Medicare Post-Acute Care: Quality Measurement Final Report. APPENDIX F. Final Quality Indicator Ratings Across All Conditions

Final Quality Indicator Ratings Across All Conditions
Domain Indicator CHF Back/Neck Pneumonia Stroke
GLOBAL
Physical Function Self care 9 9 8 9
Physical Function General/Global function 9 9 8 8
Physical Function Ambulation/Mobility 9 8 7 9
Mental Health Depression 9 7 3 8
Quality of Life Health-related quality of life 9 9 8 9
Quality of Life Role resumption 8 9 7 9
Quality of Life Social function 5 8 3 7
Utilization Hospitalization 9 9 8 5
Utilization Total inpatient days 8 5 7 3
Utilization Emergency room admission 4 6 4 2
Physiology Mortality 6 2 5 5
Satisfaction Patient satisfaction 9 9 9 9
Process PT evaluation - 9 6 6
Process OT evaluation - 8 5 6
CHF
Quality of Life Disease-specific measure of well-being (Minnesota Living with Heart Failure, and Chronic CHF questionnaires) 9 - - -
Physiology Weight change 5 - - -
Process Medication compliance evaluation 8 - - -
Process Use of ACE inhibitor for systolic HF 4 - - -
BACK/NECK
Physiology Back/Neck pain - 9 - -
Physiology Leg/Arm pain/numbness/weakness - 9 - -
Process Use of prescription analgesic medications - 5 - -
PNEUMONIA
Quality of Life Return to usual activities - - 6 -
Physiology Dyspnea 2 0 8 0
Physiology Fatigue 1 0 8 0
Physiology Cough 0 0 8 0
Process Discussion of advance care directives 2 0 7 0
Process Physician visits for pneumonia - - 7 -
Process Immunization status 0 0 6 0
Process Blood cultures - - 5 -
Process Appropriate antibiotic use - - 4 -
STROKE
Physical Function Communication - - - 9
Physical Function IADLs - - - 9
Physical Function Community mobility - - - 4
Utilization Nursing home residents at some time x - - - 6
Process Speech evaluation - - - 8
Process Anticoagulation therapy - - - 8
Process Family/Caregiver education and support - - - 8
Process Integrated, multidisciplinary care program 1 0 0 6
Process Swallow evaluation - - - 4