Measuring agency performance
Home Health Compare provides several ways you can compare home health agency performance to help you choose a home health agency that will best meet your needs.
Quality measures summarize information from patient assessments that the home health agency conducts, as well as information from claims (bills) that hospitals and other health care providers submit to us. There are 2 general types of quality measures:
- Process of care measures (also known as process measures)
- Outcome of care measures (also known as outcome measures)
All of the measures included in HHC are proportions that show what percentage of patients or episodes experienced the process or outcome being measured. For all measures, except acute care hospitalization, a higher measure value means a better score.
Process of care measures tell you how often an agency gave the recommended care (like checking patients for depression when they start getting care). A score of 88% for a process of care measure is interpreted as 88% of the patients received that recommended care during their episode of care.
Outcome of care measures tell you the results of the care an agency provided compared to other agencies, taking into account differences in the patients they care for. An agency’s score of 58% for an outcome measure means that 58% of the time the Home Health Agency was able to assist their patients in regaining or maintaining their ability to function during their episode of care, like being able to improve their ability to walk and move around.
Learn more about process and outcome quality measures.
Quality of patient care star ratings
Home Health Compare summarizes agency performance by using a “quality of patient care” star rating. Here’s what you need to know to understand this rating:
- The rating summarizes 9 individual process and outcome measures.
- The range is 1 to 5 stars, with 5 stars being the highest rating.
- A rating of 4 or 5 stars means the agency performed better than most other agencies on selected measures.
- A rating of 1 or 2 stars means that the agency’s performance was below the average of other agencies on selected measures.
- Most agencies fall “in the middle” with a rating of 3 to 3½ stars.
Learn more about the quality of patient care star ratings.
Patient experience of care
Ratings from the Patient Experience of Home Health Care Survey summarize information from patients who were asked questions about their experience with a home health agency. These questions come from the Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS) Survey and focus on the care patients got from their home health agency, like how well the agency communicated about care, pain, and prescription medication use, and if the agency kept the patient informed about scheduling. When choosing a home health agency, patients can use this information to find out what other patients thought about the care given by a certain home health agency.
Learn more about the Patient Experience of Care Survey.
Patient experience of care star ratings
Home Health Compare added star ratings for the data from HHCAHPS. Home Health Compare displays star ratings for 4 survey measures. In addition, Home Health Compare displays the summary survey star rating, which is an average of the 4 survey measures for each agency. Only agencies with information from at least 40 patient surveys will have patient survey star ratings. Therefore, smaller home health agencies won't have patient experience of care star ratings.