Homebound older adults receiving home-based medical care (HBMC) are high-need, high-cost patients. National Quality Forum (NQF)-endorsed quality measures for this population are lacking. The objective is to describe the reliability and validity testing of 2 new quality measures for such patients to support NQF endorsement. The authors developed 2 new clinical quality measures for HBMC: evaluation of (1) functional status and (2) cognitive function. Data from a large multistate HBMC practice in a Centers for Medicare & Medicaid Services-approved qualified clinical data registry were used to test both measures for reliability and validity. In 63 000 patient encounters, provider performance rates were 68% for evaluation of functional status and 40% for cognitive function. Reliability and validity were high for both. This article describes a replicable approach to leverage registry-type data to systematically address quality gaps for high-need, high-cost populations that will raise the profile of HBMC with measure developers and payers.
Copyright © 2021 The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved.