverse Event Outcomes (â better at getting dressing in 3 or > ADLs in > 3 ADLs) dressed OBQI upper body dressing > 10% lower than ref value Patients who get Improvement in bathing MO670 Substantial decline Tier 2 Adverse Event Outcomes (â better at bathing in 3 or > ADLs in > 3 ADLs) OBQI improvement in bathing > 10% lower than ref value Patients who Stabilization in bathing MO670 Substantial decline Tier 2 Adverse Event Outcomes (â stay the same in 3 or > ADLs in > 3 ADLs) (don’t get worse) at bathing Patients who get Improvement in toileting MO680 Discharge to the Tier 2 Adverse Event Outcomes better getting to community needing (discharged to community needing and from the toileting assistance toileting assistance) toilet Patients getting Improvement in MO700 Substantial decline OBQI improvement in better at walking ambulation/locomotion in 3 or > ADLs ambulation/locomotion > 7% lower or moving about than ref value Patents who get Improvement in transferring MO690 Substantial decline better at getting in 3 or > ADLs in and out of bed Patients who get Improvement in management of MO780 Substantial decline Tier 2 Adverse Event Outcomes better at taking oral medications in management of (discharged to community needing their oral medications; medication assistance) medications discharge to the OBQI improvement in management correctly (by community needing of oral medications > 10% lower mouth) medication than ref value assistance Patients who are Improvement in confusion MO570 confused less frequency often Patients who Improvement in pain interfering MO420 have less pain with activity when moving around Patients who Acute care hospitalization MO100 Unexpected death OBQI acute care hospitalization > had to be MO855 Unexpected nursing 10% higher than ref value admitted to the home admission hospital Patients who Any emergent care provided MO830 Emergent care for Tier 1 Adverse Event Outcomes need urgent, injury caused by (emergent care for falls & wounds) unplanned fall/accident at Tier 2 Adverse Event Outcomes medical care home; wound (emergent care for medications, infections, hypo/hyperglycemia) deteriorating wound status; improper medication administration, medication side effects; hypoglycemia. Development of urinary track infection

MO-05-03-HH January 2005 Adapted from the Ohio KePRO and Texas Medical Foundation. This material was prepared by Primaris, the Medicare Quality Improvement Organization for Missouri, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy.