TY - JOUR
T1 - The Association Between Home Health Compare Quality Metrics and Acute Care Hospitalizations
AU - Young, Robert S.
AU - Morgan, Vickie
AU - Lee, Jungwha
AU - Hansen, Luke O.
PY - 2014/8
Y1 - 2014/8
N2 - Currently, a large number of home health care episodes end in acute care hospitalization (ACH). The Centers for Medicare and Medicaid Services reports publically a set of quality measures, including ACH rate, for home health agencies. The objective of this study was to determine the relationship between reported Home Health Compare metrics and ACH rates. Using beta regression and controlling for urban/rural classification, median household income, and state levels of rehospitalizations, we modeled the multivariate relationship between acute hospital utilization and each separate measure of home care processes and outcomes. From our analysis, we found that two measures addressing the issue of pain management and improvement in bathing ability had strong associations with a decrease in ACH rate.
AB - Currently, a large number of home health care episodes end in acute care hospitalization (ACH). The Centers for Medicare and Medicaid Services reports publically a set of quality measures, including ACH rate, for home health agencies. The objective of this study was to determine the relationship between reported Home Health Compare metrics and ACH rates. Using beta regression and controlling for urban/rural classification, median household income, and state levels of rehospitalizations, we modeled the multivariate relationship between acute hospital utilization and each separate measure of home care processes and outcomes. From our analysis, we found that two measures addressing the issue of pain management and improvement in bathing ability had strong associations with a decrease in ACH rate.
KW - Medicare
KW - acute hospitalization rate
KW - home health care
KW - home health compare
KW - quality metrics
UR - http://www.scopus.com/inward/record.url?scp=84903740875&partnerID=8YFLogxK
U2 - 10.1177/1084822313516124
DO - 10.1177/1084822313516124
M3 - Article
AN - SCOPUS:84903740875
SN - 1084-8223
VL - 26
SP - 141
EP - 145
JO - Home Health Care Management and Practice
JF - Home Health Care Management and Practice
IS - 3
ER -