CMS Outlines Plans to Add Patient Experience of Care Star Ratings to Home Health Compare
Tuesday, May 12, 2015
by: Visiting Nurse Associations of America

Section: Quality and Educational Programming

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CMS plans to add Star Ratings for patient experience of care measures (HHCAHPS) to Home Health Compare beginning in January 2016. The stars will be calculated using data from patients who received home health care from July 2014 through June 2015 and will be based on the same data as the HHCAHPS measures publicly reported on the Home Health Compare website.
HHAs will receive a summary rating plus ratings for four composite measures: (1) Care of Patients, (2) Communication between Providers and Patients, (3) Specific Care Issues, and (4) Overall Rating of Care Provided by the HHA. Only HHAs with at least 40 completed surveys over the reporting period will receive HHCAHPS Star Ratings. Scores will be risk adjusted to account for certain patient characteristics, including: age, education, self-reported health status, self-reported mental/emotional health status, diagnosis, whether the individual lives alone, whether the individual had a proxy complete the survey, and language in which the survey was completed. There will only be full star ratings, not half star ratings like in the quality of care star ratings that are launching on Home Health Compare this July.
Based on CMS’ methodology, the majority of HHAs (60.3%) receive 4 or 5 star ratings for the “Summary Star Rating” when calculated using data from July 2013 – June 2014 (see Figure 1).
Figure 1: HHCAHPS Survey Summary Star Rating Distribution
(July 2013 – June 2014)

HHAs will receive preview reports in October 2015. The final Star Ratings will be published on Home Health Compare in January 2016. More detail on the methodology and how to access your agency’s preview report once available can be found in CMS’ presentation slides, found here.  You may send questions to CMS’ contractor, RTI, at
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