Checklists & Measures

Home Health


To help your staff focus on these measures during their visits, we have created three checklists they can use. The measures mentioned earlier are reflected in the items on the checklist. These pages show these checklists, along with the associated measures and CMS-required questions.

When you download the checklists below, you’ll receive the following:

  1. New patient visit checklist

  2. A checklist for all subsequent visits

  3. An office checklist

First Visit Checklist Image.JPG