| Literature DB >> 34609233 |
Uduwanage Gayani E Perera1, Andrew W Dick2, Ashley M Chastain1, Patricia W Stone1, Jingjing Shang1.
Abstract
Beginning in 2016, the Home Health Value-Based Purchasing (HHVBP) model incentivized U.S. Medicare-certified home health agencies (HHAs) in nine states to improve quality of patient care and patient experience. Here, we quantified HHVBP effects upon quality over time (2012-2018) by HHA ownership (i.e., for-profit vs. nonprofit) using a comparative interrupted time-series design. Our outcome measures were Care Quality and Patient Experience indices composed of 10 quality of patient care measures and five patient experience measures, respectively. Overall, 17.7% of HHAs participated in the HHVBP model of which 81.4% were for-profit ownership. Each year after implementation, HHVBP was associated with a 1.59 (p < .001) percentage point increase in the Care Quality index among for-profit HHAs and a 0.71 (p = .024) percentage point increase in the Patient Experience index among nonprofits. The differences of quality improvement under the HHVBP model by ownership indicate variations in HHA leadership responses to HHVBP.Entities:
Keywords: care quality; comparative interrupted time-series analysis; home health care; patient experience; value-based purchasing
Mesh：
Year: 2021 PMID： 34609233 PMCID： PMC8980113 DOI： 10.1177/10775587211049628
Source DB: PubMed Journal: Med Care Res Rev ISSN： 1077-5587 Impact factor: 2.971