Index to the Blueprint

Public Reporting (includes IMPACT Act, Compare, and Star Ratings)

Table 1: Cross Walk of Home-Base Care Reporting Requirements with the ElevatingHome Blueprint for Excellence
For Star Rating Category of:	For IMPACT Act Measures of:	Review Blueprint Modules on
Managing daily activities	Functional status, cognitive function, changes in function and cognitive function	For All Patients: Maximizing function
Managing pain and treating symptoms		For All Patients: Control Pain
Treating wounds and preventing pressure sores	Skin integrity and changes in skin integrity	Clinical Interventions: Pressure Ulcers
Preventing harm	Medication reconciliation Incidence of major falls	For All Patients: Initiate Safe Care For All Patients: Reconcile Medications
Preventing unplanned hospital care	Discharge to Community Potentially preventable hospital readmission	For All Patients: Preventing Readmission and Promote Community Stay
Improving patient experience		For All Patients: Engage Patients/Enhance Experience
	Communicating the existence of and providing for the transfer of health information and care preferences	For All Patients: Initiate Safe Care Hospice Best Practices: Treatment Preferences
	Estimated Medicare Spending per Beneficiary	VNAA’s Value Based Resources
All home-based care organizations are encouraged to review the module Build a High Performing Agency to identify best practices for delivering consistent high-quality care that contributes to the Quadruple Aim.

Table 2: Crosswalk of HQRP and with ElevatingHome Blueprint for Excellence
Hospice Quality Reporting Measure	Recommended Blueprint for Excellence Module
Treatment Preferences - NQF #1641	For All Patients: Engage Patients/Enhance Experience Hospice Best Practices: Treatment Preferences
Beliefs/Values Addressed- NQF #1647	Hospice Care Initiation Hospice Best Practices: Treatment Preferences
Pain Screening- NQF #1634 Pain Assessment- NQF #1637	Hospice Symptom Management Hospice Care Initiation For All Patients: Control Pain
Dyspnea Screening- NQF #1639 Dyspnea Treatment- NQF #1638	Hospice Symptom Management Hospice Care Initiation For All Patients: Control Pain
Patients treated with opioids who are given a bowel regimen- NQF #1617	Hospice Symptom Management Hospice Care Initiation
Hospice Visits When Death is Imminent (No NQF Number)	Hospice Symptom Management
Comprehensive Assessment at Admission - NQF #3235	Hospice Care Initiation
CAHPS® Hospice survey	For All Patients: Engage Patients/Enhance Experience Palliative Care Continuum
All home-based care organizations are encouraged to review the module Build a High Performing Agency to identify best practices for delivering consistent high-quality care that contributes to the Quadruple Aim.



		Partner with referring clinicians and hospitals to develop programs and strategies to improve health outcomes and patient experience, and to help them meet accountability goals.

		By effectively engaging patients and caregivers as partners in care, home-based care organizations improve experience, activation, and ultimately, outcomes.

		Educate payers on opportunity to improve outcomes by more effectively caring for people in their homes. Drive smarter spending by preventing admissions and avoidable ED use.

		Support clinicians to practice in teams and at the top of their licenses, train for excellence, and recognize achievement.