Home Health Star Rating System to Begin in July
March 23, 2015 05:35 PM
The Centers for Medicare & Medicaid Services has announced its plans to implement a star rating system for home health agencies on the Home Health Compare web site beginning in July 2015.
The Home Health Compare (HHC) Star Rating includes nine of the 22 currently reported process and outcome quality measures. The measures include three process measures, five outcome measures, and one claims based measure.
The methodology for calculating the HHC Star Ratings is based on a combination of individual measure rankings and the statistical significance of the difference between the performance of an individual HHA on each measure (risk-adjusted, if an outcome measure) and the performance of all HHAs. A HHA’s quality measure values are compared to the national agency median, and their rating is adjusted to reflect the differences relative to other agencies’ quality measure values. These adjusted ratings are then combined into one overall HHC Star Rating that summarizes each of the nine individual measures.
In response to stakeholder comments, CMS made changes to the original HHC Star Ratings methodology. The final methodology allows agencies to receive ratings in half stars increments. However, as in the original methodology, the ratings are adjusted so that agencies are grouped towards the middle. CMS claims that the HHC Rating system rating methodology will continue to evolve over time, and it is seeking additional stakeholder comments and suggestion. You can send your comments to: HHC_Star_Ratings Helpdesk@cms.hhs.gov
The ratings will incorporate Outcome and Assessment Information Set (OASIS) quality measurement data from January 1, 2014, to December 31, 2014. For the Acute Care Hospitalization measure, claims data from October 1, 2013, to September 30, 2014, will be used. HHC Star Ratings will be updated each quarter thereafter using a rolling 12-month reporting period.
As promised on the February ODF call, CMS will provide agencies with the opportunity to preview their HHC Star Ratings and the calculations they are based on before they are published each quarter. They will also be able to request review of the rating by CMS if they submit evidence that the data used to calculate the measures were inaccurate or incomplete. The first round of Star Rating Provider Preview Reports will be distributed to providers (via their CASPER folders on the QIES system) in late March 2015.
CMS is sponsoring a webinar to review the format of the report and the process for requesting review of the HHC Star rating on March 26, 2015, at 1 p.m. ET. To register for this webinar, please use this link.
Click here to view frequently asked questions on the HHC Star Rating system.