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CMS Quality Measure: Patients who get better at walking or moving around

Under CMS Category: Improvement in Getting Around

Why is this measure important?
According to Medicare, this measure is important because many patients who get home health care are recovering from an injury or illness. They may need help from a person or equipment (like a cane) to walk safely. If they use a wheelchair, they may have difficulty moving around safely. Getting better at walking or moving around in your wheelchair may be a sign that you are making progress or meeting the goals of your care plan.

Most people value being able to take care of themselves. In order to be as independent as possible, you need to walk, move around, and do as much as you can for yourself, even if it takes longer than having someone else do things for you. Your home health care staff and informal caregivers should encourage you to be active as you can be safely. Your home health care 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.

If you can walk with little help, you can be more independent, may feel better about yourself, and may stay more active. This can affect your health in a good way. Your ability to walk and move around yourself may help you live independently as long as possible in your own home.

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 improve their ability to walk or move around is 47%

What is your state’s average for all home health care agencies regarding home health care patients who get better at walking or moving around after home health care? Select your state and click the search button below to find out.

Some of the top state averages:

District of Columbia: 55 %	New Jersey: 50 %	Mississippi: 49 %
Puerto Rico: 52 %	Alabama: 50 %	Nevada: 49 %
South Carolina: 51 %	Massachusetts: 50 %	Georgia: 49 %
Utah: 51 %

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Assessment Score

How a patient's assessment score is calculated:
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 for patients who get better at walking or moving around range from 0 (being independent) to 5 (bedridden). The scale below is used to determine your score:
CMS Quality Measure: Patients who get better at walking or moving around

CMS Quality Measure: Patients who get better at walking or moving around

How a home care provider's assessment score is calculated:
It is the percentage of patients who get better at walking or moving around in a wheelchair safely. Higher 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
B. Patients who get better at getting in and out of bed
C. 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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