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  1. Brega, Angela G. PhD
  2. Crisler, Kathryn S. MS, RN
  3. Barhydt, Nancy R. DrPH


Despite the rapid growth of Medicaid home care services, no uniform system for measuring and improving the quality of these services has been implemented on a large scale. The Personal and Skilled Care Outcomes (PESO) data set was developed to provide non-Medicare-certified home care agencies with a data set to support the systematic assessment and improvement of patient outcomes. This article describes the key features of the data set and outlines ways that a PESO-based outcome-based quality improvement process can be refined to accommodate the unique mix of services provided by home care agencies serving the Medicaid and private-pay populations.