Health Data and Quality   Quality    Home Health Quality Measures

The Maryland Guide to Long Term Care Services displays star ratings and measures that provide a way to evaluate how well Maryland Home Health Agencies give care to patients.  These include:

  1. Quality of Patient Care Star Rating summarizes key measures of provider performance
  2. Quality measures evaluate the way care is given (process) and the results of care (outcome)
  3. Patient Survey Star Ratings indicate how satisfied patients are with the care they receive from Maryland Home Health Agencies
  4. Patient Satisfaction measures how well the patient rated the care they received

The Centers for Medicare and Medicaid (CMS) requires Medicare-certified Home Health Agencies (HHAs) to collect and report on many aspects of care in the Outcome and Assessment Information Set (OASIS). OASIS data are used by CMS to calculate the Home Health Quality Measures contained in the Maryland Guide to Long Term Care Services

The Quality of Patient Care Star Rating is based on OASIS results, designed to measure home health care patient outcomes.

Quality Measures show five categories of skilled home health care most commonly used by patients. Each of the five categories are listed below with an example: 
  • Managing Daily Activities – “how often patients got better at walking or moving around”
  • Managing Pain and Treatment Symptoms – “how often the home health team checked patients for pain”
  • Treating Wounds - “how often patients’ wounds improved or healed after an operation”
  • Preventing Harm - “how often the home health team determined whether patients received flu shot for the current flu season”
  • Preventing Unplanned Hospital Care - “how often home health patients had to be admitted to the hospital”


CMS provides quarterly Patient Survey Star Ratings. The star ratings summarize some of the key measures of provider performance and patient satisfaction to improve consumer health care decision-making

The Patient Survey Star Rating captures patient experience of care and is based on data collected from the Home Health Consumer Assessment of Health Providers and Systems (HHCAHPS) survey. The Patient Survey star rating is the average of four other HHCAHPS star ratings. Three of the star ratings are groups of conceptually congruent questions (composite) that assess the Care of Patients, Communication Between Providers and Patients and Specific Care Issues. The fourth star rating is a measure of the Overall Rating of Care.

Patient Satisfaction Measures: Consumers seeking services from a home health agency can review how patients rated the care received through the results of the HHCAHPS® survey. 

HHCAHPS® reports two overall measures: 
  • Overall Rating of Care – the percent of patients who gave a rating of 9 or 10 on a scale from 0 (lowest) to 10 (highest)
  • Likelihood to Recommend – the percent of patients reporting YES, they would definitely recommend the HHA to friends and family
HHCAHPS® also reports three composites (a composite is a single score calculated from several questions that measure the same concept). The composites are: 
  • How often the home health team gave care in a professional way
  • How well home health team communicated with patients and family
  • How often specific care discussed medications, pain, and home safety

To find the Quality Measures and Patient Satisfaction ratings for a specific Maryland home health agency in the Maryland Guide to Long Term Care Services, go to Services Search  at

  1. Select Home Health in step 1
  2. Select a County(ies)  in step 2
  3. Click  “Search

A list of home health agencies serving the selected county(ies) will appear below the map.  Select a home health agency by clicking on the name. The “Quality Measures” and "Patient Satisfaction" tabs shows the current scores for the agency.

Last Updated: 3/7/2017