Reporting Deficits in ADL activities
folder_openChanges to Protocols and Guidelinescalendar_todayPosted February 10, 2012

The purpose of this announcement is to remind Home Health Care CAHPS (HHCAHPS) Survey vendors about how to report the total count of deficits in the activities of daily living (ADLs).

• Home health agencies are not required to include in the monthly patient information files that they provide to their survey vendors information about the ADL Feed (M1870–Feeding or Eating) because this ADL is not reported for OASIS Follow-Up assessments.
• As per the announcement posted on the HHCAHPS Web Site on July 7, 2011 and included in Chapter IV of the HHCAHPS Protocols and Guidelines Manual, Version 4.0, vendors are to report ADL information on the XML file exactly as it was reported by the HHA.
• As per the announcement posted on the HHCAHPS Web site on July 15, 2011, the acceptable value for the ADL deficits count is 0-5 and M only.

If you have client HHAs that continue to include the Feeding and Eating ADL in the total count of ADL deficits, the following two items apply:

• If an HHA submits a value for the ADL deficit count variable that exceeds 5, vendors should recode the variable to 5, as this is the maximum that the HHCAHPS Data Center will accept.
• If an HHA is still reporting the ADL Feed item in its count of total deficits, survey vendors should reduce the total count of deficits reported by 1.

If you have any questions about this announcement, please contact the HHCAHPS Survey Coordination Team via e-mail at hhcahps@rti.org or call toll-free at (866) 354-0985.