This page holds the OBQI Manuals, documents about risk adjustment for OASIS measures, a revised Patient Tally filter tool with branch reports (October 2006), and documents that refines risk-adjustment (January 2005). The document was updated in January 2005 to include the how numeric ICD9 values from M0245 would be used in the computation of some risk factors used in risk adjustment.

1. Outcome-Based Quality Improvement (OBQI) Implementation Manual

This is a 10-chapter manual that describes the OASIS-based reports that are available through the state OASIS system. This manual is written for HHA staff who wishes to learn how to read and interpret the OBQI reports, and who wish to implement the outcome enhancement activities of OBQI in response to the outcome reports. The Appendix A describes in detail the components of the OBQI reports and provides definitions of key terms that are essential to understanding and using the reports.

Additions to the OBQI Manual: Appendix C is available in a crosswalk format that indicates which OASIS items are used for each specific outcome measure included in the OBQI reports. The Table of Contents file is also updated to include the new appendix.

2. Accessing OBQI & OBQM Reports - Using the CASPER Reporting System

This document provides information to obtain Case Mix reports, Adverse Event Reports, Patient Risk-adjusted and Descriptive Outcome Reports, and patient tally reports for case mix and outcomes measures from the OASIS state system that home health agencies already use to submit OASIS data. It describes how to request a report, how to view a report online, and how to save and print a report.

3. Supplement to the OBQI manual

This document is a supplement to the OBQI manual listed above in 1. This supplement covers the 3-bar outcome reports and 3-column case mix reports. The PDF file contains a brief narrative followed by an appendix with illustrative reports and a second appendix with the "how-to read" guidelines. It is recommended that home health agencies download this Supplement and add it to their existing OBQI Manual. The guidelines in Appendix B Basic Information Regarding the Outcome and Case Mix Reports should be shared with individuals who review your reports.

Downloads
OBQI Implementation Manual (September 2002) [ZIP 3.5 MB] Accessing OBQI & OBQM Reports - Using the CASPER Reporting System Supplement to the OBQI manual (May 2003) [PDF 1069 KB] Overview of Risk Adjustment and Outcome Measures for Home Health Agency OBQI Reports: Highlights of Current Approaches and Outline of Planned Enhancement [PDF 792 KB] Documentation of Prediction Models Used for Risk Adjustment of Home Health Agency Outcomes Reported on the CMS Home Health Compare Web Site [PDF 1.8 MB] Appendix A: Documentation of Prediction Models Used for Risk Adjustment of Home Health Agency Outcome Reports [PDF 3 MB] Appendix B: Outcome-Based Quality Improvement Reports: Technical Documentation of Measures [PDF 4 MB] Appendix B: Case Mix Modification (1/2005) [PDF 68KB] Appendix B: Risk Factors Modification (1/2005) [PDF 38KB] Revised Patient Tally Report Workbook with Data Filtering Tools [ZIP 432 KB] Refinement of Risk-Adjustment for OBQI Reports (April 2003) [PDF 27 KB]
Related Links Inside CMS
OASIS Medicare.gov Home Health Compare
Related Links Outside CMS
Medicare Quality Improvement Community Agency for Healthcare Research & Quality American Association of Home Care National Association for Home Care and Hospice National Association State Units on Aging National Quality Forum National Quality Guidelines National Pressure Ulcer Advisory Panel Visiting Nurse Association of America Wound Ostomy Continence Nurses Society

Page Last Modified: 09/18/2007 10:25:36 AM
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