VNA First

Our ORYX program indicators for JCAHO are applicable to a variety of home care programs. These programs include Medicare certified agencies that are currently using OASIS for HCFA, for general home health, hospice, pediatrics and private duty. All of the indicators listed below have been accepted by JCAHO for ORYX. VNA First and Strategic HealthCare Programs are committed to meeting future criteria established for ORYX.

Performance Indicators currently available from VNA First and Strategic HealthCare Programs that have been accepted by the Joint Commission for accreditation purposes in connection with the ORYX initiative:

Short Name	OASIS -only	General Home Health	Hospice	Pediatric	Private Duty
Emergent care visits during services	X	X	X	X	X
Hospitalizations during services	X	X	X	X	X
Discharge disposition – admit to hospital	X	X	X	X	X
Discharge disposition – community	X	X	X	X	X
Frequency of pain	X	X
Improvement in mgmt of oral meds	X	X
Improvement in bowel continence	X	X
Improvement in dyspnea	X	X
Improvement in three or more ADLs	X	X
Improvement in ambulation-locomotion	X	X
Prevalence of new pressure ulcers	X	X
Pain status		X	X	X
Prevalence of falls		X	X		X
Prevalence of admission to skilled nursing facilities			X		X
Incidents of abnormal s/s (chronic cardiac)		X
Incidents of abnormal s/s (chronic wound)		X
Incidents of abnormal s/s (neuro/cva)		X
Incidents of abnormal s/s (diabetes)		X
Incidents of abnormal s/s (cancer)		X
Incidents of abnormal s/s (pulmonary)		X
Pediatric/adolescent physical functioning				X
Average number of school days missed				X
Patients (unable to gain wt.) met 75-100% of oral Kcal goal				X
Patient satisfaction with instructions: self care		X	X	X
Patient satisfaction with instructions: medications		X	X	X
Patient satisfaction: control of GI distress		X	X	X
Patient satisfaction: involved in decisions		X	X	X	X
Patient satisfaction (Hospice): pain control			X
Patient satisfaction: instruction for immediate care needs		X	X	X	X
Patient satisfaction: needs and expectations were met		X	X	X	X
Patient satisfaction: response to after hours call		X	X	X	X
Patient satisfaction: review of rights and responsibilities		X	X	X	X
Patient satisfaction: instruction regarding natural disaster		X		X