Potentially Preventable Hospitalization
Potentially Preventable Hospitalization (PPH) is a claims-based, risk-adjusted home health quality measure that counts inpatient admissions and observation stays occurring during a home health stay that are classified as potentially preventable. It replaced the all-cause acute care hospitalization and emergency department use measures in CMS home health quality programs, including the expanded HHVBP model beginning with the CY2025 performance year.
Definition
Potentially Preventable Hospitalization (PPH) is a claims-based, risk-adjusted home health quality measure that counts inpatient admissions and observation stays occurring during a home health stay that are classified as potentially preventable. It replaced the all-cause acute care hospitalization and emergency department use measures in CMS home health quality programs, including the expanded HHVBP model beginning with the CY2025 performance year.
Why it matters
Potentially Preventable Hospitalization is part of the Quality & Outcomes vocabulary used across home health operations, documentation, and revenue cycle. Understanding it helps clinicians, QA leads, and administrators stay aligned on care quality and compliance.
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