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CMS Quality Measure: Patients who get better at getting in and out of bed

Under CMS Category: Improvement in Getting Around

Why is this measure important?
According to Medicare, being able to get in and out of bed by yourself is a first step to doing many other things to care for yourself, like getting dressed or getting to the toilet. It is especially important if you don't have informal caregivers who can help you when your home health caregiver is not there or your home health care ends.

You need certain physical abilities (motor skills) to get in and out of bed. Your physical abilities can be developed or maintained by managing your symptoms or through physical or occupational therapy. Getting better at getting in and out of bed may be a sign that you are making progress or meeting the goals of your care plan.

Continued weakness or a new medical problem that makes it difficult for you to get in and out of bed may require changes to your care plan. For instance, you may need extra services or assistance.

Most people value being able to take care of themselves. It is important that home health care staff and informal caregivers encourage you to do as much as you can for yourself. If you can get in and out of bed with little help, you may be more independent, feel better about yourself, and stay more active. This can affect your health in a good way. Your home health staff will evaluate your need for, and teach you how to use any special devices or equipment that you may need to help you increase your ability to perform some activities without the assistance of another person. Your ability to get in and out of bed yourself may help you live independently as long as possible in your own home.

If you stop taking care of yourself, it may mean that your health has gotten worse. In addition, your health and quality of life may get worse in the future. Some patients will lose function in their basic daily activities even though the home health care agency provides good care.

The national average of home care patients who get better at getting in and out of bed is 54%

What is your state’s average for patients who get better at getting in and out of bed? Select your state and click the search button below to find out.

Some of the top state averages:

Puerto Rico: 63 %	New Jersey: 59 %	Missouri: 57 %
District of Columbia: 62 %	Maryland: 59 %	Montana: 57 %
Utah: 60 %	Maine: 58 %	Massachusetts: 57 %
South Carolina: 59 %

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Assessment Scores

How a patient's assessment score is calculated:
Improvement in getting around is determined by a decrease in assessment score. Patients are assessed at the beginning and end of home health care services. A patient that improves will have a lower score when home care ends than when they started. Assessment scores range from 0 (being independent) to 5 (bedfast –unable to transfer). See the following number line to determine your score:

CMS Quality Measure: Patients who get better at getting in and out of bed

CMS Quality Measure: Patients who get better at getting in and out of bed

How a home care provider's assessment score is calculated:
It is the percentage of people who improved being able to move from bed to chair, on and off toilet, into and out of the shower, and ability to turn and position self in bed if patient is bedfast. Higer percentages are better.

Exclusions: People who are assessed as having no (or minimal) impairment, transferred to an inpatient facility or died at home.

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Learn more about CMS Quality Measures:

CMS Home Care Quality Measures

1. How Home Care Ends
A. Patients who stay at home after an episode of home health care ends
B. Patients whose wounds improved or healed after an operation

2. Improvement in Getting Around
A. Patients who get better at walking or moving
B. Patients who have less pain when moving around

3. Incidence of Patient Emergencies
A. Patients who had to be admitted to the hospital
B. Patients who need urgent, unplanned medical care
C. Percentage of patients who need unplanned medical care related to a wound that is new, is worse, or has become infected

4. Meetings the activities of patient’s daily living
A. Patients whose bladder control improves
B. Patients who get better at bathing
C. Patients who get better at taking their medicines correctly (by mouth)
D. Patients who are short of breath less often

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Have questions about home care? Check out these resources:

What is a Home Care Agency?

How to Select the Best Home Care

Home Care Quality Information

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