Which term is described as an example of an improvement measure with exclusions?

• A. Quality Reporting Program
• B. Upper Body Dressing Measure
• C. Upper Body Dressing
• D. Exclusion Criteria

Answer: (B)

In home health quality measurement, an improvement measure tracks how a patient’s function changes from the start of care to discharge. Some patients are excluded from the calculation because the improvement cannot be reasonably judged for them, according to predefined criteria. The Upper Body Dressing Measure fits this idea: it’s a specific measure that assesses improvement in upper body dressing ability, and its specifications include exclusions so that cases where improvement isn’t applicable or assessable aren’t counted. The other terms don’t fit because they aren’t an improvement measure with exclusions: a Quality Reporting Program is a program, not a single improvement measure; Upper Body Dressing without “Measure” refers to the activity itself rather than the measured improvement; and Exclusion Criteria are the rules used to exclude cases, not the measure itself.