Tools & Resources

Calculating Episode-Level Predicted Values for the Total Normalized Composite (TNC) Change Measures

A new resource, “Calculating Episode-Level Predicted Values for the Total Normalized Composite (TNC) Change Measures,” has been published on the Expanded HHVBP Model webpage under “Quality Measures.”

This resource describes the calculation of episode-level predicted values for the TNC Change measures using the technical specifications for these measures. Calculations and effects of risk adjustment are illustrated in two (2) examples and 13 patient scenarios. The examples and scenarios demonstrate how risk adjustment levels the playing field for home health agencies.