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QIO HHQI Weekly Update :: January 22th, 2007

TIP OF THE WEEK

Access OBQI and OBQM CASPER reports by branch

Beginning December 18, 2006, the HHA OBQI and HHA OBQM reports allow the user to request that the report be displayed by branch for all OBQI and OBQM reports.

Two new columns have been added to the OBQI Outcome Tally, OBQI Case Mix Tally, and the OBQM Patient Listing reports to display the value in M0016 of the Start of Care assessment and the End of Care assessment for the identified Episode of Care.

Use the following directions to request reports by branch:

  1. Once logged into CASPER, select the desired arguments (agency and time period)
  2. Check the box next to ‘Report By Branch’
  3. Select "Submit"

When branch information is requested all reports except for the OBQI Outcome and Case Mix Tally Reports will display in the following manner:

  1. Agency as a whole
  2. Data for patients served by the parent agency
  3. Data for patients served by a branch, in numerical order

NOTE: If the Start of Care and End of Care assessments display different Branch IDs, the data associated with this episode of care will only be reported on the overall branch report.

The following reports will display by branch:

HHA OBQI REPORTS

  • Case Mix for RAO – 2 Col Report
  • Case Mix for RAO – 3 Col Report
  • Outcome: Desc – 2 Bar Report
  • Outcome: Desc- 3 Bar Report
  • Outcome: Risk Adj – 2 Bar Report
  • Outcome: Risk Adj – 3 Bar Report

You can also use the OBQI Report 2 Col Package or the OBQI Report 3 Col Package to request these reports by branch.

HHA OBQM REPORTS

  • AEO – Graph 2 Report
  • AEO – Graph 3 Report
  • Case Mix 2 Report
  • Case Mix 3 Report

You can also use the OBQM Report 2 Col Package or the OBQM Report 3 Col Package to request these reports by branch.

IMPORTANT THINGS TO NOTE

The report for all branches may not equal the sum of all branch reports. For a patient episode to be included in the outcome rates for a particular branch, the branch number (M0016) from both the start of care OASIS assessment AND the end of care OASIS assessment must be identical. If these two branch numbers do not match, the patient episode will be included in the report for all branches, but not an individual branch. Therefore, the report for all branches may include more episodes than the sum of each branch combined.

  1. The “National Reference” rates on the OBQI Descriptive Outcome Report will be identical for the parent and each branch. The “National Reference” rates on the OBQI DESCRIPTIVE Outcome Report are truly the actual national rates. Therefore, these rates will be the same on the report for all branches as they are on the report for the parent branch and each additional branch.
  2. The “National Reference” rates on the Risk-Adjusted Outcome Report will be different for each branch. The “National Reference” rates on the OBQI RISK-ADJUSTED Outcome Report are driven by the predicted outcome rates for each branch’s patients, and are not the national rates. Therefore, these rates will most likely be different on the report for all branches, the parent branch, and each additional branch.
  3. The Tally Case Mix and Tally Outcome Reports now include Branch ID. Two new columns have been added to the Tally Outcome and Tally Case Mix Reports: one for the Branch ID from the start of care OASIS assessment and one for the Branch ID from the end of care assessment. This change allows agencies to filter their Tally reports by branch for a more in-depth analysis of their case mix factors.
  4. A new version of the CMS Tally Template Tool is available (and required) to query the Tally report data. Due to the addition of Branch IDs in the Tally Reports, the old CMS Tally Template Tool does not import or query the data correctly. Therefore, you must download a new version of the CMS Tally Template Tool. Additional information and instructions are also available at this website.

RESOURCE SPOTLIGHT

SBAR Home Health Package
SBAR (Situation, Background, Assessment, Recommendation) is a device that can be used to improve communication within the home health arena. The SBAR Home Health Package includes an SBAR tool, an SBAR tool for COPD, a flyer, a pocket card, phone stickers, references, sample scenarios and more.

You can download the entire package as a PDF and use as is, or you can download the ZIP file to utilize individual elements of the package. The ZIP file includes MS Word files whenever possible.

 

IN THE NEWS

GROUP TRYING TO HALT INAPPROPRIATE PRESCRIPTION DRUG USE

January 11, 2007 -- The Advocate, LA -- Louisiana Health Care Review hopes to reduce the inappropriate use of the following drugs and classes of drugs: barbiturates, dicyclomine, meprobamate, belladonna alkaloids, flurazepam, pentazocine, trimethobenzamide, chlorpropamide, meperidine and propantheline. Read more >>

 

 

GOVERNMENT: QUALITY OF HEALTH CARE IMPROVING, BUT PREVENTION REMAINS A MISSED OPPORTUNITY

January 11, 2007 -- Sign On San Diego -- The nation's minorities, poor and uninsured especially are missing out on the preventive screening and counseling they need, according to government reports Thursday. Read more >>

 

 

DOCTORS RARELY NOTE SLEEP PROBLEMS OF ELDERLY

January 12, 2007 -- Ashbury Park Press, NJ -- More than two-thirds of older patients report sleep problems, but doctors rarely note these complaints in the patients' charts, a Northwestern University study finds.

 

The study, published in a recent issue of the American Journal of Geriatric Psychiatry, included 1,503 patients aged 60 and older who visited their primary-care doctors. After the visits, social workers surveyed the patients about sleep problems. Read more >>

 

 


The Tip of the Week Archive is available on the Ohio KePRO Web Site.