Home Health Quality Improvement National Campaign Agency of the Month
HHQI will randomly select an Agency of the Month (AOTM) demonstrating "Examples of Excellence" from all completed entries submitted by the 25th of each month. To submit your entry, please complete the following form and click submit.

The winning agency will be notified by e-mail. As AOTM, the agency will be honored by being awarded a prominent logo indicating this distinction and their testimonial will be placed on the HHQI Web site and in the e-bulletin.

Using the blank spaces below, please tell us the story of how your agency is improving the quality of care your home health patients receive. While describing, consider what changes your agency has made to improve the overall quality of care you deliver to patients.

All fields must be completed to be eligible for the HHQI Agency of the Month drawing. If you have any questions, please contact us at hhqi@wvmi.org. Thank you for being part of the HHQI National Campaign. Your participation is impacting what matters most: the quality of care our patients receive.


Disclaimer: Participants closest to the 90th percentile or higher in ACH & Oral Medication Management rates demonstrating active participation in the 2010-2011 HHQI National Campaign are eligible for random selection as HHQI AOTM. 90th percentile = 16.22% for ACH and 66.7% for Oral Medication Management. To see your current rates, log-in to HHQI Data Access. If your agency is below the threshold right now, please check your HHQI Data Access reports monthly to see your current rate. Reports are updated around the 20th of each month.

 

By clicking submit below, you hereby grant permission to WVMI, the Centers for Medicare & Medicaid Services, and its agents, including Web site-related contractors and partners in quality improvement to use and/or publish this information in whole or in part at the state, national, and/or international levels regarding this organization's quality improvement efforts, including interventions, literature, documents, images, graphs, or other materials for the purpose of furthering the advancement of health care quality. This is to include print, electronic, visual, verbal, Web and/or various media for an indefinite period of time. Reasonable adjustments may be made to materials and formats for purposes of editorial, layout and delivery need. This permission extends to any materials listed above that may be copyrighted. By clicking submit, you agree to have the authority to grant this permission on behalf of this organization and all parties who contributed to this material. Permission is granted, although not obligated, to identify my organization and/or myself as a credit in connection with this information.

  1. Agency Name Agency Name
  2. Medicare Provider Number (CCN) Medicare Provider Number
  3. Agency Address Address
  4. Person Submitting Entry Your Name
  5. Title Your Title
  6. E-Mail Address
  7. Phone Number
  8. Briefly describe your agency`s Quality Improvement Plan including any new policies or procedures you have changed and why you did so.
  9. Tell us what interventions and/or tools from the 2010-2011 HHQI National Campaign you have used in your quality improvement efforts
  10. Tell us where you obtained the tools used in your QI efforts. For example, if they came from an HHQI BPIP, discussion board or blog, please note which one.
  11. Tell us the date the intervention/tool was implemented into your agency`s processes
  12. Describe what measures were used to assess improvement outcomes and your findings, including pre-and post-intervention implementation