Homecare Guidance - 2019

JAWDA Quarterly Guidelines for (Home Healthcare Services)
JAWDA Quarterly
Guidelines for (Home
Healthcare Services)
2022
1
Contents
 Executive Summary ..............................................................................................................................3

 Introduction ..............................................................................................................................................4
 Patient Safety and Clinical Effectiveness ..................................................................................5
 Planning for data collection and submission: ........................................................................6
 About this Guidance..............................................................................................................................7
 Glossary .......................................................................................................................................................8
 Facility Submission of Case-mix.....................................................................................................9
 Home care indicators…………………………………...……………………………..………………….10
2
Executive Summary
The Department of Health (DoH) is the regulatory body of the Healthcare Sector in
the Emirate of Abu Dhabi and ensures excellence in Healthcare for the community
by monitoring the health status of its population.
The Emirate of Abu Dhabi is experiencing a substantial growth in the number of

hospitals, centres, clinics and other healthcare providers. This is ranging from school
clinics and mobile units to internationally renowned specialist, and tertiary
academic centres. Although, access and quality of care has improved dramatically
over the last couple of decades mirroring the economic upturn and population
boom of the Abu Dhabi Emirate, however, challenges remain in addressing further
improvements.
The main challenges that are presented with increasingly dynamic population
include an aging population with increased expectation for treatment, utilization of
technology and diverse workforce leading to increased complexity of healthcare
provision in Abu Dhabi. All of this results in an increased and inherent risk to quality
and patient safety.
DoH has developed a dynamic and comprehensive quality framework in order to

bring about improvements across the health sector. This guidance relates to the
quality indicators that DOH is mandating for quarterly reporting by the operating
Home Healthcare Providers in the Emirates of Abu Dhabi.
The guidance sets out the full definition and method of calculation for patient safety
and clinical effectiveness indicators.
For enquiries about this guidance, please contact [email protected]
This document is subject for review and therefore it is advisable to utilise online
versions available on the DOH website at all times.
Published: Jan 2022, Version 5
Sep 2022, Version 6
Effective; Q3 2022
3
Introduction
The Department of Health – Abu Dhabi (DOH) is the regulatory body of the
Healthcare Sector in the Emirate of Abu Dhabi and ensures excellence in
healthcare for the community by monitoring the health status of the population.
DOH is mandated:
 To achieve the highest standards in health curative, preventative and

medical services and health insurance in the Emirate.
 To lay down the strategies, policies and plans, including future

projects and extensions for the health sector in the Emirate, and to
follow-up their implementation
 To apply the laws, rules, regulations and policies that are issued as
these are related to its purposes and responsibilities; in addition to
what is issued by the respective international and regional
organizations in line with the development of the health sector.
 To follow up and monitor the operation of the health sectors, to

achieve an exemplary standard in the provision of health, curative,
preventive and medicinal services and health insurance
DOH defines the strategy for the health system, monitors and analyses the health
status of the population and performance of the system. In addition, DOH shapes
the regulatory framework for the health system, inspects against regulations,
enforce standards, and encourages adoption of world – class best practices and
performance targets by all healthcare service providers in the Emirate of Abu
Dhabi.
DOH also drives programs to increase awareness and adoption of healthy living
standards among the residents of the Emirate of Abu Dhabi in addition to
regulating scope of services, premiums and reimbursement rates of the health
system in the Emirate of Abu Dhabi.
The health system of the Emirate of Abu Dhabi is comprehensive, encompassing

the full spectrum of health services and is accessible to all residents of Abu
Dhabi. The system is driven towards excellence through continuous outcome,
improvement culture, and monitoring achievement of specified
indicators. Providers of health services are independent, predominately private
4
and follow highest international quality standards. The system is financed

through mandatory health insurance.
In doing so DoH will:

 Drive structure, process and outcome improvements across health
sector
 Put people first and champion their rights
 Focus on quality and act swiftly to eliminate poor quality of care
 Work with stakeholders and apply fair processes.
 Gather information and utilize knowledge and expertise to improve
care.
 Link the care to payment in a way that results in a continuous
improvement and maximize the value of the care provided in Abu
Dhabi.
Patient Safety and Clinical Effectiveness

Patient safety is ‘the discipline in the health care sector that applies safety
science methods toward the goal of achieving a trustworthy system of health
care delivery’. Patient safety is also an attribute of health care systems; it
minimizes the incidence and impact of, and maximizes recovery from, adverse
events. Clinical effectiveness is “the application of the best knowledge, derived
from research, clinical experience and patient preferences to achieve optimum
processes and outcomes of care for patients. The process involves a framework
of informing, changing and monitoring practice” Clinical effectiveness is about
doing the right thing at the right time for the right patient and is concerned with
demonstrating improvements in quality and performance.
 The right thing (evidence-based practice requires that decisions about

health care are based on the best available, current, valid and reliable
evidence)
 In the right way (developing a workforce that is skilled and competent to
deliver the care required)
 At the right time (accessible services providing treatment when the
patient needs them)
 In the right place (location of treatment/services).
 With the right outcome (clinical effectiveness/maximising health gain)
Patient safety, clinical effectiveness and patient experience are recognized as
the main pillars of quality in healthcare. In Abu Dhabi, the measurement of
patient safety, clinical effectiveness and patient experience data is intended to
5
identify strengths and weaknesses of healthcare delivery, drive-quality

improvement, inform regulation and promote patient choice. In addition to data
on harm avoidance or success rates for treatments, providers will be assessed on
aspects of care such as dignity and respect, compassion and involvement in care
decisions through patient satisfaction surveys. The inclusion of patient safety,
clinical effectiveness and patient experience for quality performance is often
justified on grounds of its intrinsic value. For example, clear information,
empathic, two-way communication and respect for patients’ beliefs and
concerns could lead to patients being more informed and involved in decision-
making and create an environment where patients are more willing to disclose
information.
Planning for data collection and submission

In planning for data collection and submission, healthcare providers must adhere
to reporting, definition and calculation requirements as set out in Section 7
(Home Healthcare Indicator Definitions). Healthcare providers must also
consider the following:
 Nominate responsible data collection and quality leads(s).
 Ensure data collection leads are adequately skilled and resourced.
 Understand and identify what data is required, how it will be collected

(sources) and when it will be collected.
 Create a data collection plan.
 Ensure adequate data collection systems and tools are in place.
 Maintain accurate and reliable data collection methodology.
 Data collation, cleansing and analysis for reliability and accuracy.
 Back up and protect data integrity.
 Have in place a data checklist before submission.
 Submit data on time and ensure validity.
 Review and feedback data findings to the respective teams in order to

promote performance improvement.
6
 When needed, documentation and tracks will be provided instantly to

DOH or their representative to assure DoH that all due processes are
being followed in collecting, analyzing, validating and submitting the
performance
 Failing to submit valid data will be in breach of the licensing condition

and could result in fines being applied, penalties associated with
performance or revocation of license.
About this Guidance

This guidance sets out the Patient Safety and Clinical Effectiveness reporting
requirements so as to ensure High quality and safety of healthcare services
offered to patients in the Emirate of Abu Dhabi. The guidance sets out the
definitions, parameters and frequency by which JAWDA Quality indicators will be
measured and submitted to DOH and will ensure that healthcare providers
provide safe, effective and high quality services.
Q. Who is this guidance for?
All DOH Licensed Home Healthcare Providers in the Emirate of Abu Dhabi
Q. How do I follow this guidance?
Each hospital will nominate one member of staff to coordinate, collect, quality
control, monitor and report relevant data as per communicated dates. The
nominated healthcare facility lead must in the first instance e-mail their
contact details (if different from previous submission) to [email protected]
and submit the required quarterly quality performance indicators through the
online portal.
Q. What are the Regulation related to this guidance?
 Legislation establishing the Health Sector

 DOH Standards for Homecare Health Services in Emirate of Abu Dhabi,
 As per Circular CEO 38/12 issued August 5th 2012 this guidance applies
to all DoH Licensed Home Healthcare Facilities in the Emirate of Abu
Dhabi in accordance with the requirements set out in this Standard
7
Glossary:
Target period: The span of time that defines the Jawda reporting period (e.g. a
calendar quarter).
Patient:
A person who is served by, or uses the services of a Department of Health (DOH)
licensed Healthcare Provider for the provision of healthcare services in the home.
Home Healthcare Service Provider:

A Healthcare facility or provider that is licensed by DOH to provide home healthcare
services.
Population:
Unless specified for the indicator, all patients (adults, using or not using devices etc.)
served by the home care facility are considered to be included for indicator
measurement.
Adult is defined as 18 years and older.
Data exclusions;
• Pediatric home health patients

• Home health patients getting maternity care only
• Home health patients getting non-skilled care only, see below examples:
o Assistance with daily living tasks and activities .Personal care needs such
as bathing, dressing, eating and cleaning.
o Medication management and making sure that the covered individual
takes needed medications and has transportation to medical
appointments.
Patient days: The total number of days during which the patient was served by the
home care facility. Any day/s during which the patient was not served by the home care
facility (e.g. days spent in any acute healthcare facility) would not count towards the
total patient days. The following rules are used when computing patient days:
 The counting stops with
(a) The last record in the target period if that record is a discharge assessment
(b) The last record in the target period if that record is an admission to a
healthcare facility (transfer to another healthcare facility).
(c) The last record in the target period if that record is a death or
(d) The end of the target period is reached, whichever is earlier.
 Any care provided by the homecare staff ranging from any number of hours to a
complete day (e.g. visit of one to two hrs. to 24 hrs. care) can be considered as a
patient day.
8
 b. Similarly, two visits on a day will be considered as one patient day for the
denominator. The denominator box allows for entry of any value depending on
the number of patients that fulfil the denominator criteria
 Include the day of entry but not the day of discharge or admission to a
healthcare facility unless the entry and discharge occurred on the same day in
which case the number of days in the stay is equal to 1.
 While death in facility records end patient day counting, these records are not
used as target records because they contain only tracking information and do
not include clinical information necessary for JAWDA indicator calculation.
Facility Submission of Case-mix:

The home care patient days are to be classified by the level of care as given in the “HAAD
Standard for Homecare Health Services in Emirate of Abu Dhabi Appendix 5”.
So each home care facility will be submitting the total number of patient days within each
service category for the target period (3 months for quarterly submission) as follows:
Acuity Level (Care Service Patient days for
Level) Code target period
Simple 17-26-1
Intermediate 17-26-2
Intensive 17-26-3
Complex 17-26-4
Self-pay XXXX
Total patient days in the target
period
The coding assignments for the period would be those that are approved by Daman.
*Some of the patients may have an assignment of more than one care level in the target period based on
improvement or worsening of the care level (or possibly conversion from self-pay to insured patient or
vice versa). Please consider the changes of service level during the reporting period e.g. if a patient was
care level 17-26-4 till the 10th of the month and then that patient’s care level changed to 17-14 on
11th; the patient days will be accordingly assigned.
Reference:
Process of care and outcome of care quality measures | Provider Data Catalog (cms.gov)
9
Home care performance indicators
Type: Home Health Care Indicator Indicator Number: HC001
KPI
Description Emergency Department / Urgent Care Use without Hospitalization
(title)
Domain Effectiveness
Sub-Domain Emergency attendance
Percentage of homecare patient days in which patients used the

Definition: emergency department or urgent care but were not admitted to the
hospital during the measurement Quarter.
Population: All patients who received homecare services
Numerator: Number of unplanned emergency department or urgent

care visits related to the quality of provided home health service
included but not limited to :
 All kinds of trauma including soft or connective tissue injuries.
 DVT or its related complications.
 Severe anaemia.
 Electrolyte imbalance or Dehydration.
 Fluid overload or infections related to peritoneal dialysis.
 Stoma or wound infections.
 Urinary catheter related complications including urinary tract
infections or urethral injuries.
 PEG tube related complications including clogged or dislodged
tube or aspiration pneumonias.
Calculation:  Urine retentions.
 Tracheostomy complications including infections, tube damage or
decannulation.
 Other complications confirmed by the treating physician to be
clearly related to the quality of home health care.
(and not admitted for acute care hospitalization).
For definition of unplanned care and medical emergency, please refer to

DOH (HAAD) Standard for Emergency Departments.
Denominator: Number of homecare patient days during the

measurement period.
10
Exclusion:
 Pediatric home health patients (under 18 years)

 Home health patients getting maternity care only
 Home health patients getting non-skilled care only, e.g:
- Assistance with daily living tasks and activities .Personal
care needs such as bathing, dressing, eating and cleaning.
- Medication management and making sure that the covered
individual takes needed medications and has transportation
to medical appointments.
Percentage: Percentage is calculated by the number of unplanned

emergency department or urgent care visits divided by the total number
of patient days during the same period multiplying by 100.
Calculation: [numerator / denominator] x 100
Reporting Quarterly
Frequency:
Unit of
Percentage per home health day
Measure:
CMS
International
comparison Process of care and outcome of care quality measures | Provider Data
if available Catalog (cms.gov)
Desired
Lower is better
direction:
Suggested
data sources
Patient medical records
and Claims
guidance:
11
KPI Description
Unplanned Acute Care Hospitalization
(title)
Sub-Domain Hospital admission
Percentage of days in which homecare patients were admitted

Definition:
to an acute care hospital
Population: All patients who received homecare services
Numerator: Number of unplanned hospital days related to

the quality of provided home health service included but not
limited to:
 All kinds of trauma including soft or connective tissue
injuries.
 DVT or its related complications.
 Severe anaemia.
 Electrolyte imbalance or Dehydration.
 Fluid overload or infections related to peritoneal
dialysis.
 Stoma or wound infections.
 Urinary catheter related complications including urinary
tract infections or urethral injuries.
 PEG tube related complications including clogged or
Calculation: dislodged tube or aspiration pneumonias.
 Urine retentions.
 Tracheostomy complications including infections, tube
damage or decannulation.
 Other complications confirmed by the treating
physician to be clearly related to the quality of home
health care.
For definition of unplanned care and medical emergency, please

refer to DOH (HAAD) Standard for Emergency Departments.
Denominator: Number of homecare patient days during the

measurement period.
12
All Unplanned Hospital length of stay related to the quality of

provided home health service will be counted in the
denominator
(If the patient discharge from the unplanned hospital and (return
and not returned) to same homecare facility, the length of stay in
the hospital will be counted in the denominator).
Exclusion:

 Home health patients getting non-skilled care only, see
below examples:
- Assistance with daily living tasks and activities
.Personal care needs such as bathing, dressing, eating
and cleaning.
- Medication management and making sure that the
covered individual takes needed medications and has
transportation to medical appointments.
 Planned Hospital length of stay
Percentage: Percentage is calculated by the number of home

health days for patients who have an unplanned admission to an
acute care hospital divided by the total number of home health
days during the same period and multiplying by 100.
Reporting
Quarterly
Frequency:
Unit of Measure: Percentage per home health day
CMS
International
comparison if Process of care and outcome of care quality measures |
available Provider Data Catalog (cms.gov)
Desired direction: Lower is better
Suggested data
sources and Patient medical records
Claims
guidance:
13
Type: Home Health Care Indicator Number: HC003
KPI Description Managing daily activities- Improvement in Ambulation for

(title) patients who received physiotherapy
Sub-Domain Functional outcome
Percentage of home health care patients during which the patient

Definition:
improved in ability to ambulate.
Population All patients who received homecare services
Numerator:
Number of patients who received physiotherapy and have
improvement (using an evidence based tool) in
ambulation/locomotion at discharge from homecare service /or
at reassessment every 90 days from starting the homecare
services.
Denominator:
A count of the total number of home care patients who received
physiotherapy during the measurement quarter.
Exclusion:
 Patient was able to ambulate independently, patient was
Calculation: unresponsive, end in transfer to inpatient facility or
death at home.
 Bedridden patients - to be denoted as patients who are
on prolonged bed rest, low GCS, persistent vegetative
state - the therapeutic objective is to prevent secondary
complications
.Personal care needs such as bathing, dressing,
eating and cleaning.
Percentage: Numerator/Denominator * 100
14
Reporting
Quarterly
Frequency:
Unit of Measure: Percentage per home care patients
International
Process of care and outcome of care quality measures | Provider Data
comparison if
Catalog (cms.gov)
available
Desired
Higher is better
direction:
Data sources
and guidance: Claims
15
KPI
Percentage of newly acquired or worsening pressure injury
Description
(Stage II and above)
(title)
Domain Patient Safety
Sub-Domain Adverse Events (AE) and Sentinel events
Percentage of newly acquired or worsening pressure injury (Stage II

Definition:
and above) among home care patients.
Numerator: Number of home care patients with newly acquired

pressure injury or with worsening pressure injury Stage II, III, IV,
Unstageable or Deep Tissue Injury (DTI) within the measurement
quarter.
Home care facility associated or worsening pressure Injury (Stage II

and above) ICD- 1O CM Codes:
L89.000,L89.002,L89.003,L89.004,
L89.010,L89.012,L89.013,L89.014,L89.020,
L89.022,L89.023,L89.024,L89.100,L89.102,
L89.103,L89.104,L89.110,L89.112,L89.113,
L89.114,L89.120,L89.122,L89.123,L89.124,
Calculation: L89.130,L89.132,L89.133,L89.134,L89.140,
L89.142,L89.143,L89.144,L89.150,L89.152,
L89.153,L89.154,L89.200,L89.202,L89.203,
L89.204,L89.210,L89.212,L89.213,L89.214,
L89.220,L89.222,L89.223,L89.224,L89.300,
L89.302,L89.303,L89.304,L89.310,L89.312,
L89.313,L89.314,L89.320,L89.322,L89.323,
L89.324,L89.42,L89.43,L89.44,L89.45,L89.500,
L89.502,L89.503,L89.504,L89.510,L89.512,
L89.513,L89.514,L89.520,L89.522,L89.523,
L89.524,L89.600,L89.602,L89.603,L89.604,L89.610,L89.612,
L89.613,L89.614,L89.620,L89.622,L89.623,L89.624,L89.810,
L89.812,L89.813,L89.814,L89.890,L89.892,L89.893,
L89.894,L89.92,L89.93,L89.94,L89.95
16
Guide on stage is defined below;
Category/Stage II: Partial thickness
Partial thickness loss of dermis presenting as a shallow open ulcer

with a red pink wound bed, without slough. May also present as an
intact or open/ruptured serum-filled or serosanguinous filled blister.
Presents as a shiny or dry shallow ulcer without slough or bruising*.
This Category/Stage should not be used to describe skin tears, tape
burns, incontinence associated with dermatitis, maceration or
excoriation.
*Bruising indicates deep tissue injury.
Category/Stage III: Full thickness skin loss
Full thickness skin loss. Subcutaneous fat may be visible but bone,
tendon or muscle is not exposed. Slough may be present but does not
obscure the depth of tissue loss. May include undermining and
tunneling. The depth of a Category/Stage III pressure ulcer varies by
anatomical location. The bridge of the nose, ear, occiput and malleolus
do not have (adipose) subcutaneous tissue and Category/Stage III
Injury can be shallow. In contrast, areas of significant adiposity can
develop extremely deep Category/Stage III pressure Injury.
Bone/tendon is not visible or directly palpable.
Category/Stage IV: Full thickness tissue loss
Full thickness tissue loss with exposed bone, tendon or muscle. Slough
or eschar may be present. Often included undermining and tunneling.
The depth of a Category/Stage IV pressure ulcer varies by anatomical
location. The bridge of the nose, ear, occiput and malleolus do not
have (adipose) subcutaneous tissue and these injuries can be shallow.
Category/Stage IV Injury can extend into muscle and/or supporting
structures (e.g., fascia, tendon or joint capsule) making osteomyelitis
or osteitis likely to occur. Exposed bone/muscle is visible or directly
palpable.
Exclusions:
 Patients with pressure injury present at the start of home care

services that stayed the same stage or improved following the
start of home care.
 Home care associated pressure injury Stage I
(ICD- 10 CM Codes: L89.001, L89.011,L89.021,L89.101,L89.111,
L89.121,L89.131,L89.141,L89.151,
17
L89.201,L89.211,L89.221,L89.301,L89.311,L89.321,
L89.41, L89.501,L89.511,L89.521,L89.601,L89.611,
L89.621,L89.811,L89.891,L89.91.
Denominator: A count of the total number of home care patient days

during the measurement quarter.
The day counts include visits and extended hours of care by licensed
healthcare staff.
Exclusion:
.Personal care needs such as bathing, dressing,
eating and cleaning.
Percentage: Percentage is calculated by the number of home care

patients with newly acquired or worsening pressure injury (Stage II
and above) during the measurement quarter divided by the total
number of home care patient days during the same period and
multiplying by 100.
Reporting
Quarterly
Frequency:
Unit of
Percentage per home health day
Measure:
International CMS
comparison if Process of care and outcome of care quality measures | Provider Data
available Catalog (cms.gov)
Desired
Lower is better
direction:
Data sources Manual Data Collection

and guidance: Patient medical record or EMR (Medical Chart Review): Skin and
Wound Assessment Chart
18
KPI Rate of falls resulting in any injury per 1000 patient days
Description
(title):
Domain Patient Safety

Sub-Domain Adverse Events (AE) and Sentinel Events
Definition Falls resulting in any injury per 1000 home care patient days.
Calculation Numerator:
Total number of patient falls resulting in injury (minor, moderate, major,
or death) to the home care patient in the measurement quarter.
Inclusions: Patient falls with injury: minor, moderate, major, or death.
A fall is an unplanned descent to the floor. Include falls when a patient

lands on a surface where you wouldn't expect to find a patient.
All unassisted and assisted falls are to be included whether they result
from physiological reasons (fainting) or environmental reasons
(slippery floor). Also report patients that roll off a low bed onto a mat as
a fall.
The National Database of Nursing Quality Indicators NDNQI definitions

for injury follow:
•None—patient had no injuries (no signs or symptoms) resulting

from the fall, if an x-ray, CT scan or other post fall evaluation results
in a finding of no injury.
•"Minor—resulted in application of a dressing, ice, cleaning of a

wound, limb elevation, topical medication, bruise or abrasion.
•Moderate—resulted in suturing, application of steri-strips/skin

glue, splinting or muscle/joint strain.
•Major—resulted in surgery, casting, traction, required consultation

for neurological (basilar skull fracture, small subdural hematoma) or
internal injury (rib fracture, small liver laceration) or patients with
coagulopathy who receive blood products as a result of the fall.
19
•Death—the patient died as a result of injuries sustained from the

fall (not from physiologic events causing the fall)."
Exclusions:
Patient falls, but no harm was evident.

For home care visits, a fall occurring outside the visiting time
will be excluded.
Denominator:
A count of the total number of all home care patient days during the
measurement quarter.
The day counts include visits and extended hours of care by licensed
healthcare staff.
Exclusions:

 Home health patients getting non-skilled care only, See below
examples:
- Assistance with daily living tasks and activities .Personal care
needs such as bathing, dressing, eating and cleaning.
- Medication management and making sure that the covered
individual takes needed medications and has transportation to
medical appointments.
Rate: Calculation: [numerator / denominator] x 1000
Reporting Quarterly
Frequency
Unit Measure Rate per 1000 home care patient days
International Quality Measure Coding Deep Dive: Falls with Major Injury - Proactive Medical
comparison if Review
available
Desired Lower is better

Direction
Data Source Patient medical records
Incident reports
20
KPI Description Discharge to Community

(title):
Domain Efficiency
Sub-Domain Utilization outcome
Percentage of days in which homecare patients were discharged
Definition to the community.
Numerator:
Number of homecare patient days for patients who have been
discharged from homecare service to community.
Numerator Guidance:
• Patients staying more than 90 days/ reassessment outcome
measure score would be included in the numerator for the
succeeding quarters in the upcoming 90 days or until they
reach discharge
Calculation Exclusion:
1. Discontinued Homecare services
2. Transfer to another Homecare or Long Term care
Denominator:
Number of homecare patient days during the measurement quarter.
Exclusions:
Excludes for patients who are:

 Discharged against medical advice
21
 Home health patients getting non-skilled care only, See

below examples:
 Assistance with daily living tasks and activities .Personal
care needs such as bathing, dressing, eating and cleaning.
 Medication management and making sure that the
Percentage : Numerator/Denominator * 100
Reporting Quarterly
Frequency
Unit Measure Percentage per home care patient days
Process of care and outcome of care quality measures | Provider Data
International
Comparisons Catalog (cms.gov)
Desired Higher is better
Direction
Data sources
Claims
Summary of Changes
KPI Changes
HC001 Numerator:
add; included but not limited to
HC002 Clarify numerator and denominator
Numerator: Number of unplanned hospital days related to the
quality of provided home health service included
Denominator: All Unplanned Hospital length of stay related to
the quality of provided home health service will be counted in
the denominator
HC003 Clarify this KPI for patients who received physiotherapy
HC006 Add numerator guidance:
Patients staying more than 90 days/ reassessment outcome
measure score would be included in the numerator for the
22
succeeding quarters in the upcoming 90 days or until they

reach discharge
Exclusion:
1. Discontinued Homecare services
2. Transfer to another Homecare or Long Term care
23

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JAWDA Quarterly Guidelines for (Home Healthcare Services)

 Executive Summary ..............................................................................................................................3

The Emirate of Abu Dhabi is experiencing a substantial growth in the number of

DoH has developed a dynamic and comprehensive quality framework in order to

For enquiries about this guidance, please contact [email protected]

Published: Jan 2022, Version 5

Sep 2022, Version 6

 To achieve the highest standards in health curative, preventative and

 To lay down the strategies, policies and plans, including future

 To follow up and monitor the operation of the health sectors, to

The health system of the Emirate of Abu Dhabi is comprehensive, encompassing

and follow highest international quality standards. The system is financed

In doing so DoH will:

Patient Safety and Clinical Effectiveness

 The right thing (evidence-based practice requires that decisions about

identify strengths and weaknesses of healthcare delivery, drive-quality

Planning for data collection and submission

 Nominate responsible data collection and quality leads(s).

 Ensure data collection leads are adequately skilled and resourced.

 Understand and identify what data is required, how it will be collected

 Create a data collection plan.

 Ensure adequate data collection systems and tools are in place.

 Maintain accurate and reliable data collection methodology.

 Data collation, cleansing and analysis for reliability and accuracy.

 Back up and protect data integrity.

 Have in place a data checklist before submission.

 Submit data on time and ensure validity.

 Review and feedback data findings to the respective teams in order to

 When needed, documentation and tracks will be provided instantly to

 Failing to submit valid data will be in breach of the licensing condition

About this Guidance

Q. Who is this guidance for?

Q. How do I follow this guidance?

Q. What are the Regulation related to this guidance?

 Legislation establishing the Health Sector

Home Healthcare Service Provider:

• Pediatric home health patients

Facility Submission of Case-mix:

Home care performance indicators

Type: Home Health Care Indicator Indicator Number: HC001

Sub-Domain Emergency attendance

Percentage of homecare patient days in which patients used the

Population: All patients who received homecare services

Numerator: Number of unplanned emergency department or urgent

(and not admitted for acute care hospitalization).

For definition of unplanned care and medical emergency, please refer to

Denominator: Number of homecare patient days during the

 Pediatric home health patients (under 18 years)

Percentage: Percentage is calculated by the number of unplanned

Calculation: [numerator / denominator] x 100

Type: Home Health Care Indicator Indicator Number: HC002

Sub-Domain Hospital admission

Percentage of days in which homecare patients were admitted

Population: All patients who received homecare services

Numerator: Number of unplanned hospital days related to

For definition of unplanned care and medical emergency, please

Denominator: Number of homecare patient days during the

All Unplanned Hospital length of stay related to the quality of

 Pediatric home health patients (under 18 years)