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2003 National Healthcare Quality Report

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Improvement in toileting.

Measure Source

Home Health Quality Initiative.


1.101 Percent of improvement in toileting 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 ability to get to and from toilet improved compared to a prior assessment.


The OASIS instrument measures toileting ability on a five level scale from 0 (independent) to 4 (totally independent). 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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