VBP Timepoints
The WHY
Scoring Measures
Axxess Tools
Strategies for Improvement
100

Starting this date, Medicare certified Home Health organizations will have their performance measures evaluated for VBP. 

What is January 1, 2023?

100

CMS data reflects the nationwide expansion of the HHVBP model will reduce this. 

What is Net Medicare Spending?

100

These are the two triggers of Claims Based measures. 

What is ACH in the first 60d on HH and ED use without hospitalization during the first 60d on HH. 

100

This tool is utilized to measure patient satisfaction scores and is reportable to Medicare. 

What is Axxess CAHPS? 

100

OASIS Accuracy includes scoring what the patient can do without assistance, ______________. 

What is "Safely".  

200

This is the year home health organizations will incur 5% financial adjustments, based on the evaluation of their prior performance measures. 

What is 2025? 

200

VBP shifts care from volume-based model to a _____________ care model. 

What is quality? 

200

These 3 categories are the core data elements measured in VBP. 

What are OASIS, Claims, and HHCAHPS survey based-measures. 

200

In addition to tool tips, this icon is present on OASIS questions impacting quality scores? 

What is the VBP icon?

200

Clinicians can reduce this by performing a home safety evaluation, reconciling medications, and frontloading visits. 

What is hospitalization and ED risk? 

300

This is the frequency organizations receive their Interim Performance Reports in iQIES? 

What is quarterly? 
300

These admissions (2 parts) resulted in reduced spending and contributed to the 2023 VBP expansion. 

What are reductions in unplanned ACH and SNF stays? 

300

HHCAHPS data carries a scoring weight of 30%.  If an agency is not able to perform HHCAHPS due to census, this is how their weight is then split? 

What is the OASIS and Claims are weighted 50:50?

300

Reports tabulating a clinician's OASIS answers to VBP weighted questions & providing comparative clinician rankings are found using this Axxess Tool. 

What is Axxess BI (Business Intelligence)

300

Asking a patient to see all of their medications, is one step in this strategy of improving VBP measures. 

What is Medication Education? 
400

This is when organizations can pull their first quarterly report in iQIES. 

What is July of 2023? 
400

This  %  improvement in total performance scores was seen during the initial VBP pilot phase, contributing to the 2023 program expansion. 

What is an average of 4.6% improvement? 

400

For HHCAHPS Survey-based data, to receive a positive measure, the client must score the Overall Rating of the home health __________ or ___________.

What is 9 or higher? (on a scale of 1-10)

400

OASIS Analysis can be evaluated during QA and utilizing this Axxess tool? 

What is the OASIS Scrubber? 

400

While a clinician sets goals for the patient's episode of care, this should always be part of the HH POC.  

What are the "Patient's goals".  

500

This is when organizations will receive their 2023 performance year Annual Performance Reports in iQIES. 

When is August of 2024? 

500

The initial VBP pilot saved Medicare an average of __________ dollars in annual savings without evidence of adverse risk to patients.  

What is $141 million? 

500

OASIS Measures that contribute to VBP include Health Conditions: Improvement in Dyspnea, Mgt. of Medications and 3 other areas.  Those include ________________ and ________________ under Functional and ____________ in Section C. 

What are Change in Self-Care & Change in Mobility under functional and Cognitive Patterns in Section C? 

500

This dashboard provides insight to risks categories, clinician frequency, and outcome potential which can impact VBP measures. 

What is the PDGM Dashboard

500

This can impact not only the patient's satisfaction scores, but their understanding of ordered medications/how to take them correctly. 

What is Health Literacy? 

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