About the Quality of Patient Care Star Ratings
The Quality of Patient Care Star Ratings reflect how Home Health Agencies (HHA) scores compare with one another on measurement of their quality of patient care performance, Across the country, most agencies fall “in the middle” with 3 stars – delivering good quality of care. A Star Rating higher that 3 means that an HHA performed better than average on the measured care practices and outcomes compared to other HHAs. A Star Rating below 3 means that an HHA’s performance was below average compared to other HHAs.

The Quality of Patient Care Star Ratings do not provide information on the absolute quality of care being provided. In addition, these Star Ratings are different from the consumer ratings that you see on websites or apps for products like books, restaurants, or hotels that reflect averages of consumer opinions.

CMS also publishes Patient Experience of Care Star Ratings, based on responses to the Home Health Consumer Assessment of Healthcare Providers & Systems (HHCAHPS) survey. These ratings summarize patient feedback on their experience; more information is available at https://www.medicare.gov/homehealthcompare/About/Patient-Survey-Star-Ratings.html

How Quality of Patient Care Star Ratings Are calculated
Effective April 2018, the Home Health Quality of Patient Care Star Ratings are determined using eight measures of quality that are reported on the Home Health Compare website, listed below. To have a Star Rating, HHAs must have submitted data to calculate at least 5 of 8 measures, which are:

• 1. Time Start of Care
• 2. Drug Education on All Medications Provided to Patient/Caregiver
• 3. Improvement in Ambulation
• 4. Improvement in Bed Transferring
• 5. Improvement in Bathing
• 6. Improvement in Pain interfering With Activity
• 7. Improvement in Shortness of Breath
• 8. Acute Care Hospitalization

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