Home Health News: Preview Reports and Star Rating Preview Reports for the July 2025 Refresh

Preview Reports and Star Rating Preview Reports for the July 2025 Refresh

The HHA Provider Preview Reports have been updated and are now available. These reports contain provider performance scores for quality measures, which will be published on the compare tool on Medicare.gov and the Provider Data Catalog (PDC) during the July 2025 refresh.

Agencies may access their reports using the following steps:

1. Log into iQIES using your Health Care Quality Information Systems (HCQIS) Access Roles and Profile (HARP) user ID and password. (If you do not have a HARP account, you may register for a HARP ID.)
2. From the Reports menu, select My Reports.
3. From the My Reports page, locate the HHA Provider Preview Reports folder. Select View Folder to open the folder.
4. Displayed for you is a list of reports available for download. The reports or files are listed in descending order and the newest files are displayed at the top of the list.
5. Select the desired HHA Provider Preview Report name link and the report will display.

Providers have until May 2, 2025, to review their performance data. Only updates/corrections to the underlying assessment data before the final data submission deadline will be reflected in the publicly reported data on Medicare.gov.

Data contained within the Provider Preview Reports are based on the following:

Outcome measures assess the results of health care that are experienced by patients. The data for the Home Health outcome measures are derived from 2 sources: (1) data collected in the Outcome and Assessment Information Set (OASIS) submitted by home health agencies; and (2) data submitted in Medicare claims. The link below summarizes all home health outcome measures.

Home Health Quality Measures – Outcomes

Process measures evaluate the rate of home health agency use of specific evidence-based processes of care. The HH process measures focus on high-risk, high-volume, problem-prone areas for home health care. These include measures pertaining to all or most home care patients, such as timeliness of home care admissions.

Home Health Process Measures Table

The Home Health Process Measures include the following:

• • Timely Initiation of Care
  • Percent of Patients with an Admission and Discharge Functional Assessment and a Care Plan that Addresses Function
  • Influenza Immunization Received for Current Flu Seasons
  • Influenza Immunization Offered and Refused for Current Flu Season
  • Influenza Immunization Contraindicated
  • Drug Regimen Review Conducted with Follow-Up for Identified Issues
  • Transfer of Health Information to the Patient
  • Transfer of Health Information to the Provider

Claims-based Utilization Measures

Claims-based utilization measures provide information related to the use of health care services (e.g., hospitals, emergency departments, etc.) resulting from a change in patient health status. They are calculated using:

• • The first home health claim starts an episode of care for a patient, and, as appropriate, the claim for the period after discharge.
  • Negative events like potentially avoidable hospitalizations or emergency department care, or a lack of such negative events.

These are the five claims-based utilization measures:

1. Acute Care Hospitalization During the First 60 days of Home Health (ACH)
2. Emergency Department (ED) Use without Hospitalization During the First 60 Days of Home Health
3. Discharge to Community (DTC)
4. Potentially Preventable 30-Day Post-Discharge Readmission (PPR)
5. Home Health Within-Stay Potentially Preventable Hospitalization (PPH)

Patient Reported Outcome Measures

The HHCAHPS measures are derived from a 34-question survey. The survey:

• • Collects feedback from current or recently discharged home health agency patients (or their family or friends) about their experiences with a home health agency
  • This is the first national standard for collecting information on home health agency patient experiences that allows for valid comparisons between home health agencies
  • Has a core set of questions
  • Allows home health agencies to add their own customized questions to the survey to support internal customer service and quality-related activities

For more details pertaining to the HHCAHPS click here.

Contact Proactive for assistance successfully navigating your agency’s preview reports.

Contact Proactive to learn more about Five-Star Improvement support services and develop a road map to Five-Star success in 2025.