Alternative Risk-Adjustment Approaches to Assessing the Quality of Home Health Care: Final Report. DEVELOPMENT OF ALTERNATIVE MODELS AND RESULTS OF ANALYSES


The preliminary set of theory and evidence-based core risk-adjusters in the first phase of the project, where we focused on the original 11 HHQI outcomes, was drawn from a number of domains covered by the OASIS instrument. In selecting the core set as well as supplemental risk factors, special attention was paid to variables that are clinically relevant and suitable for inclusion in electronic health records. The preliminary set of core risk-adjusters is listed in Table 2. The only risk-adjusters that are not clinical or patient characteristics likely to be included in an electronic health record in this preliminary set are those under the Informal Support/Assistance and Living Situation sub-domains.

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