Posted June 21, 2023
By: Amanda Gartner RN, BSN, MSN, COS-C | Senior Clinical Documentation Manager
CMS released an update to the Home Health Quality Reporting Program Measure Calculations and Reporting User’s Manual v2.0 earlier this year. The update included several changes, but the most exciting change was the exclusion of patients being transferred and/or discharged to hospice and it’s impact on OASIS Outcome-Based Quality Measures. This is welcoming news for agencies who provide palliative type services to patients not quite ready for hospice. Previously agencies were concerned about taking in referrals to home health for patients at end of life knowing how they could negatively impact their Star and HHVBP calculations. As of January 1, 2023, patients who are now transferred to an inpatient hospice or discharged to a non-institutional hospice are excluded from the calculation of the following OASIS-based quality measures:
- Improvement in Ambulation/Locomotion
- Improvement in Bathing
- Improvement in Bed transferring
- Improvement in Toilet Transferring
- Improvement in Lower Body Dressing
- Improvement in Upper Body Dressing
- Improvement in Management of Oral Medications
- Improvement in Bowel Incontinence
- Improvement in Confusion Frequency
- Improvement in Dyspnea
- Discharged to Community
Clinicians need to ensure they are completing RFA 6 or 7 Transfer and M2410- Inpatient Facility response 4- Hospice; and RFA Discharge and M2420 Discharge Disposition Response 3- Patient transferred to a non-institutional hospice correctly to ensure these patients are excluded from the above quality measures.
Discharge OASIS & M2420
Source: April 2023 CMS Quarterly OASIS Q&As
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