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Quality of Patient Care

Quality of Patient Care Star Ratings

The quality of patient care star rating is a summary measure of agency performance based on how well a home health agency performs on 8 of the individual quality measures reported on Home Health Compare. These 8 measures include:

Process of care measures – how often the agency:

  • Initiated patient care in a timely manner
  • Provided patient/caregiver drug education on all medications

Outcome of care measures – how often the patient:

  • Got better at walking or moving around
  • Got better at getting in and out of bed
  • Got better at bathing themselves
  • Was able to engage in activity with less pain
  • Experienced less shortness of breath
  • Required acute care hospitalization

These measures were selected to give a general overview of agency performance on measures that apply to the most people.

  • A 4- or 5-star rating means that the agency performed better than other agencies on the 9 measured care practices and outcomes.
  • A 1- or 2-star rating means that the agency’s average performance on the 9 measured care practices and outcomes was below the averages of other agencies.
  • Across the country, most agencies fall "in the middle" with 3 or 3½ stars.

While the quality of patient care star rating provides a summary of agency performance, you may prefer to compare agencies on the individual measures that are related to the types of services you’ll need, based on your own condition.

Quality of Patient Care Star Ratings

Jefferson Health Home Care and Hospice 4 out of 5 stars
Pennsylvania Average 3.5 out of 5 stars
National Average 3.5 out of 5 stars

The quality of patient care star ratings are calculated by combining data for a number of individual quality measures, so they're based on data from a combination of the data collection time periods.

Quality Measures

Managing Daily Activities

How often patients got better at walking or moving around

Jefferson Health Home Care and Hospice 79.2%
Pennsylvania Average 75.6%
National Average 74.1%

Current data collection period: October 1, 2016 through September 30, 2017

How often patients got better at getting in and out of bed

Jefferson Health Home Care and Hospice 80.1%
Pennsylvania Average 74.6%
National Average 72.3%

Current data collection period: October 1, 2016 through September 30, 2017

How often patients got better at bathing

Jefferson Health Home Care and Hospice 82.6%
Pennsylvania Average 76.1%
National Average 76.6%

Current data collection period: October 1, 2016 through September 30, 2017

Managing Pain and Treating Symptoms

How often patients had less pain when moving around

Jefferson Health Home Care and Hospice 86.2%
Pennsylvania Average 76.4%
National Average 77.2%

Current data collection period: October 1, 2016 through September 30, 2017

How often patients’ breathing improved

Jefferson Health Home Care and Hospice 86.1%
Pennsylvania Average 77.7%
National Average 76.2%

Current data collection period: October 1, 2016 through September 30, 2017

How often patients’ wounds improved or healed after an operation

Jefferson Health Home Care and Hospice 91.8%
Pennsylvania Average 90.7%
National Average 90.9%

Current data collection period: October 1, 2016 through September 30, 2017

Preventing Harm

How often the home health team began their patients’ care
in a timely manner

Jefferson Health Home Care and Hospice 93.8%
Pennsylvania Average 94.2%
National Average 93.9%

Current data collection period: October 1, 2016 through September 30, 2017

How often the home health team taught patients (or their
family caregivers) about their drugs

Jefferson Health Home Care and Hospice 96.7%
Pennsylvania Average 98.3%
National Average 98.0%

Current data collection period: October 1, 2016 through September 30, 2017

How often patients got better at taking their drugs
correctly by mouth

Jefferson Health Home Care and Hospice 66.8%
Pennsylvania Average 65.1%
National Average 64.6%

Current data collection period: October 1, 2016 through September 30, 2017

How often the home health team checked patients’
risk of falling

Jefferson Health Home Care and Hospice 99.6%
Pennsylvania Average 99.5%
National Average 99.5%

Current data collection period: October 1, 2016 through September 30, 2017

How often the home health team checked patients
for depression

Jefferson Health Home Care and Hospice 99.1%
Pennsylvania Average 98.3%
National Average 97.8%

Current data collection period: October 1, 2016 through September 30, 2017

How often the home health team made sure that their patients have received a flu shot for the current flu season

Jefferson Health Home Care and Hospice 84.2%
Pennsylvania Average 79.9%
National Average 77.8%

Current data collection period: October 1, 2016 through September 30, 2017

How often the home health team made sure that their patients have received a pneumococcal vaccine (pneumonia shot)

Jefferson Health Home Care and Hospice 91.1%
Pennsylvania Average 84.0%
National Average 80.9%

Current data collection period: October 1, 2016 through September 30, 2017

For patients with diabetes, how often the home health team got doctor’s orders, gave foot care, and taught patients about foot care

Jefferson Health Home Care and Hospice 97.7%
Pennsylvania Average 97.4%
National Average 97.4%

Current data collection period: October 1, 2016 through September 30, 2017

Preventing Unplanned Hospital Care

How often home health patients had to be admitted to the hospital

Jefferson Health Home Care and Hospice 15.7%
Pennsylvania Average 16.7%
National Average 15.8%

Current data collection period: October 1, 2016 through September 30, 2017

How often patients receiving home health care needed any urgent, unplanned care in the hospital emergency room – without being admitted to the hospital

Jefferson Health Home Care and Hospice 10.2%
Pennsylvania Average 12.3%
National Average 12.9%

Current data collection period: October 1, 2016 through September 30, 2017

How often home health patients, who have had a recent hospital stay, had to be re-admitted to the hospital

Jefferson Health Home Care and Hospice Worse Than Expected

Current data collection period: October 1, 2014 through September 30, 2017

How often home health patients, who have had a recent hospital stay, received care in the hospital emergency room without being re-admitted to the hospital

Jefferson Health Home Care and Hospice Worse Than Expected

Current data collection period: October 1, 2014 through September 30, 2017

Data Sources: The home health quality measures are based on data collected on adult non-maternity home care patients getting skilled services whose care is covered by Medicare (both fee for service and managed care) or Medicaid and provided by a Medicare-approved home health agency. The information on process and improvement outcome measures posted on Home Health Compare comes from the Outcome and Assessment Information Set (OASIS) quality data submitted by home health agencies to state repositories and stored in the Quality Improvement Evaluation System (QIES) database. The information on utilization measures posted on Home Health Compare comes from Medicare claims.