Home Health Agency Partnership Development Guide Overview...data are presented as reference points....

111

Transcript of Home Health Agency Partnership Development Guide Overview...data are presented as reference points....

Page 1: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims
Page 2: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Home Health Agency Partnership Development Guide Overview

This Home Health Agency (HHA) Partnership Development Guide aims to help Maryland’s hospitals

identify, develop, and strengthen formal and informal partnerships with home health agencies that demonstrate high quality and cost-efficient care. Hospitals and HHAs can partner to improve care coordination by enhancing communication and collaboration across the continuum.

The guide includes:

a discussion guide to facilitate communication in the interest of developing high-quality care across the continuum

the INTERACT Capabilities List that HHAs could be asked to complete key quality and cost measures including all-cause readmission rates

This guide is intended to provide objective information from a variety of sources in a single place and reflect the performance and service offerings of Maryland’s HHAs at a point in time. State and national data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims and CMS’ Home Health Compare website. The guide features Medicare certified home health agencies only. At the time of publication, the data included in the guide are the most current available.

Important information to consider as you examine these data:

1. Acute All-Cause Readmission Rates

Reducing Medicare readmissions is a key test under the waiver; however, hospitals do not have data to track readmission rates from HHAs. Using the most recently available Medicare data, this guide shows all-cause readmission rates within 7, 15, and 30 days post hospital discharge compared to Maryland and national averages (please note: patients who were readmitted within 7 days are also included in the calculations for readmissions within 15 and 30 days, and so forth).

2. Commonly Billed DRGs for Prior Hospitalization

These data may show an HHA’s area of expertise and provide a general sense of the severity of the functional limitations and clinical conditions of a given HHA’s patient population. Examining these measures relative to readmission rates can be highly informative.

3. Service Offerings, Process and Outcome Measures, and Survey Measures

Compiling information from multiple government sources in a single publication facilitates executive relationship development and assists case management personnel when coordinating patient-centered selection of HHAs. Specific process and outcome of care measures, as well as the Home Health Care Consumer Assessment of Healthcare Providers and Systems (HHCAHPS) survey measures shown as part of this guide, were selected because they are relevant to readmissions and/or the Centers for Medicare & Medicaid Services are monitoring particular measures as part of Maryland’s Medicare waiver agreement.

HHAs are indexed alphabetically by county in the table of contents. Facility names are hyperlinked for easy access.

If you have any questions, please contact Justin Ziombra at [email protected]

2

Page 3: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Table of Contents

Discussion Guide. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6

INTERACT Tool. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7

Allegany CountyWestern Maryland Health System Home Care. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8

Anne Arundel CountyAmedisys Home Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10

Baltimore CityBaltimore County Department of Health. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12HomeCall of Baltimore. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14Homecare Maryland. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16Johns Hopkins Home Care Group. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18P-B Health Home Care Agency. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20

Baltimore CountyAmedisys Home Health. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22Bayada Home Health. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24Celtic Healthcare. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26Charlestown Community HHA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28Community Home Health of Maryland. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30Health at Home. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32Maryland Home Health. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34Medstar Health VNA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36Oak Crest Village. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38Personal Touch Home Care of Baltimore. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40PHR of Baltimore. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42Stella Maris Home Health Agency. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44Visiting Nurse Association of Maryland. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46

Carroll CountyAmedisys Home Health. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48Carroll Home Care. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .50HomeCall of Westminster. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .52Lutheran Home Care and Hospice. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .54

Cecil CountyAmedisys Home Health. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .56

3

Page 4: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Charles CountyChesapeake Potomac Home Health Agency. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .58

Frederick CountyFrederick Memorial Hospital HHA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60HomeCall of Frederick. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .62

Garrett CountyGarrett County Health Department. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .64

Harford CountyAmedisys Home Health Care. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66

Howard CountyGentiva Certified Healthcare. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68

Kent CountyChester River Home Care and Hospice. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .70

Montgomery CountyAdventist Home Health Services. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72Bayada Home Health Care. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74Celtic Healthcare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .76Comprehensive Home Health Care Agency. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .78Holy Cross Home Care and Hospice. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .80MBL Associates. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .82Potomac Home Health Care. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .84Professional Healthcare Resources of Maryland. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .86Riderwood. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .88

Prince George's CountyAmedisys Home Health Care. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .90Americare In Home Nursing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .92Medstar Health VNA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .94Professional Healthcare. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .96Revival Homecare Agency. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .98

Talbot CountyHomecall. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .100Shore Home Care. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .102

Washington CountyMeritus Home Health. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .104

4

Page 5: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Wicomico CountyAmedisys Home Health. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .106Healthsouth Chesapeake Rehab Home Health. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .108Peninsula Home Care. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .110

5

Page 6: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Section 2: Discussion Guide

1. Describe your patient population. What percent are seen within 48 hours of discharge from an acute care hospital? From a SNF? What are the clinical, functional and service-level needs of most of your patients?

2. Describe your intake and care-initiation process.

What is your policy regarding timelines for therapy evaluations after the start of care? Do you provide weekend and after-hour visits?

3. Describe your processes for:

Medication reconciliation Glucose management Pain management Anticoagulation management Falls prevention

4. What is your on-call and inter-visit communication and monitoring process?

Do you provide weekend and/or after-hour visits by nurses? Do you have a telemedicine or remote monitoring program? If so, what conditions do you use it for?

5. Describe your standard process for identifying changes in clinical status among patients and

communicating these changes to providers. What is your process for responding to the new onset of signs and symptoms such as

fever, cough, shortness of breath, weight gain, and altered mental status?

6. Describe how your agency works with partners to provide outpatient services (including transportation), if needed.

7. Describe your error monitoring process, and provide examples of recent corrective actions taken as a result.

8. Describe how your agency works with providers to execute care plans and communicate changes in health status.

9. Do you ensure goals of care are communicated to all residents, and how do you track progress?

10. What process do you have in place to ensure all residents have a MOLST form?

11. Describe any hospice/palliative care services your agency offers and provide a list of any hospices your agency may work with.

12. What is your agency's standard communication for sharing medical information with referral partners?

When transferring patients to an emergency department, does you agency’s staff use a standard handoff form?

Can staff at your agency directly access hospitals’ electronic medical records?

13. What processes do you have in place to reduce the frequency of potentially avoidable transfers to hospitals? Describe your process for recording transfers. What are the trend rates? Do you have partnerships with alternative sites of care, such as skilled nursing facilities or assisted

living facilities? Do providers who take calls for your agency use an INTERACT form or some other tool to consider

your agency’s capabilities when deciding whether or not to admit a patient to a hospital?

14. What are some opportunities for our hospital to improve care transitions?

6

Page 7: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

V 1.0 Too lHome Health

©2011 Florida Atlantic University, all rights reserved. This document is available for clinical use, but may not be resold or incorporated in software without permission of Florida Atlantic University.

Home Health Capabilities List This list is for hospital emergency rooms, hospitalists, and case managers; and for physicians, NPs, and PAs who take calls for the Home Health agency to assist with decisions about hospital admission or return to Home Health.

Circle ‘Y’ for yes or ‘N’ for no to indicate the availability of each item in Home Health.

Capabilities Yes No

Home Health Clinician Services

Skilled nursing care Y N

Physical therapy Y N

Occupational therapy Y N

Speech-language therapy Y N

Medical social services Y N

Home Health aide Y N

Diagnostic Testing

Lab tests (nurse draw blood in home) Y N

Portable X-ray Y N

Portable ultrasound Y N

Bladder ultrasound Y N

Portable Doppler Y N

Clinical Programs or Protocols

Diabetic care and management Y N

Cardiac care and management Y N

Pulmonary care and management Y N

Chronic disease management Y N

Pre- and post-operative care Y N

Palliative care Y N

Psychiatric care Y N

Pain management Y N

Wound care and management Y N

Nursing Services

Skilled nursing assessment Y N

Clinical observation and monitoring Y N

Medication reconciliation Y N

Capabilities Yes No

Nursing Services (cont’d)

Medication management education to promote self improvement Y N

Nutritional counseling Y N

Injection administration Y N

Catheter care and management Y N

Nebulizer treatments Y N

Infusion therapy Y N

Comprehensive patient and caregiver training Y N

Ostomy management Y N

High-tech nursing Y N

Case management Y N

Surgical drain management Y N

Oxygen management Y N

Rehabilitation

Low vision therapy Y N

Fine motor/gross motor re-training Y N

Fall/balance program Y N

Incontinence therapy Y N

Pulmonary rehabilitation Y N

Lymphedema therapy Y N

Vestibular rehabilitation Y N

Additional Information

Health and transitional coaching Y N

Data driven risk assessment Y N

Electronic medical record Y N

Home Health ___________________________________________________________________________________

Address ________________________________________________________________________________________

Tel ( ________ ) ___________________________________ Key Contact __________________________________

Page 8: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Allegany County

Facility: Western Maryland Health System Home Care

Address: 1050 West Industrial Blvd (240) 964-9100Cumberland Provider Number: 21703121502

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Rehabilitation w/ CC/MCC

2 Rehabilitation w/o CC/MCC

3 Cellulitis w/o MCC

4 Simple Pneumonia & Pleurisy w/ CC

5 Chronic Obstructive Pulmonary Disease w/ CC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Western Maryland

Health System Home

Care

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

5.1%

9.6%

16.4%

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

Western Maryland HealthSystem Home Care

Maryland

Nation

8

Page 9: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

Western Maryland Health

System Home Care Maryland Average National Average

90% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

13% 11% 12%

Percent of patients admitted to the hospital2 15% 17% 16%

Percent of patients assessed for fall risk1 97% 97% 98%

Percent assessed for risk of developing

pressure ulcers197% 99% 99%

Percent of patients screened for depression1 95% 96% 98%

97% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs198% 90% 93%

Percent of patients who received a flu shot for

the current flu season172% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

Western Maryland Health

System Home Care Maryland Average National Average

91% 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)89% 82% 84%

92% 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$162

$182

$153

$100

$150

$200

$250

$300

Western MarylandHealth System Home

Care

Maryland Nation

$2,406

$3,526 $3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

Western MarylandHealth System Home

Care

Maryland Nation

9

Page 10: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Anne Arundel County

Facility: Amedisys Home Health

Address: 811 Cromwell Park Drive, Stes 109 (410) 590-4926Glen Burnie Provider Number: 21710821061

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Major Joint Replacement or Reattachment of Lower Extremity w/o MCC

2 Kidney & Urinary Tract Infections w/o MCC

3 Heart Failure & Shock w/ CC

4 Simple Pneumonia & Pleurisy w/ CC

5 Rehabilitation w/ CC/MCC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Amedisys Home

Health

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

3.9%

9.1%

15.4%

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

Amedisys Home Health

Maryland

Nation

10

Page 11: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

Amedisys Home Health Maryland Average National Average

92% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

10% 11% 12%

Percent of patients admitted to the hospital2 19% 17% 16%

Percent of patients assessed for fall risk1 77% 97% 98%

Percent assessed for risk of developing

pressure ulcers199% 99% 99%

Percent of patients screened for depression1 96% 96% 98%

100% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs197% 90% 93%

Percent of patients who received a flu shot for

the current flu season188% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

Amedisys Home Health Maryland Average National Average

89% 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)88% 82% 84%

85% 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$171 $182

$153

$100

$150

$200

$250

$300

Amedisys HomeHealth

Maryland Nation

$4,239

$3,526 $3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

Amedisys HomeHealth

Maryland Nation

11

Page 12: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Baltimore City

Facility: Baltimore County Department of Health

Address: 6401 York Road 3rd Fl (410) 887-2725Baltimore Provider Number: 21702721212

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

7 & 15 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Major Joint Replacement or Reattachment of Lower Extremity w/o MCC

2 Spinal Fusion Except Cervical w/o MCC

3 Cervical Spinal Fusion w/o CC/MCC

4 Heart Failure & Shock w/ CC

5 Rehabilitation w/ CC/MCC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Baltimore County

Department of Health

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

9.1%

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

Baltimore County Departmentof Health

Maryland

Nation

12

Page 13: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

Baltimore County

Department of Health Maryland Average National Average

93% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

17% 11% 12%

Percent of patients admitted to the hospital2 17% 17% 16%

Percent of patients assessed for fall risk1 100% 97% 98%

Percent assessed for risk of developing

pressure ulcers1100% 99% 99%

Percent of patients screened for depression1 100% 96% 98%

99% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs198% 90% 93%

Percent of patients who received a flu shot for

the current flu season169% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

Baltimore County

Department of Health Maryland Average National Average

92% 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)88% 82% 84%

87% 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$211

$182

$153

$100

$150

$200

$250

$300

Baltimore CountyDepartment of Health

Maryland Nation

$2,198

$3,526 $3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

Baltimore CountyDepartment of

Health

Maryland Nation

13

Page 14: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Baltimore City

Facility: HomeCall of Baltimore

Address: 4701 Mount Hope Drive, Suite A (410) 644-0105Baltimore Provider Number: 21712321215

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

7 & 15 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Heart Failure & Shock w/ CC

2 Simple Pneumonia & Pleurisy w/ CC

3 Septicemia or Severe Sepsis w/o Mechanical Ventilation 96+ Hours w/ MCC

4 Rehabilitation w/ CC/MCC

5 Pulmonary Edema & Respiratory Failure

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

HomeCall of

Baltimore

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

14.5%

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

HomeCall of Baltimore

Maryland

Nation

14

Page 15: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

HomeCall of Baltimore Maryland Average National Average

78% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

14% 11% 12%

Percent of patients admitted to the hospital2 19% 17% 16%

Percent of patients assessed for fall risk1 100% 97% 98%

Percent assessed for risk of developing

pressure ulcers199% 99% 99%

Percent of patients screened for depression1 94% 96% 98%

99% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs159% 90% 93%

Percent of patients who received a flu shot for

the current flu season150% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

HomeCall of Baltimore Maryland Average National Average

84%* 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)87%* 82% 84%

80%* 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

*Data are limited - fewer than 100 patients completed the survey

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$177 $182

$153

$100

$150

$200

$250

$300

HomeCall ofBaltimore

Maryland Nation

$4,660

$3,526 $3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

HomeCall ofBaltimore

Maryland Nation

15

Page 16: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Baltimore City

Facility: Homecare Maryland

Address: 22 South Athol Avenue (410) 566-5015Baltimore Provider Number: 21710721229

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Rehabilitation w/ CC/MCC

2 Rehabilitation w/o CC/MCC

3 Major Joint Replacement or Reattachment of Lower Extremity w/o MCC

4 Kidney & Urinary Tract Infections w/o MCC

5 Esophagitis, Gastroenteritis & Miscellaneous Digestive Disorders w/o MCC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Homecare Maryland

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

3.1%

8.1%

15.3%

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

Homecare Maryland

Maryland

Nation

16

Page 17: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

Homecare Maryland Maryland Average National Average

62% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

11% 11% 12%

Percent of patients admitted to the hospital2 16% 17% 16%

Percent of patients assessed for fall risk1 97% 97% 98%

Percent assessed for risk of developing

pressure ulcers199% 99% 99%

Percent of patients screened for depression1 89% 96% 98%

90% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs175% 90% 93%

Percent of patients who received a flu shot for

the current flu season179% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

Homecare Maryland Maryland Average National Average

82% 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)73% 82% 84%

80% 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$204

$182

$153

$100

$150

$200

$250

$300

Homecare Maryland Maryland Nation

$2,551

$3,526 $3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

Homecare Maryland Maryland Nation

17

Page 18: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Baltimore City

Facility: Johns Hopkins Home Care Group

Address: 5901 Holabird Avenue, Suite A (410) 288-8000Baltimore Provider Number: 21708121224

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Major Joint Replacement or Reattachment of Lower Extremity w/o MCC

2 Heart Failure & Shock w/ CC

3 Rehabilitation w/ CC/MCC

4 Simple Pneumonia & Pleurisy w/ CC

5 Kidney & Urinary Tract Infections w/o MCC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Johns Hopkins Home

Care Group

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

5.7%

12.1%

18.5%

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

Johns Hopkins Home CareGroup

Maryland

Nation

18

Page 19: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

Johns Hopkins Home Care

Group Maryland Average National Average

96% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

10% 11% 12%

Percent of patients admitted to the hospital2 17% 17% 16%

Percent of patients assessed for fall risk1 100% 97% 98%

Percent assessed for risk of developing

pressure ulcers1100% 99% 99%

Percent of patients screened for depression1 100% 96% 98%

100% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs198% 90% 93%

Percent of patients who received a flu shot for

the current flu season184% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

Johns Hopkins Home Care

Group Maryland Average National Average

90% 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)89% 82% 84%

89% 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$179 $182

$153

$100

$150

$200

$250

$300

Johns HopkinsHome Care Group

Maryland Nation

$3,176

$3,526 $3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

Johns HopkinsHome Care Group

Maryland Nation

19

Page 20: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Baltimore City

Facility: P-B Health Home Care Agency

Address: 2535 Saint Paul Street (410) 235-1060Baltimore Provider Number: 21713421218

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Major Joint Replacement or Reattachment of Lower Extremity w/o MCC

2 Heart Failure & Shock w/ CC

3 Kidney & Urinary Tract Infections w/o MCC

4 Heart Failure & Shock w/ MCC

5 Esophagitis, Gastroenteritis & Miscellaneous Digestive Disorders w/o MCC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

P-B Health Home

Care Agency

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

4.7%

9.4%

15.8%

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

P-B Health Home CareAgency

Maryland

Nation

20

Page 21: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

P-B Health Home Care

Agency Maryland Average National Average

85% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

14% 11% 12%

Percent of patients admitted to the hospital2 21% 17% 16%

Percent of patients assessed for fall risk1 99% 97% 98%

Percent assessed for risk of developing

pressure ulcers1100% 99% 99%

Percent of patients screened for depression1 98% 96% 98%

99% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs194% 90% 93%

Percent of patients who received a flu shot for

the current flu season174% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

P-B Health Home Care

Agency Maryland Average National Average

78% 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)77% 82% 84%

76% 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$179 $182

$153

$100

$150

$200

$250

$300

P-B Health HomeCare Agency

Maryland Nation

$3,722 $3,526

$3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

P-B Health HomeCare Agency

Maryland Nation

21

Page 22: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Baltimore County

Facility: Amedisys Home Health

Address: 7106 Ridge Road, Suite 110 (410) 686-8413Rosedale Provider Number: 21709421237

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Major Joint Replacement or Reattachment of Lower Extremity w/o MCC

2 Septicemia or Severe Sepsis w/o Mechanical Ventilation 96+ Hours w/ MCC

3 Heart Failure & Shock w/ CC

4 Chronic Obstructive Pulmonary Disease w/ CC

5 Septicemia or Severe Sepsis w/o Mechanical Ventilation 96+ Hours w/o MCC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Amedisys Home

Health

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

4.9%

10.9%

17.4%

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

Amedisys Home Health

Maryland

Nation

22

Page 23: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

Amedisys Home Health Maryland Average National Average

89% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

11% 11% 12%

Percent of patients admitted to the hospital2 17% 17% 16%

Percent of patients assessed for fall risk1 81% 97% 98%

Percent assessed for risk of developing

pressure ulcers199% 99% 99%

Percent of patients screened for depression1 98% 96% 98%

88% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs189% 90% 93%

Percent of patients who received a flu shot for

the current flu season170% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

Amedisys Home Health Maryland Average National Average

86% 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)86% 82% 84%

84% 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$158

$182

$153

$100

$150

$200

$250

$300

Amedisys HomeHealth

Maryland Nation

$3,576 $3,526 $3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

Amedisys HomeHealth

Maryland Nation

23

Page 24: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Baltimore County

Facility: Bayada Home Health

Address: 1001 Cromwell Bridge Road, Suite 300 (410) 823-0880Baltimore Provider Number: 21710121286

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Major Joint Replacement or Reattachment of Lower Extremity w/o MCC

2 Heart Failure & Shock w/ CC

3 Kidney & Urinary Tract Infections w/o MCC

4 Rehabilitation w/ CC/MCC

5 Septicemia or Severe Sepsis w/o Mechanical Ventilation 96+ Hours w/ MCC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Bayada Home Health

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide No 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

4.8%

8.8%

15.5%

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

Bayada Home Health

Maryland

Nation

24

Page 25: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

Bayada Home Health Maryland Average National Average

91% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

11% 11% 12%

Percent of patients admitted to the hospital2 18% 17% 16%

Percent of patients assessed for fall risk1 100% 97% 98%

Percent assessed for risk of developing

pressure ulcers1100% 99% 99%

Percent of patients screened for depression1 88% 96% 98%

98% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs189% 90% 93%

Percent of patients who received a flu shot for

the current flu season186% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

Bayada Home Health Maryland Average National Average

88% 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)86% 82% 84%

83% 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$168

$182

$153

$100

$150

$200

$250

$300

Bayada HomeHealth

Maryland Nation

$4,112

$3,526 $3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

Bayada HomeHealth

Maryland Nation

25

Page 26: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Baltimore County

Facility: Celtic Healthcare

Address: 10451 Mill Run Circle, Suite 400 (877) 845-3077Owings Mills Provider Number: 21716221117

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

7, 15 & 30 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Septicemia or Severe Sepsis w/o Mechanical Ventilation 96+ Hours w/ MCC

2 Permanent Cardiac Pacemaker Implant w/ CC

3 Heart Failure & Shock w/ MCC

4 Heart Failure & Shock w/ CC

5 Other Circulatory System Diagnoses w/ CC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Celtic Healthcare

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

Celtic Healthcare

Maryland

Nation

26

Page 27: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

Celtic Healthcare Maryland Average National Average

75% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

13% 11% 12%

Percent of patients admitted to the hospital2 16% 17% 16%

Percent of patients assessed for fall risk1 100% 97% 98%

Percent assessed for risk of developing

pressure ulcers1100% 99% 99%

Percent of patients screened for depression1 98% 96% 98%

99% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs197% 90% 93%

Percent of patients who received a flu shot for

the current flu season177% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

Celtic Healthcare Maryland Average National Average

74%* 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)80%* 82% 84%

79%* 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

*Data are limited - fewer than 100 patients completed the survey

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$155

$182

$153

$100

$150

$200

$250

$300

Celtic Healthcare Maryland Nation

$5,709

$3,526 $3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

Celtic Healthcare Maryland Nation

27

Page 28: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Baltimore County

Facility: Charlestown Community HHA

Address: 715 Maiden Choice Lane (410) 737-8825Baltimore Provider Number: 21713721228

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

7, 15 & 30 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Esophagitis, Gastroenteritis & Miscellaneous Digestive Disorders w/o MCC

2 Kidney & Urinary Tract Infections w/o MCC

3 Chronic Obstructive Pulmonary Disease w/o CC/MCC

4 Simple Pneumonia & Pleurisy w/ CC

5 Rehabilitation w/ CC/MCC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Charlestown

Community HHA

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

Charlestown CommunityHHA

Maryland

Nation

28

Page 29: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

Charlestown Community

HHA Maryland Average National Average

96% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

13% 11% 12%

Percent of patients admitted to the hospital2 17% 17% 16%

Percent of patients assessed for fall risk1 100% 97% 98%

Percent assessed for risk of developing

pressure ulcers1100% 99% 99%

Percent of patients screened for depression1 100% 96% 98%

100% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs198% 90% 93%

Percent of patients who received a flu shot for

the current flu season195% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

Charlestown Community

HHA Maryland Average National Average

84%* 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)73%* 82% 84%

78%* 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

*Data are limited - fewer than 100 patients completed the survey

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$176 $182

$153

$100

$150

$200

$250

$300

CharlestownCommunity HHA

Maryland Nation

$3,040

$3,526 $3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

CharlestownCommunity HHA

Maryland Nation

29

Page 30: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Baltimore County

Facility: Community Home Health of Maryland

Address: 10999 Red Run Blvd, Suite 100 (410) 356-1600Owings Mills Provider Number: 21712121117

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Major Joint Replacement or Reattachment of Lower Extremity w/o MCC

2 Heart Failure & Shock w/ CC

3 Esophagitis, Gastroenteritis & Miscellaneous Digestive Disorders w/o MCC

4 Kidney & Urinary Tract Infections w/o MCC

5 Septicemia or Severe Sepsis w/o Mechanical Ventilation 96+ Hours w/ MCC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Community Home

Health of Maryland

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

4.6%

8.6%

14.9%

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

Community Home Health ofMaryland

Maryland

Nation

30

Page 31: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

Community Home Health of

Maryland Maryland Average National Average

94% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

10% 11% 12%

Percent of patients admitted to the hospital2 17% 17% 16%

Percent of patients assessed for fall risk1 99% 97% 98%

Percent assessed for risk of developing

pressure ulcers198% 99% 99%

Percent of patients screened for depression1 94% 96% 98%

100% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs174% 90% 93%

Percent of patients who received a flu shot for

the current flu season181% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

Community Home Health of

Maryland Maryland Average National Average

81% 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)70% 82% 84%

73% 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$207

$182

$153

$100

$150

$200

$250

$300

Community HomeHealth of Maryland

Maryland Nation

$3,322 $3,526

$3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

Community HomeHealth of Maryland

Maryland Nation

31

Page 32: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Baltimore County

Facility: Health at Home

Address: 751 Mount Wilson Lane (410) 602-2843Baltimore Provider Number: 21713621208

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

7, 15 & 30 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Intracranial Hemorrhage or Cerebral Infarction w/o CC/MCC

2 Miscellaneous Disorders of Nutrition, Metabolism, Fluids/Electrolytes w/o MCC

3 Septicemia or Severe Sepsis w/o Mechanical Ventilation 96+ Hours w/o MCC

4 Permanent Cardiac Pacemaker Implant w/o CC/MCC

5 Acute Myocardial Infarction, Discharged Alive w/ CC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Health at Home

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

Health at Home

Maryland

Nation

32

Page 33: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

Health at Home Maryland Average National Average

90% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

05% 11% 12%

Percent of patients admitted to the hospital2 22% 17% 16%

Percent of patients assessed for fall risk1 92% 97% 98%

Percent assessed for risk of developing

pressure ulcers1100% 99% 99%

Percent of patients screened for depression1 98% 96% 98%

100% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs183% 90% 93%

Percent of patients who received a flu shot for

the current flu season150% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

Health at Home Maryland Average National Average

71%* 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)79%* 82% 84%

86%* 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

*Data are limited - fewer than 100 patients completed the survey

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$156

$182

$153

$100

$150

$200

$250

$300

Health at Home Maryland Nation

$2,927

$3,526 $3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

Health at Home Maryland Nation

33

Page 34: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Baltimore County

Facility: Maryland Home Health

Address: 1700 Reisterstown Road, Suite 109 (410) 486-8303Baltimore Provider Number: 21716121208

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

7, 15 & 30 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Rehabilitation w/ CC/MCC

2 Rehabilitation w/o CC/MCC

3 Esophagitis, Gastroenteritis & Miscellaneous Digestive Disorders w/o MCC

4 Kidney & Urinary Tract Infections w/o MCC

5 Simple Pneumonia & Pleurisy w/ CC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Maryland Home

Health

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

Maryland Home Health

Maryland

Nation

34

Page 35: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

Maryland Home Health Maryland Average National Average

100% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

05% 11% 12%

Percent of patients admitted to the hospital2 16% 17% 16%

Percent of patients assessed for fall risk1 100% 97% 98%

Percent assessed for risk of developing

pressure ulcers1100% 99% 99%

Percent of patients screened for depression1 100% 96% 98%

100% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs1100% 90% 93%

Percent of patients who received a flu shot for

the current flu season176% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

Maryland Home Health Maryland Average National Average

89%* 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)90%* 82% 84%

93%* 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

*Data are limited - fewer than 100 patients completed the survey

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$188 $182

$153

$100

$150

$200

$250

$300

Maryland HomeHealth

Maryland Nation

$3,763 $3,526

$3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

Maryland HomeHealth

Maryland Nation

35

Page 36: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Baltimore County

Facility: Medstar Health VNA

Address: 9601 Pulaski Park Drive, Suite 417 (410) 933-2900Baltimore Provider Number: 21706821220

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Major Joint Replacement or Reattachment of Lower Extremity w/o MCC

2 Rehabilitation w/ CC/MCC

3 Heart Failure & Shock w/ CC

4 Rehabilitation w/o CC/MCC

5 Heart Failure & Shock w/ MCC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Medstar Health VNA

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

3.5%

7.7%

14.3%

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

Medstar Health VNA

Maryland

Nation

36

Page 37: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

Medstar Health VNA Maryland Average National Average

89% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

11% 11% 12%

Percent of patients admitted to the hospital2 16% 17% 16%

Percent of patients assessed for fall risk1 99% 97% 98%

Percent assessed for risk of developing

pressure ulcers199% 99% 99%

Percent of patients screened for depression1 96% 96% 98%

99% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs191% 90% 93%

Percent of patients who received a flu shot for

the current flu season180% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

Medstar Health VNA Maryland Average National Average

84% 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)87% 82% 84%

80% 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$210

$182

$153

$100

$150

$200

$250

$300

Medstar Health VNA Maryland Nation

$2,954

$3,526 $3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

Medstar Health VNA Maryland Nation

37

Page 38: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Baltimore County

Facility: Oak Crest Village

Address: 8820 Walther Blvd (410) 657-3593Baltimore Provider Number: 21715521234

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

7, 15 & 30 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Syncope & Collapse

2 Heart Failure & Shock w/ CC

3 Major Joint Replacement or Reattachment of Lower Extremity w/o MCC

4 Heart Failure & Shock w/ MCC

5 Kidney & Urinary Tract Infections w/o MCC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Oak Crest Village

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

Oak Crest Village

Maryland

Nation

38

Page 39: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

Oak Crest Village Maryland Average National Average

98% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

09% 11% 12%

Percent of patients admitted to the hospital2 15% 17% 16%

Percent of patients assessed for fall risk1 100% 97% 98%

Percent assessed for risk of developing

pressure ulcers1100% 99% 99%

Percent of patients screened for depression1 100% 96% 98%

100% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs1100% 90% 93%

Percent of patients who received a flu shot for

the current flu season1100% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

Oak Crest Village Maryland Average National Average

90%* 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)88%* 82% 84%

83%* 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

*Data are limited - fewer than 100 patients completed the survey

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$163

$182

$153

$100

$150

$200

$250

$300

Oak Crest Village Maryland Nation

$3,724 $3,526

$3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

Oak Crest Village Maryland Nation

39

Page 40: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Baltimore County

Facility: Personal Touch Home Care of Baltimore

Address: 200 East Joppa Road, Suite 103 (410) 321-8448Towson Provider Number: 21705821204

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

7 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Major Joint Replacement or Reattachment of Lower Extremity w/o MCC

2 Cellulitis w/o MCC

3 Rehabilitation w/ CC/MCC

4 Heart Failure & Shock w/o CC/MCC

5 Peripheral Vascular Disorders w/ CC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Personal Touch

Home Care of

Baltimore

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

8.6%

13.6%

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

Personal Touch Home Careof Baltimore

Maryland

Nation

40

Page 41: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

Personal Touch Home Care

of Baltimore Maryland Average National Average

92% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

10% 11% 12%

Percent of patients admitted to the hospital2 18% 17% 16%

Percent of patients assessed for fall risk1 100% 97% 98%

Percent assessed for risk of developing

pressure ulcers1100% 99% 99%

Percent of patients screened for depression1 98% 96% 98%

100% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs1100% 90% 93%

Percent of patients who received a flu shot for

the current flu season176% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

Personal Touch Home Care

of Baltimore Maryland Average National Average

87% 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)82% 82% 84%

84% 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$137

$182

$153

$100

$150

$200

$250

$300

Personal TouchHome Care of

Baltimore

Maryland Nation

$4,183

$3,526 $3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

Personal TouchHome Care of

Baltimore

Maryland Nation

41

Page 42: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Baltimore County

Facility: PHR of Baltimore

Address: 1501 South Edgewood Street, Suite A (410) 368-2825Baltimore Provider Number: 21703621227

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Major Joint Replacement or Reattachment of Lower Extremity w/o MCC

2 Kidney & Urinary Tract Infections w/o MCC

3 Simple Pneumonia & Pleurisy w/ CC

4 Chronic Obstructive Pulmonary Disease w/ CC

5 Heart Failure & Shock w/ MCC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

PHR of Baltimore

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

5.1%

8.7%

14.2%

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

PHR of Baltimore

Maryland

Nation

42

Page 43: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

PHR of Baltimore Maryland Average National Average

96% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

11% 11% 12%

Percent of patients admitted to the hospital2 18% 17% 16%

Percent of patients assessed for fall risk1 99% 97% 98%

Percent assessed for risk of developing

pressure ulcers1100% 99% 99%

Percent of patients screened for depression1 98% 96% 98%

100% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs199% 90% 93%

Percent of patients who received a flu shot for

the current flu season184% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

PHR of Baltimore Maryland Average National Average

80% 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)74% 82% 84%

78% 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$168

$182

$153

$100

$150

$200

$250

$300

PHR of Baltimore Maryland Nation

$3,831 $3,526

$3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

PHR of Baltimore Maryland Nation

43

Page 44: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Baltimore County

Facility: Stella Maris Home Health Agency

Address: 2300 Dulaney Valley Road (410) 252-4500Timonium Provider Number: 21707221093

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Major Joint Replacement or Reattachment of Lower Extremity w/o MCC

2 Spinal Fusion Except Cervical w/o MCC

3 Other Skin, Subcutaneous Tissue & Breast Procedure w/o CC/MCC

4 Syncope & Collapse

5 Cellulitis w/o MCC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Stella Maris Home

Health Agency

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

3.5%

9.7%

15.3%

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

Stella Maris Home HealthAgency

Maryland

Nation

44

Page 45: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

Stella Maris Home Health

Agency Maryland Average National Average

94% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

11% 11% 12%

Percent of patients admitted to the hospital2 17% 17% 16%

Percent of patients assessed for fall risk1 99% 97% 98%

Percent assessed for risk of developing

pressure ulcers196% 99% 99%

Percent of patients screened for depression1 97% 96% 98%

98% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs193% 90% 93%

Percent of patients who received a flu shot for

the current flu season180% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

Stella Maris Home Health

Agency Maryland Average National Average

89% 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)88% 82% 84%

88% 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$148

$182

$153

$100

$150

$200

$250

$300

Stella Maris HomeHealth Agency

Maryland Nation

$3,228 $3,526

$3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

Stella Maris HomeHealth Agency

Maryland Nation

45

Page 46: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Baltimore County

Facility: Visiting Nurse Association of Maryland

Address: 7008 Security Blvd (410) 594-2600Baltimore Provider Number: 21700821244

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Rehabilitation w/ CC/MCC

2 Major Joint Replacement or Reattachment of Lower Extremity w/o MCC

3 Rehabilitation w/o CC/MCC

4 Heart Failure & Shock w/ CC

5 Cellulitis w/o MCC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Visiting Nurse

Association of

Maryland

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

4.6%

9.9%

16.7%

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

Visiting Nurse Association ofMaryland

Maryland

Nation

46

Page 47: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

Visiting Nurse Association

of Maryland Maryland Average National Average

91% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

11% 11% 12%

Percent of patients admitted to the hospital2 19% 17% 16%

Percent of patients assessed for fall risk1 100% 97% 98%

Percent assessed for risk of developing

pressure ulcers1100% 99% 99%

Percent of patients screened for depression1 98% 96% 98%

99% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs197% 90% 93%

Percent of patients who received a flu shot for

the current flu season169% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

Visiting Nurse Association

of Maryland Maryland Average National Average

87% 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)89% 82% 84%

87% 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$173 $182

$153

$100

$150

$200

$250

$300

Visiting NurseAssociation of

Maryland

Maryland Nation

$3,651 $3,526 $3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

Visiting NurseAssociation of

Maryland

Maryland Nation

47

Page 48: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Carroll County

Facility: Amedisys Home Health

Address: 511 Jermor Lane, Suite 200 (410) 751-9904Westminster Provider Number: 21704821157

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Kidney & Urinary Tract Infections w/o MCC

2 Rehabilitation w/ CC/MCC

3 Septicemia or Severe Sepsis w/o Mechanical Ventilation 96+ Hours w/ MCC

4 Septicemia or Severe Sepsis w/o Mechanical Ventilation 96+ Hours w/o MCC

5 Heart Failure & Shock w/ CC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Amedisys Home

Health

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

7.1%

11.2%

15.9%

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

Amedisys Home Health

Maryland

Nation

48

Page 49: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

Amedisys Home Health Maryland Average National Average

90% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

10% 11% 12%

Percent of patients admitted to the hospital2 15% 17% 16%

Percent of patients assessed for fall risk1 87% 97% 98%

Percent assessed for risk of developing

pressure ulcers1100% 99% 99%

Percent of patients screened for depression1 99% 96% 98%

86% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs195% 90% 93%

Percent of patients who received a flu shot for

the current flu season182% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

Amedisys Home Health Maryland Average National Average

82% 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)83% 82% 84%

83% 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$191 $182

$153

$100

$150

$200

$250

$300

Amedisys HomeHealth

Maryland Nation

$3,706 $3,526

$3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

Amedisys HomeHealth

Maryland Nation

49

Page 50: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Carroll County

Facility: Carroll Home Care

Address: 292 Stoner Avenue (410) 871-8000Westminster Provider Number: 21714421157

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Major Joint Replacement or Reattachment of Lower Extremity w/o MCC

2 Heart Failure & Shock w/ CC

3 Septicemia or Severe Sepsis w/o Mechanical Ventilation 96+ Hours w/o MCC

4 Septicemia or Severe Sepsis w/o Mechanical Ventilation 96+ Hours w/ MCC

5 Simple Pneumonia & Pleurisy w/ CC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Carroll Home Care

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

5.1%

11.8%

17.0%

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

Carroll Home Care

Maryland

Nation

50

Page 51: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

Carroll Home Care Maryland Average National Average

97% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

09% 11% 12%

Percent of patients admitted to the hospital2 17% 17% 16%

Percent of patients assessed for fall risk1 89% 97% 98%

Percent assessed for risk of developing

pressure ulcers1100% 99% 99%

Percent of patients screened for depression1 100% 96% 98%

100% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs178% 90% 93%

Percent of patients who received a flu shot for

the current flu season176% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

Carroll Home Care Maryland Average National Average

91% 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)86% 82% 84%

86% 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$202

$182

$153

$100

$150

$200

$250

$300

Carroll Home Care Maryland Nation

$2,789

$3,526 $3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

Carroll Home Care Maryland Nation

51

Page 52: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Carroll County

Facility: HomeCall of Westminster

Address: 844 Washington Road, Suite 301 (410) 848-5379Westminster Provider Number: 21711521157

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

7 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Major Joint Replacement or Reattachment of Lower Extremity w/o MCC

2 Kidney & Urinary Tract Infections w/o MCC

3 Heart Failure & Shock w/ CC

4 Septicemia or Severe Sepsis w/o Mechanical Ventilation 96+ Hours w/ MCC

5 Miscellaneous Disorders of Nutrition, Metabolism, Fluids/Electrolytes w/o MCC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

HomeCall of

Westminster

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

7.4%

14.0%

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

HomeCall of Westminster

Maryland

Nation

52

Page 53: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

HomeCall of Westminster Maryland Average National Average

82% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

12% 11% 12%

Percent of patients admitted to the hospital2 17% 17% 16%

Percent of patients assessed for fall risk1 100% 97% 98%

Percent assessed for risk of developing

pressure ulcers199% 99% 99%

Percent of patients screened for depression1 91% 96% 98%

96% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs144% 90% 93%

Percent of patients who received a flu shot for

the current flu season160% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

HomeCall of Westminster Maryland Average National Average

84% 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)83% 82% 84%

82% 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$181 $182

$153

$100

$150

$200

$250

$300

HomeCall ofWestminster

Maryland Nation

$5,704

$3,526 $3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

HomeCall ofWestminster

Maryland Nation

53

Page 54: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Carroll County

Facility: Lutheran Home Care and Hospice

Address: 187 East Main Street (410) 751-2429Westminster Provider Number: 21715321157

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Rehabilitation w/ CC/MCC

2 Major Joint Replacement or Reattachment of Lower Extremity w/o MCC

3 Simple Pneumonia & Pleurisy w/ CC

4 Septicemia or Severe Sepsis w/o Mechanical Ventilation 96+ Hours w/ MCC

5 Simple Pneumonia & Pleurisy w/ MCC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Lutheran Home Care

and Hospice

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

4.0%

9.2%

17.9%

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

Lutheran Home Care andHospice

Maryland

Nation

54

Page 55: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

Lutheran Home Care and

Hospice Maryland Average National Average

96% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

13% 11% 12%

Percent of patients admitted to the hospital2 22% 17% 16%

Percent of patients assessed for fall risk1 100% 97% 98%

Percent assessed for risk of developing

pressure ulcers1100% 99% 99%

Percent of patients screened for depression1 98% 96% 98%

100% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs197% 90% 93%

Percent of patients who received a flu shot for

the current flu season173% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

Lutheran Home Care and

Hospice Maryland Average National Average

93% 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)90% 82% 84%

83% 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$164

$182

$153

$100

$150

$200

$250

$300

Lutheran HomeCare and Hospice

Maryland Nation

$3,420 $3,526 $3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

Lutheran HomeCare and Hospice

Maryland Nation

55

Page 56: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Cecil County

Facility: Amedisys Home Health

Address: 107 Chesapeake Blvd, Suite 114 (410) 398-4733Elkton Provider Number: 21715121921

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Major Joint Replacement or Reattachment of Lower Extremity w/o MCC

2 Pulmonary Edema & Respiratory Failure

3 Septicemia or Severe Sepsis w/o Mechanical Ventilation 96+ Hours w/ MCC

4 Chronic Obstructive Pulmonary Disease w/ CC

5 Chronic Obstructive Pulmonary Disease w/ MCC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Amedisys Home

Health

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

5.0%

9.4%

15.6%

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

Amedisys Home Health

Maryland

Nation

56

Page 57: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

Amedisys Home Health Maryland Average National Average

93% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

14% 11% 12%

Percent of patients admitted to the hospital2 16% 17% 16%

Percent of patients assessed for fall risk1 88% 97% 98%

Percent assessed for risk of developing

pressure ulcers1100% 99% 99%

Percent of patients screened for depression1 99% 96% 98%

90% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs194% 90% 93%

Percent of patients who received a flu shot for

the current flu season187% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

Amedisys Home Health Maryland Average National Average

87% 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)86% 82% 84%

88% 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$190 $182

$153

$100

$150

$200

$250

$300

Amedisys HomeHealth

Maryland Nation

$3,560 $3,526 $3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

Amedisys HomeHealth

Maryland Nation

57

Page 58: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Charles County

Facility: Chesapeake Potomac Home Health Agency

Address: 7627 Leonardtown Road (301) 274-9000Hughesville Provider Number: 21713820637

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Major Joint Replacement or Reattachment of Lower Extremity w/o MCC

2 Heart Failure & Shock w/ CC

3 Kidney & Urinary Tract Infections w/o MCC

4 Simple Pneumonia & Pleurisy w/ CC

5 Chronic Obstructive Pulmonary Disease w/ CC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Chesapeake Potomac

Home Health Agency

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

5.6%

10.5%

17.3%

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

Chesapeake Potomac HomeHealth Agency

Maryland

Nation

58

Page 59: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

Chesapeake Potomac

Home Health Agency Maryland Average National Average

78% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

15% 11% 12%

Percent of patients admitted to the hospital2 16% 17% 16%

Percent of patients assessed for fall risk1 88% 97% 98%

Percent assessed for risk of developing

pressure ulcers198% 99% 99%

Percent of patients screened for depression1 99% 96% 98%

98% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs183% 90% 93%

Percent of patients who received a flu shot for

the current flu season169% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

Chesapeake Potomac

Home Health Agency Maryland Average National Average

86% 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)86% 82% 84%

86% 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$171 $182

$153

$100

$150

$200

$250

$300

ChesapeakePotomac HomeHealth Agency

Maryland Nation

$2,968

$3,526 $3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

ChesapeakePotomac HomeHealth Agency

Maryland Nation

59

Page 60: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Frederick County

Facility: Frederick Memorial Hospital HHA

Address: 605 East Church Street (240) 566-3568Frederick Provider Number: 21703421701

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Major Joint Replacement or Reattachment of Lower Extremity w/o MCC

2 Heart Failure & Shock w/ CC

3 Simple Pneumonia & Pleurisy w/ CC

4 Heart Failure & Shock w/ MCC

5 Septicemia or Severe Sepsis w/o Mechanical Ventilation 96+ Hours w/ MCC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Frederick Memorial

Hospital HHA

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

4.3%

9.8%

14.5%

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

Frederick Memorial HospitalHHA

Maryland

Nation

60

Page 61: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

Frederick Memorial

Hospital HHA Maryland Average National Average

90% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

13% 11% 12%

Percent of patients admitted to the hospital2 14% 17% 16%

Percent of patients assessed for fall risk1 99% 97% 98%

Percent assessed for risk of developing

pressure ulcers199% 99% 99%

Percent of patients screened for depression1 96% 96% 98%

98% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs198% 90% 93%

Percent of patients who received a flu shot for

the current flu season177% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

Frederick Memorial

Hospital HHA Maryland Average National Average

89% 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)87% 82% 84%

83% 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$183 $182

$153

$100

$150

$200

$250

$300

Frederick MemorialHospital HHA

Maryland Nation

$3,261 $3,526

$3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

Frederick MemorialHospital HHA

Maryland Nation

61

Page 62: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Frederick County

Facility: HomeCall of Frederick

Address: 1446 W Patrick Street, Suites 15, 16, & 17 (240) 215-4668Frederick Provider Number: 21704021702

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Major Joint Replacement or Reattachment of Lower Extremity w/o MCC

2 Rehabilitation w/ CC/MCC

3 Simple Pneumonia & Pleurisy w/ CC

4 Renal Failure w/ CC

5 Septicemia or Severe Sepsis w/o Mechanical Ventilation 96+ Hours w/ MCC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

HomeCall of

Frederick

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

3.2%

6.1%

10.3%

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

HomeCall of Frederick

Maryland

Nation

62

Page 63: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

HomeCall of Frederick Maryland Average National Average

86% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

11% 11% 12%

Percent of patients admitted to the hospital2 15% 17% 16%

Percent of patients assessed for fall risk1 99% 97% 98%

Percent assessed for risk of developing

pressure ulcers198% 99% 99%

Percent of patients screened for depression1 90% 96% 98%

97% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs149% 90% 93%

Percent of patients who received a flu shot for

the current flu season155% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

HomeCall of Frederick Maryland Average National Average

84% 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)83% 82% 84%

79% 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$183 $182

$153

$100

$150

$200

$250

$300

HomeCall ofFrederick

Maryland Nation

$5,128

$3,526 $3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

HomeCall ofFrederick

Maryland Nation

63

Page 64: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Garrett County

Facility: Garrett County Health Department

Address: 1025 Memorial Avenue (410) 529-0079Oakland Provider Number: 21780921550

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

7 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Major Joint Replacement or Reattachment of Lower Extremity w/o MCC

2 Septicemia or Severe Sepsis w/o Mechanical Ventilation 96+ Hours w/o MCC

3 Simple Pneumonia & Pleurisy w/ CC

4 Heart Failure & Shock w/ MCC

5 Miscellaneous Disorders of Nutrition, Metabolism, Fluids/Electrolytes w/o MCC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Garrett County

Health Department

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

12.1%

18.8%

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

Garrett County HealthDepartment

Maryland

Nation

64

Page 65: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

Garrett County Health

Department Maryland Average National Average

78% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

15% 11% 12%

Percent of patients admitted to the hospital2 11% 17% 16%

Percent of patients assessed for fall risk1 99% 97% 98%

Percent assessed for risk of developing

pressure ulcers198% 99% 99%

Percent of patients screened for depression1 100% 96% 98%

99% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs193% 90% 93%

Percent of patients who received a flu shot for

the current flu season171% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

Garrett County Health

Department Maryland Average National Average

89% 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)90% 82% 84%

81% 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$168

$182

$153

$100

$150

$200

$250

$300

Garrett CountyHealth Department

Maryland Nation

$2,560

$3,526 $3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

Garrett CountyHealth Department

Maryland Nation

65

Page 66: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Harford County

Facility: Amedisys Home Health Care

Address: 19 Newport Drive, Suite 201 (410) 420-6412Forest Hill Provider Number: 21704521050

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Major Joint Replacement or Reattachment of Lower Extremity w/o MCC

2 Septicemia or Severe Sepsis w/o Mechanical Ventilation 96+ Hours w/ MCC

3 Spinal Fusion Except Cervical w/o MCC

4 Simple Pneumonia & Pleurisy w/ CC

5 Syncope & Collapse

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Amedisys Home

Health Care

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

4.8%

10.4%

17.7%

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

Amedisys Home Health Care

Maryland

Nation

66

Page 67: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

Amedisys Home Health

Care Maryland Average National Average

82% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

12% 11% 12%

Percent of patients admitted to the hospital2 17% 17% 16%

Percent of patients assessed for fall risk1 63% 97% 98%

Percent assessed for risk of developing

pressure ulcers1100% 99% 99%

Percent of patients screened for depression1 98% 96% 98%

95% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs181% 90% 93%

Percent of patients who received a flu shot for

the current flu season170% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

Amedisys Home Health

Care Maryland Average National Average

88% 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)92% 82% 84%

86% 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$164

$182

$153

$100

$150

$200

$250

$300

Amedisys HomeHealth Care

Maryland Nation

$3,849 $3,526

$3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

Amedisys HomeHealth Care

Maryland Nation

67

Page 68: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Howard County

Facility: Gentiva Certified Healthcare

Address: 9700 Patuxent Woods Drive, Suite 131 (301) 622-2320Columbia Provider Number: 21707121046

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Kidney & Urinary Tract Infections w/o MCC

2 Major Joint Replacement or Reattachment of Lower Extremity w/o MCC

3 Rehabilitation w/ CC/MCC

4 Septicemia or Severe Sepsis w/o Mechanical Ventilation 96+ Hours w/ MCC

5 Rehabilitation w/o CC/MCC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Gentiva Certified

Healthcare

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

3.9%

8.0%

14.6%

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

Gentiva Certified Healthcare

Maryland

Nation

68

Page 69: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

Gentiva Certified

Healthcare Maryland Average National Average

88% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

12% 11% 12%

Percent of patients admitted to the hospital2 16% 17% 16%

Percent of patients assessed for fall risk1 100% 97% 98%

Percent assessed for risk of developing

pressure ulcers1100% 99% 99%

Percent of patients screened for depression1 100% 96% 98%

99% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs192% 90% 93%

Percent of patients who received a flu shot for

the current flu season180% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

Gentiva Certified

Healthcare Maryland Average National Average

85% 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)83% 82% 84%

79% 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$199

$182

$153

$100

$150

$200

$250

$300

Gentiva CertifiedHealthcare

Maryland Nation

$4,976

$3,526 $3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

Gentiva CertifiedHealthcare

Maryland Nation

69

Page 70: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Kent County

Facility: Chester River Home Care and Hospice

Address: 6602 Church Hill Road (410) 778-1049Chestertown Provider Number: 21714221620

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Major Joint Replacement or Reattachment of Lower Extremity w/o MCC

2 Heart Failure & Shock w/ CC

3 Chronic Obstructive Pulmonary Disease w/ MCC

4 Simple Pneumonia & Pleurisy w/ CC

5 Rehabilitation w/ CC/MCC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Chester River Home

Care and Hospice

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

4.5%

10.9%

17.8%

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

Chester River Home Careand Hospice

Maryland

Nation

70

Page 71: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

Chester River Home Care

and Hospice Maryland Average National Average

88% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

10% 11% 12%

Percent of patients admitted to the hospital2 17% 17% 16%

Percent of patients assessed for fall risk1 100% 97% 98%

Percent assessed for risk of developing

pressure ulcers199% 99% 99%

Percent of patients screened for depression1 100% 96% 98%

99% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs196% 90% 93%

Percent of patients who received a flu shot for

the current flu season176% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

Chester River Home Care

and Hospice Maryland Average National Average

89% 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)87% 82% 84%

86% 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$187 $182

$153

$100

$150

$200

$250

$300

Chester River HomeCare and Hospice

Maryland Nation

$2,802

$3,526 $3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

Chester River HomeCare and Hospice

Maryland Nation

71

Page 72: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Montgomery County

Facility: Adventist Home Health Services

Address: 12041 Bournefield Way, Suite B (301) 592-4400Silver Spring Provider Number: 21703220904

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Major Joint Replacement or Reattachment of Lower Extremity w/o MCC

2 Kidney & Urinary Tract Infections w/o MCC

3 Miscellaneous Disorders of Nutrition, Metabolism, Fluids/Electrolytes w/o MCC

4 Septicemia or Severe Sepsis w/o Mechanical Ventilation 96+ Hours w/ MCC

5 Heart Failure & Shock w/ CC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Adventist Home

Health Services

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

3.7%

8.7%

14.0%

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

Adventist Home HealthServices

Maryland

Nation

72

Page 73: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

Adventist Home Health

Services Maryland Average National Average

98% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

11% 11% 12%

Percent of patients admitted to the hospital2 17% 17% 16%

Percent of patients assessed for fall risk1 100% 97% 98%

Percent assessed for risk of developing

pressure ulcers1100% 99% 99%

Percent of patients screened for depression1 100% 96% 98%

100% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs1100% 90% 93%

Percent of patients who received a flu shot for

the current flu season185% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

Adventist Home Health

Services Maryland Average National Average

80% 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)81% 82% 84%

82% 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$220

$182

$153

$100

$150

$200

$250

$300

Adventist HomeHealth Services

Maryland Nation

$3,262 $3,526

$3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

Adventist HomeHealth Services

Maryland Nation

73

Page 74: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Montgomery County

Facility: Bayada Home Health Care

Address: 352-A Christopher Avenue (301) 977-6400Gaithersburg Provider Number: 21715820879

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

7, 15 & 30 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Major Joint Replacement or Reattachment of Lower Extremity w/o MCC

2 Kidney & Urinary Tract Infections w/o MCC

3 Liver Transplant w/ MCC or Intestinal Transplant

4 Transient Ischemia

5 Respiratory Infections & Inflammations w/ MCC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Bayada Home Health

Care

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

Bayada Home Health Care

Maryland

Nation

74

Page 75: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

Bayada Home Health Care Maryland Average National Average

90% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

15% 11% 12%

Percent of patients admitted to the hospital2 16% 17% 16%

Percent of patients assessed for fall risk1 100% 97% 98%

Percent assessed for risk of developing

pressure ulcers1100% 99% 99%

Percent of patients screened for depression1 81% 96% 98%

97% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs189% 90% 93%

Percent of patients who received a flu shot for

the current flu season184% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

Bayada Home Health Care Maryland Average National Average

89%* 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)79%* 82% 84%

81%* 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

*Data are limited - fewer than 100 patients completed the survey

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$229

$182

$153

$100

$150

$200

$250

$300

Bayada HomeHealth Care

Maryland Nation

$3,572 $3,526 $3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

Bayada HomeHealth Care

Maryland Nation

75

Page 76: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Montgomery County

Facility: Celtic Healthcare

Address: 2275 Research Boulevard, Suite 553 (724) 742-4360Rockville Provider Number: 21716020850

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

7, 15 & 30 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Tracheostomy for Face, Mouth & Neck Diagnoses w/ CC

2 G.I. Hemorrhage w/ CC

3 Hip & Femur Procedures Except Major Joint w/ CC

4 Miscellaneous Disorders of Nutrition, Metabolism, Fluids/Electrolytes w/o MCC

5 Septicemia or Severe Sepsis w/o Mechanical Ventilation 96+ Hours w/o MCC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Celtic Healthcare

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

Celtic Healthcare

Maryland

Nation

76

Page 77: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

Celtic Healthcare Maryland Average National Average

74% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

10% 11% 12%

Percent of patients admitted to the hospital2 15% 17% 16%

Percent of patients assessed for fall risk1 100% 97% 98%

Percent assessed for risk of developing

pressure ulcers1100% 99% 99%

Percent of patients screened for depression1 100% 96% 98%

99% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs1100% 90% 93%

Percent of patients who received a flu shot for

the current flu season179% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

Celtic Healthcare Maryland Average National Average

78%* 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)73%* 82% 84%

76%* 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

*Data are limited - fewer than 100 patients completed the survey

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$197

$182

$153

$100

$150

$200

$250

$300

Celtic Healthcare Maryland Nation

$3,504 $3,526 $3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

Celtic Healthcare Maryland Nation

77

Page 78: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Montgomery County

Facility: Comprehensive Home Health Care Agency

Address: 2141 Industrial Parway, Suite 201 (301) 860-0406Silver Spring Provider Number: 21716320904

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

7, 15 & 30 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Multiple Sclerosis & Cerebellar Ataxia w/o CC/MCC

2 Respiratory Infections & Inflammations w/o CC/MCC

3 Chronic Obstructive Pulmonary Disease w/o CC/MCC

4 Percutaneous Cardiovascular Procedure w/ Drug-Eluting Stent w/o MCC

5 Circulatory Disorders Except AMI, w/ Cardiac Catheter w/o MCC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Comprehensive

Home Health Care

Agency

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services No 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

Comprehensive Home HealthCare Agency

Maryland

Nation

78

Page 79: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

Comprehensive Home

Health Care Agency Maryland Average National Average

98% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

15% 11% 12%

Percent of patients admitted to the hospital2 11% 17% 16%

Percent of patients assessed for fall risk1 92% 97% 98%

Percent assessed for risk of developing

pressure ulcers195% 99% 99%

Percent of patients screened for depression1 100% 96% 98%

98% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs155% 90% 93%

Percent of patients who received a flu shot for

the current flu season1100% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

Comprehensive Home

Health Care Agency Maryland Average National Average

NA 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)NA 82% 84%

NA 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$218

$182

$153

$100

$150

$200

$250

$300

ComprehensiveHome Health Care

Agency

Maryland Nation

$2,468

$3,526 $3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

ComprehensiveHome Health Care

Agency

Maryland Nation

79

Page 80: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Montgomery County

Facility: Holy Cross Home Care and Hospice

Address: 11800 Tech Road, Suite #240 (301) 754-7740Silver Spring Provider Number: 21703020904

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Major Joint Replacement or Reattachment of Lower Extremity w/o MCC

2 Septicemia or Severe Sepsis w/o Mechanical Ventilation 96+ Hours w/ MCC

3 Heart Failure & Shock w/ CC

4 Kidney & Urinary Tract Infections w/o MCC

5 Septicemia or Severe Sepsis w/o Mechanical Ventilation 96+ Hours w/o MCC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Holy Cross Home

Care and Hospice

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

3.6%

9.9%

15.4%

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

Holy Cross Home Care andHospice

Maryland

Nation

80

Page 81: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

Holy Cross Home Care and

Hospice Maryland Average National Average

88% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

11% 11% 12%

Percent of patients admitted to the hospital2 15% 17% 16%

Percent of patients assessed for fall risk1 100% 97% 98%

Percent assessed for risk of developing

pressure ulcers1100% 99% 99%

Percent of patients screened for depression1 100% 96% 98%

100% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs199% 90% 93%

Percent of patients who received a flu shot for

the current flu season188% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

Holy Cross Home Care and

Hospice Maryland Average National Average

82% 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)82% 82% 84%

81% 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$196

$182

$153

$100

$150

$200

$250

$300

Holy Cross HomeCare and Hospice

Maryland Nation

$2,979

$3,526 $3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

Holy Cross HomeCare and Hospice

Maryland Nation

81

Page 82: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Montgomery County

Facility: MBL Associates

Address: 845-M Quince Orchard Boulevard (301) 355-7660Gaithersburg Provider Number: 21715920878

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

7, 15 & 30 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Esophagitis, Gastroenteritis & Miscellaneous Digestive Disorders w/o MCC

2 Cellulitis w/o MCC

3

4 Diabetes w/ CC

5 Septicemia or Severe Sepsis w/o Mechanical Ventilation 96+ Hours w/ MCC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

MBL Associates

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Trach w/ Mechanical Ventilation 96+ Hrs or Primary Diagnosis Except Face, Mouth & Neck w/o Major O.R.

Phone Number:

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

MBL Associates

Maryland

Nation

82

Page 83: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

MBL Associates Maryland Average National Average

95% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

08% 11% 12%

Percent of patients admitted to the hospital2 13% 17% 16%

Percent of patients assessed for fall risk1 100% 97% 98%

Percent assessed for risk of developing

pressure ulcers197% 99% 99%

Percent of patients screened for depression1 100% 96% 98%

97% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs184% 90% 93%

Percent of patients who received a flu shot for

the current flu season193% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

MBL Associates Maryland Average National Average

72%* 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)59%* 82% 84%

64%* 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

*Data are limited - fewer than 100 patients completed the survey

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$181 $182

$153

$100

$150

$200

$250

$300

MBL Associates Maryland Nation

$3,901

$3,526 $3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

MBL Associates Maryland Nation

83

Page 84: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Montgomery County

Facility: Potomac Home Health Care

Address: 6001 Montrose Road 301 (301) 896-6999Rockville Provider Number: 21708420852

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Major Joint Replacement or Reattachment of Lower Extremity w/o MCC

2 Septicemia or Severe Sepsis w/o Mechanical Ventilation 96+ Hours w/ MCC

3 Simple Pneumonia & Pleurisy w/ CC

4 Psychoses

5 Kidney & Urinary Tract Infections w/o MCC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Potomac Home

Health Care

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

4.1%

8.3%

11.8%

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

Potomac Home Health Care

Maryland

Nation

84

Page 85: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

Potomac Home Health Care Maryland Average National Average

93% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

12% 11% 12%

Percent of patients admitted to the hospital2 14% 17% 16%

Percent of patients assessed for fall risk1 100% 97% 98%

Percent assessed for risk of developing

pressure ulcers199% 99% 99%

Percent of patients screened for depression1 99% 96% 98%

99% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs199% 90% 93%

Percent of patients who received a flu shot for

the current flu season187% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

Potomac Home Health Care Maryland Average National Average

83% 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)80% 82% 84%

75% 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$207

$182

$153

$100

$150

$200

$250

$300

Potomac HomeHealth Care

Maryland Nation

$3,074

$3,526 $3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

Potomac HomeHealth Care

Maryland Nation

85

Page 86: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Montgomery County

Facility: Professional Healthcare Resources of Maryland

Address: 10605 Concord Street, Suite 309 (240) 395-0000Kensington Provider Number: 21715420895

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

7 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Major Joint Replacement or Reattachment of Lower Extremity w/o MCC

2 Kidney & Urinary Tract Infections w/o MCC

3 Septicemia or Severe Sepsis w/o Mechanical Ventilation 96+ Hours w/ MCC

4 Septicemia or Severe Sepsis w/o Mechanical Ventilation 96+ Hours w/o MCC

5 Simple Pneumonia & Pleurisy w/ CC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Professional

Healthcare

Resources of

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

7.9%

11.5%

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

Professional HealthcareResources of Maryland

Maryland

Nation

86

Page 87: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

Professional Healthcare

Resources of Maryland Maryland Average National Average

93% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

10% 11% 12%

Percent of patients admitted to the hospital2 17% 17% 16%

Percent of patients assessed for fall risk1 99% 97% 98%

Percent assessed for risk of developing

pressure ulcers1100% 99% 99%

Percent of patients screened for depression1 99% 96% 98%

99% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs1100% 90% 93%

Percent of patients who received a flu shot for

the current flu season188% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

Professional Healthcare

Resources of Maryland Maryland Average National Average

70% 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)62% 82% 84%

63% 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$180 $182

$153

$100

$150

$200

$250

$300

ProfessionalHealthcare

Resources ofMaryland

Maryland Nation

$4,018

$3,526 $3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

ProfessionalHealthcare

Resources ofMaryland

Maryland Nation

87

Page 88: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Montgomery County

Facility: Riderwood

Address: 3120 Gracefield Road (301) 572-8375Silver Spring Provider Number: 21715620904

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

7 & 15 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Kidney & Urinary Tract Infections w/o MCC

2 Transient Ischemia

3 Chronic Obstructive Pulmonary Disease w/ CC

4 Syncope & Collapse

5 G.I. Hemorrhage w/o CC/MCC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Riderwood

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

12.4%

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

Riderwood

Maryland

Nation

88

Page 89: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

Riderwood Maryland Average National Average

100% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

07% 11% 12%

Percent of patients admitted to the hospital2 13% 17% 16%

Percent of patients assessed for fall risk1 100% 97% 98%

Percent assessed for risk of developing

pressure ulcers1100% 99% 99%

Percent of patients screened for depression1 98% 96% 98%

99% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs199% 90% 93%

Percent of patients who received a flu shot for

the current flu season198% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

Riderwood Maryland Average National Average

84% 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)79% 82% 84%

81% 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$203

$182

$153

$100

$150

$200

$250

$300

Riderwood Maryland Nation

$3,382 $3,526

$3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

Riderwood Maryland Nation

89

Page 90: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Prince George's County

Facility: Amedisys Home Health Care

Address: 1401 Mercantile Lane, Suite 351 (301) 322-6023Largo Provider Number: 21714920774

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

7 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Heart Failure & Shock w/ MCC

2 Septicemia or Severe Sepsis w/o Mechanical Ventilation 96+ Hours w/ MCC

3 Cellulitis w/o MCC

4 Seizures w/o MCC

5 Heart Failure & Shock w/ CC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Amedisys Home

Health Care

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

8.2%

15.1%

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

Amedisys Home Health Care

Maryland

Nation

90

Page 91: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

Amedisys Home Health

Care Maryland Average National Average

83% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

11% 11% 12%

Percent of patients admitted to the hospital2 15% 17% 16%

Percent of patients assessed for fall risk1 83% 97% 98%

Percent assessed for risk of developing

pressure ulcers1100% 99% 99%

Percent of patients screened for depression1 98% 96% 98%

86% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs181% 90% 93%

Percent of patients who received a flu shot for

the current flu season160% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

Amedisys Home Health

Care Maryland Average National Average

80% 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)76% 82% 84%

76% 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$194 $182

$153

$100

$150

$200

$250

$300

Amedisys HomeHealth Care

Maryland Nation

$3,707 $3,526

$3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

Amedisys HomeHealth Care

Maryland Nation

91

Page 92: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Prince George's County

Facility: Americare In Home Nursing

Address: 10905 Fort Washington Road (800) 296-9002Fort Washington Provider Number: 21715220744

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

7 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Heart Failure & Shock w/ CC

2 Major Joint Replacement or Reattachment of Lower Extremity w/o MCC

3 Syncope & Collapse

4 Cellulitis w/o MCC

5 Septicemia or Severe Sepsis w/o Mechanical Ventilation 96+ Hours w/ MCC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Americare In Home

Nursing

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy No 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

10.2%

18.5%

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

Americare In Home Nursing

Maryland

Nation

92

Page 93: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

Americare In Home

Nursing Maryland Average National Average

98% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

12% 11% 12%

Percent of patients admitted to the hospital2 13% 17% 16%

Percent of patients assessed for fall risk1 99% 97% 98%

Percent assessed for risk of developing

pressure ulcers198% 99% 99%

Percent of patients screened for depression1 100% 96% 98%

100% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs195% 90% 93%

Percent of patients who received a flu shot for

the current flu season163% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

Americare In Home

Nursing Maryland Average National Average

82% 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)84% 82% 84%

74% 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$208

$182

$153

$100

$150

$200

$250

$300

Americare In HomeNursing

Maryland Nation

$2,831

$3,526 $3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

Americare In HomeNursing

Maryland Nation

93

Page 94: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Prince George's County

Facility: Medstar Health VNA

Address: 4061 Powder Mill Road, Suite 500 (240) 965-2929Calverton Provider Number: 21715020705

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Major Joint Replacement or Reattachment of Lower Extremity w/o MCC

2 Heart Failure & Shock w/ CC

3 Kidney & Urinary Tract Infections w/o MCC

4 Simple Pneumonia & Pleurisy w/ CC

5 Intracranial Hemorrhage or Cerebral Infarction w/ CC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Medstar Health VNA

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

4.1%

9.6%

16.1%

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

Medstar Health VNA

Maryland

Nation

94

Page 95: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

Medstar Health VNA Maryland Average National Average

89% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

12% 11% 12%

Percent of patients admitted to the hospital2 16% 17% 16%

Percent of patients assessed for fall risk1 98% 97% 98%

Percent assessed for risk of developing

pressure ulcers198% 99% 99%

Percent of patients screened for depression1 95% 96% 98%

99% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs190% 90% 93%

Percent of patients who received a flu shot for

the current flu season180% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

Medstar Health VNA Maryland Average National Average

84% 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)78% 82% 84%

76% 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$217

$182

$153

$100

$150

$200

$250

$300

Medstar Health VNA Maryland Nation

$3,061

$3,526 $3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

Medstar Health VNA Maryland Nation

95

Page 96: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Prince George's County

Facility: Professional Healthcare

Address: 4429 Forbes Blvd (301) 552-8325Lanham Provider Number: 21712020706

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Major Joint Replacement or Reattachment of Lower Extremity w/o MCC

2 Septicemia or Severe Sepsis w/o Mechanical Ventilation 96+ Hours w/ MCC

3 Heart Failure & Shock w/ CC

4 Heart Failure & Shock w/ MCC

5 Kidney & Urinary Tract Infections w/o MCC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Professional

Healthcare

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

4.3%

8.5%

16.8%

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

Professional Healthcare

Maryland

Nation

96

Page 97: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

Professional Healthcare Maryland Average National Average

95% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

13% 11% 12%

Percent of patients admitted to the hospital2 16% 17% 16%

Percent of patients assessed for fall risk1 100% 97% 98%

Percent assessed for risk of developing

pressure ulcers1100% 99% 99%

Percent of patients screened for depression1 97% 96% 98%

100% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs199% 90% 93%

Percent of patients who received a flu shot for

the current flu season179% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

Professional Healthcare Maryland Average National Average

82% 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)82% 82% 84%

83% 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$163

$182

$153

$100

$150

$200

$250

$300

ProfessionalHealthcare

Maryland Nation

$3,501 $3,526 $3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

ProfessionalHealthcare

Maryland Nation

97

Page 98: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Prince George's County

Facility: Revival Homecare Agency

Address: 1101 Mercantile Lane, Suite 292 (301) 899-6070Upper Marlboro Provider Number: 21704720774

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Major Joint Replacement or Reattachment of Lower Extremity w/o MCC

2 Septicemia or Severe Sepsis w/o Mechanical Ventilation 96+ Hours w/o MCC

3 Heart Failure & Shock w/ CC

4 Kidney & Urinary Tract Infections w/o MCC

5 Diabetes w/ CC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Revival Homecare

Agency

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

5.5%

10.0%

15.0%

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

Revival Homecare Agency

Maryland

Nation

98

Page 99: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

Revival Homecare Agency Maryland Average National Average

89% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

10% 11% 12%

Percent of patients admitted to the hospital2 16% 17% 16%

Percent of patients assessed for fall risk1 100% 97% 98%

Percent assessed for risk of developing

pressure ulcers1100% 99% 99%

Percent of patients screened for depression1 99% 96% 98%

100% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs178% 90% 93%

Percent of patients who received a flu shot for

the current flu season180% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

Revival Homecare Agency Maryland Average National Average

78% 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)78% 82% 84%

64% 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$172 $182

$153

$100

$150

$200

$250

$300

Revival HomecareAgency

Maryland Nation

$3,546 $3,526 $3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

Revival HomecareAgency

Maryland Nation

99

Page 100: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Talbot County

Facility: Homecall

Address: 101 Marlboro Avenue, Suite 47 (443) 716-1150Easton Provider Number: 21706621601

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Major Joint Replacement or Reattachment of Lower Extremity w/o MCC

2 Rehabilitation w/ CC/MCC

3 Chronic Obstructive Pulmonary Disease w/ CC

4 Esophagitis, Gastroenteritis & Miscellaneous Digestive Disorders w/o MCC

5 Miscellaneous Disorders of Nutrition, Metabolism, Fluids/Electrolytes w/o MCC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Homecall

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

3.7%

8.3%

15.1%

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

Homecall

Maryland

Nation

100

Page 101: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

Homecall Maryland Average National Average

78% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

10% 11% 12%

Percent of patients admitted to the hospital2 17% 17% 16%

Percent of patients assessed for fall risk1 99% 97% 98%

Percent assessed for risk of developing

pressure ulcers198% 99% 99%

Percent of patients screened for depression1 88% 96% 98%

97% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs150% 90% 93%

Percent of patients who received a flu shot for

the current flu season143% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

Homecall Maryland Average National Average

84% 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)83% 82% 84%

76% 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$186 $182

$153

$100

$150

$200

$250

$300

Homecall Maryland Nation

$4,522

$3,526 $3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

Homecall Maryland Nation

101

Page 102: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Talbot County

Facility: Shore Home Care

Address: 121 Federal Street, Suite 3 (410) 820-6052Easton Provider Number: 21713921601

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Major Joint Replacement or Reattachment of Lower Extremity w/o MCC

2 Rehabilitation w/ CC/MCC

3 Rehabilitation w/o CC/MCC

4 Esophagitis, Gastroenteritis & Miscellaneous Digestive Disorders w/o MCC

5 Miscellaneous Disorders of Nutrition, Metabolism, Fluids/Electrolytes w/o MCC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Shore Home Care

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

3.7%

7.0%

12.2%

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

Shore Home Care

Maryland

Nation

102

Page 103: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

Shore Home Care Maryland Average National Average

97% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

12% 11% 12%

Percent of patients admitted to the hospital2 18% 17% 16%

Percent of patients assessed for fall risk1 100% 97% 98%

Percent assessed for risk of developing

pressure ulcers198% 99% 99%

Percent of patients screened for depression1 99% 96% 98%

100% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs195% 90% 93%

Percent of patients who received a flu shot for

the current flu season180% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

Shore Home Care Maryland Average National Average

89% 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)90% 82% 84%

82% 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$176 $182

$153

$100

$150

$200

$250

$300

Shore Home Care Maryland Nation

$2,692

$3,526 $3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

Shore Home Care Maryland Nation

103

Page 104: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Washington County

Facility: Meritus Home Health

Address: 1799 Howell Road (301) 766-7800Hagerstown Provider Number: 21708521740

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Rehabilitation w/ CC/MCC

2 Simple Pneumonia & Pleurisy w/ CC

3 Major Joint Replacement or Reattachment of Lower Extremity w/o MCC

4 Septicemia or Severe Sepsis w/o Mechanical Ventilation 96+ Hours w/ MCC

5 Chronic Obstructive Pulmonary Disease w/ CC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Meritus Home Health

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

4.8%

9.9%

16.9%

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

Meritus Home Health

Maryland

Nation

104

Page 105: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

Meritus Home Health Maryland Average National Average

95% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

12% 11% 12%

Percent of patients admitted to the hospital2 16% 17% 16%

Percent of patients assessed for fall risk1 100% 97% 98%

Percent assessed for risk of developing

pressure ulcers198% 99% 99%

Percent of patients screened for depression1 99% 96% 98%

99% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs196% 90% 93%

Percent of patients who received a flu shot for

the current flu season183% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

Meritus Home Health Maryland Average National Average

89% 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)85% 82% 84%

86% 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$206

$182

$153

$100

$150

$200

$250

$300

Meritus HomeHealth

Maryland Nation

$2,056

$3,526 $3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

Meritus HomeHealth

Maryland Nation

105

Page 106: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Wicomico County

Facility: Amedisys Home Health

Address: 6512 Deer Pointe Drive, Suite B (410) 543-8258Salisbury Provider Number: 21711121804

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Major Joint Replacement or Reattachment of Lower Extremity w/o MCC

2 Simple Pneumonia & Pleurisy w/ CC

3 Chronic Obstructive Pulmonary Disease w/ MCC

4 Heart Failure & Shock w/ CC

5 Cellulitis w/o MCC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Amedisys Home

Health

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

5.1%

9.4%

14.8%

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

Amedisys Home Health

Maryland

Nation

106

Page 107: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

Amedisys Home Health Maryland Average National Average

96% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

14% 11% 12%

Percent of patients admitted to the hospital2 16% 17% 16%

Percent of patients assessed for fall risk1 87% 97% 98%

Percent assessed for risk of developing

pressure ulcers1100% 99% 99%

Percent of patients screened for depression1 96% 96% 98%

86% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs186% 90% 93%

Percent of patients who received a flu shot for

the current flu season166% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

Amedisys Home Health Maryland Average National Average

89% 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)87% 82% 84%

86% 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$155

$182

$153

$100

$150

$200

$250

$300

Amedisys HomeHealth

Maryland Nation

$3,981

$3,526 $3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

Amedisys HomeHealth

Maryland Nation

107

Page 108: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Wicomico County

Facility: Healthsouth Chesapeake Rehab Home Health

Address: 220 Tilghman Road (410) 219-5540Salisbury Provider Number: 21715721804

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

7, 15 & 30 Day Readmissions Data Unavailable

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Major Joint Replacement or Reattachment of Lower Extremity w/o MCC

2 Intracranial Hemorrhage or Cerebral Infarction w/ CC

3 Respiratory Infections & Inflammations w/ CC

4 Chronic Obstructive Pulmonary Disease w/ MCC

5 Heart Failure & Shock w/o CC/MCC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Healthsouth

Chesapeake Rehab

Home Health

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide No 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

Healthsouth ChesapeakeRehab Home Health

Maryland

Nation

108

Page 109: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

Healthsouth Chesapeake

Rehab Home Health Maryland Average National Average

92% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

13% 11% 12%

Percent of patients admitted to the hospital2 14% 17% 16%

Percent of patients assessed for fall risk1 100% 97% 98%

Percent assessed for risk of developing

pressure ulcers198% 99% 99%

Percent of patients screened for depression1 100% 96% 98%

100% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs198% 90% 93%

Percent of patients who received a flu shot for

the current flu season160% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

Healthsouth Chesapeake

Rehab Home Health Maryland Average National Average

88% 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)88% 82% 84%

85% 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$149

$182

$153

$100

$150

$200

$250

$300

HealthsouthChesapeake Rehab

Home Health

Maryland Nation

$4,515

$3,526 $3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

HealthsouthChesapeake Rehab

Home Health

Maryland Nation

109

Page 110: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

County Name: Wicomico County

Facility: Peninsula Home Care

Address: 1001 Mount Hermon Street, Suite 200 (410) 543-7550Salisbury Provider Number: 21707921804

Percent of Home Health Patients Readmitted Back to Hospital for any Cause

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Most Commonly Billed DRGs During Patients' Prior Hospitalizations

1 Major Joint Replacement or Reattachment of Lower Extremity w/o MCC

2 Simple Pneumonia & Pleurisy w/ CC

3 Septicemia or Severe Sepsis w/o Mechanical Ventilation 96+ Hours w/ MCC

4 Heart Failure & Shock w/ CC

5 Heart Failure & Shock w/ MCC

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Clinical Service Offerings

Peninsula Home Care

Percent of Maryland HHAs

Offering Services

Nursing Care Yes 100%

Physical Therapy Yes 100%

Occupational Therapy Yes 100%

Speech Therapy Yes 98%

Medical Social Services Yes 96%

Home Health Aide Yes 96%

Source: CMS Home Health Compare, data as of 4/2015

Phone Number:

5.3%

10.4%

16.2%

4.3%

9.2%

15.5%

5.1%

10.0%

16.1%

0%

5%

10%

15%

20%

Within 7 Days Within 15 Days Within 30 Days

Peninsula Home Care

Maryland

Nation

110

Page 111: Home Health Agency Partnership Development Guide Overview...data are presented as reference points. Data come from Avalere Health’s analysis of 2013 Medicare fee-for-service claims

Payments Per Visit, Per Episode

Average Payment Per Visit Average Payment Per Episode

Source: Avalere Health LLC analysis of 2013 Medicare fee-for-service claims data

Process and Outcome of Care Measures

Peninsula Home Care Maryland Average National Average

96% 90% 92%

Percent of patients who required unplanned

care in the E.D. without being admitted to the

hospital2

17% 11% 12%

Percent of patients admitted to the hospital2 15% 17% 16%

Percent of patients assessed for fall risk1 100% 97% 98%

Percent assessed for risk of developing

pressure ulcers1100% 99% 99%

Percent of patients screened for depression1 100% 96% 98%

100% 98% 99%

Percent of patients (or their family caregivers)

taught about their drugs197% 90% 93%

Percent of patients who received a flu shot for

the current flu season179% 77% 73%

Source: 1 CMS Home Health Compare, data collected 1/2014 through 12/2014; 2 CMS Home Health Compare, data collected 10/2013 through 9/2014

Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS)

Peninsula Home Care Maryland Average National Average

89% 85% 85%

Percent who gave their care a 9 or 10 on a 10

point scale (10 being highest)85% 82% 84%

86% 81% 84%

Source: CMS Home Health Compare, data collected 10/2013 through 9/2014

Percent who reported the HHA team

discussed medicines, pain, and home safety

Percent of patients who received care in a

timely manner1

Percent of patients assessed for pain at the

start or resumption of care1

Percent who reported the HHA team always

communicated well

$183 $182

$153

$100

$150

$200

$250

$300

Peninsula HomeCare

Maryland Nation

$2,821

$3,526 $3,236

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

Peninsula HomeCare

Maryland Nation

111