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2003 National Healthcare Quality Report

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Improvement in dyspnea.

Measure Source

Home Health Quality Initiative.


1.103 Percent of improvement in dyspnea for home health episodes, by state, 2002.

Data Source

Calculated by the Center for Health Services and Policy, Research, University of Colorado, from Outcome and Assessment Information Set (OASIS) data.


All home health episodes that begin and end in 2002.


Episodes in which a person’s dyspneic status improved compared to a prior assessment.


The OASIS instrument measures dyspneic status on a four level scale from 0 (never short of breath) to 4 (dyspnea at rest). Episodes are not included for persons who are at the highest level and can not improve any more.

The reported results of this measure are risk adjusted. See Overview of Risk Adjustment and Outcome Measures for Home Health Agency OBQI Reports: Highlights of Current Approaches and Outline of Planned Enhancements and Documentation of Prediction Models Used for Risk Adjustment of Home Health Agency Outcomes Reported on the CMS Home Health Compare Web Site available at for further information.

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