Alternative Risk-Adjustment Approaches to Assessing the Quality of Home Health Care: Final Report. TABLE 1: Outcome Measures Used in OBQI

07/01/2006

TABLE 1. Outcome Measures Used in OBQI
HEALTH STATUS OUTCOME MEASURES
Functional: Activities of Daily Living
   Improved in:
      Ambulation/locomotion
      Dressing upper body
      Dressing lower body
      Grooming
      Bathing
      Eating
      Toileting
      Transferring

   Stabilized in:
      Grooming
      Bathing
      Transferring

Functional: Instrumental Activities of Daily Living
   Improved in:
      Management of oral medications
      Light meal preparation
      Laundry
      Housekeeping
      Shopping
      Telephone use

   Stabilized in:
      Management of oral medications
      Light meal preparation
      Laundry
      Housekeeping
      Shopping
      Telephone use

Physiologic
   Improved in:
      Pain interfering with activity
      Number of surgical wounds
      Status of surgical wounds
      Dyspnea
      Urinary tract infection
      Urinary incontinence
      Bowel incontinence
      Speech or language

   Stabilized in:
      Speech or language  

Emotional Behavioral
   Improved in:
      Anxiety level
      Behavioral problem frequency

   Stabilized in:
      Anxiety level  

Cognitive
   Improved in:
      Confusion frequency
      Cognitive functioning

   Stabilized in:
      Cognitive functioning  

UTILIZATION OUTCOME MEASURES
      Acute care hospitalization
      Discharge to community
      Emergent care  
 
NOTES: Adapted from Shaughnessy, P.W. and Hittle, D.F. 2002. “Overview of Risk Adjustment and Otucome Measures for Home Health Agency OBQI Reports” (available at http://www.cms.gov/providers/hha/RiskAdj1.pdf).

Outcomes labeled as “Improved in” are binary indicators of whether status at discharge is better than at start of the episode on that outcome. Episodes that start at the ceiling of the outcome measure (i.e., those that could not improve because they are already at the top) are excluded from the denominator for “Improvement” outcomes.

Outcomes labeled as “Stabilized in” are binary indicators of whether status at discharge is the same or better at discharge as compared to the start of the episode for that outcome. Episodes that start at the floor of the outcome measure (i.e., those that could not get worse because they start at the worst level), are excluded from the denominator for “Stabilization” outcomes.

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