A retrospective chart review was performed six months after the implementation of the OBQI project.
The OBQI project had several outcomes that were clinically significant with several potential child and organizational benefits noted in Phase 2.
Through informal discussion with the primary author and other staff members during Phase 2 and after the OBQI was ended, several parents stated they preferred "one stop shopping" where they could complete well-child visits and immunizations all at the same time.
Prior to the OBQI project the RHC was well below that statistic with only 17.
The purpose of our project was to develop and test a theory and evidence-based approach to risk adjusting all 41 OBQI quality indicators including the 10 publicly reported quality measures that are the focus of this article.
The data analyzed in this project were obtained from the University of Colorado Health Sciences Center, the CMS OBQI contractor at the time of the study.
Approximately 1,500,000 OBQI episodes are present in the overall data set.
The data set contains the 41 OBQI outcome indicators and 143 potential risk adjusters derived from OASIS, with detailed technical specifications publicly available online (U.
As has been the case for risk-adjusted hospital mortality and for diagnosis-related groups (DRGs), it is natural that home health care applications of OBQI using risk adjustment will evolve over the course of time (Branch and Goldberg, 1993; Smith et al.
The following four terms are defined in order to facilitate the discussion of OBQI, as presented in this article: (23) Quality assessment.
Such variations in the OBQI methods introduced here would be implemented at the discretion of individual users of the system.
The ultimate goal is to implement and maintain an OBQI system that would represent a partnership between providers (home health agencies) and payers (e.