VBP
HHCAHP
OASIS Based Measures
Claim Based Measures
100

This is what VBP stands for. 

What is "Value Based Purchasing"?

100

Name the entity that sends out HHCAHPS surveys. 

What is CMS?

100

Previously the M1800s were used to calculate "TNC Mobility" and "TNC Self Care" for VBP scores.  For 2025, these OASIS questions will be the focus instead. 

What are GG Self Care and GG Mobility?

100

When a patient is hospitalized during their episode of care, the data is used to determine if the home health agency could have avoided the stay. Name the new claim based measure.

What is Potentially Preventable Hospitalizations or PPH? 

200

Changes to VBP calculations and algorithms go into effect on this date. 

What is January 1, 2025?

200

Results from surveys can be found by the public in this location. 

What is "Care Compare"?

200

These two OASIS "M" questions will CONTINUE to be used in calculating scores. 

What is M1400 (dyspnea) and M2020 (oral meds)?

200

Planned admissions are not counted against us, however, these 2 types of hospital stays are. 

What are unplanned admissions and observation stays?

300

These are the 3 categories that calculate a VBP score.

What are OASIS measures, Claim based and HHCAHPS?

300

This is the number of questions on the HHCAHPS survey. 

What are 25 core questions and 9 demographic questions for a total of 34 questions?

300

The M1800s are still important for STAR ratings and this payment model. 

What is PDGM?

300

60 day hospitalization and ED use without hospitalization is being replaced by this claims based measure.

What is Potentially Preventable Hospitalizations/PPH?

400

Data collected in the calendar year 2025 will affect this payment year. 

What is 2027?

400

This is the total number of categories scored on the HHCAHPS survey. 

What is 5? 

400

Results of the OASIS based scores and other VBP metrics are found quarterly on this report. 

What is the quarterly IPR report?

400

What is one example of a PPH as defined by CMS?

What is: 

inadequate management of chronic conditions, inadequate management of infections- inadequate management of other unplanned events and inadequate injury prevention.

500

This percentage will be applied to all episodic claims starting in 2025 for UR Medicine Home Care.

What is -1.452%?

500

The number of questions that count towards the "Specific Care Issues" category on the HHCAHPS. 

What is 7?

500

This calculation will compare the observed score at discharge compared to the expected score which is risk adjusted. 

What is the "Discharge Function Score"?
500

Discharge to Community previously used OASIS data.  As of 2025 it will be collected via this type of data. 

What is claims data?