Kyoungrae Jung1, Dennis Shea, Candy Warner. 1. Department of Health Policy and Administration, Pennsylvania State University, 604 Ford Building, University Park, PA 16802, USA. kuj11@psu.edu
Abstract
OBJECTIVE: This study examines the association between home health agency characteristics and quality improvement in home health care after Home Health Compare (HHC), a public-reporting initiative in the Medicare program. METHOD: We examined the changes in seven quality measures reported in HHC from 2003 to 2007. We used a linear regression model to examine whether quality changes over time differed by agency characteristics. RESULTS: We found improvements in quality after HHC in the indicators that measure patients' ability to independently manage daily activities; however, the use of emergent care did not change, and hospitalization rates increased during the study period. Agencies with low quality at baseline, not-for-profit or hospital-based agencies, and agencies with longer Medicare tenure showed greater improvement for some quality measures than their counterparts. DISCUSSION: There was large variation in the degree of quality improvement after HHC by quality indicators and by agency characteristics.
OBJECTIVE: This study examines the association between home health agency characteristics and quality improvement in home health care after Home Health Compare (HHC), a public-reporting initiative in the Medicare program. METHOD: We examined the changes in seven quality measures reported in HHC from 2003 to 2007. We used a linear regression model to examine whether quality changes over time differed by agency characteristics. RESULTS: We found improvements in quality after HHC in the indicators that measure patients' ability to independently manage daily activities; however, the use of emergent care did not change, and hospitalization rates increased during the study period. Agencies with low quality at baseline, not-for-profit or hospital-based agencies, and agencies with longer Medicare tenure showed greater improvement for some quality measures than their counterparts. DISCUSSION: There was large variation in the degree of quality improvement after HHC by quality indicators and by agency characteristics.
Authors: Andrew W Dick; Meghan T Murray; Ashley M Chastain; Elizabeth A Madigan; Mark Sorbero; Patricia W Stone; Jingjing Shang Journal: J Am Geriatr Soc Date: 2019-05-07 Impact factor: 5.562
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