Index to VNAA Blueprint Modules

The resources and information in the VNAA Blueprint address specific topic areas in home health and hospice quality improvement. Topics for both home health and hospice are grouped in four modules: Care Initiation, Clinical Conditions, Patient and Caregiver Engagement, and Patient Safety. Two cross-cutting areas have been created for home health. Modules on 5-Star Best Practices and IMPACT Act Resources guide users to Blueprint content in these critical performance areas.

Home Health





Cross-Cutting Best Practice Information 
IMPACT Act Resources   IMPACT Act Overview
Measure Specific Improvement Modules
Estimated Medicare Spending per Beneficiary
Discharge to Community
Potentially preventable hospital readmission
Skin integrity and changes in skin integrity
Medication reconciliation
Incidence of major falls
Communicating the existence of and providing for the transfer of health information and care preferences
Functional status, cognitive function, changes in function and cognitive function

5-Star Best Practices   Introduction-5 Star Best Practices 
Critical Interventions to Improve Star Ratings  - Includes modules on:
Improvement in ambulation
Improvement in transferring
Improvement in bathing
Improvement in pain interfering with activity
Improvement in shortness of breath
Treating wounds and preventing pressure sores
Timely initiation of care
drug education on all medications
Influenza immunization

Measurement and Evaluation To Improve Star Ratings

Training to Improve Star Ratings
References and Resources to Improve Star Ratings
Quality Improvement Best Practice Information 

Care Initiation 


Flu and Pneumonia Vaccine

MD Appointment Scheduling

Critical Interventions in the First & Second Visits

Preventing Readmissions from Home Health

Clinical Conditions and Symptoms 



Heart Failure

Hip and Knee Joint Replacement

Reducing Pressure Ulcers

Patient and Caregiver Engagement 

Patient Engagement

Patient Safety 

Risk Assessment 

Medication Reconciliation 

Falls Risk Assessment and Falls Prevention

Exacerbation of Condition

Hospice and Palliative: Care at the End of Life


Each topic area includes information in four categories:

  • Tools and Critical Interventions
  • Resources (References, Best Practice Definition, Background Information, Helpful Hints)
  • Training Programs
  • Measurement and Evaluation

There is no right or wrong order for implementing the VNAA Blueprint topics. Each topic area is self-contained and is designed to use on its own in your quality improvement or training program. However, because patient engagement is a common tenet across all home health care best practices, its tools and resources are foundational to truly achieve home health care excellence.

Within each topic area, there is an overview training Powerpoint presentation that introduces the user to the topic, outlines its critical importance, and explains the relevant tools and resources. It is highlighted on each topic overview page. Users are encouraged to review this program first, and then explore the resources, critical interventions and measurement and evaluation tools under that topic area.

For researchers and policymakers, we encourage you to dig deeper. The work here is supported by research and clinical expertise. Visit our References pages to learn more.

If you want to learn more about the VNAA Blueprint, please visit our frequently asked questions. We also welcome your feedback, so please contact us with any questions or comments.


VNAA  | 2121 Crystal Drive, Suite 750, Arlington, VA 22202 | 571-527-1522 or 1+(888) 866-8773 SITEMAP