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Home Health Agency Factors Associated With Acute Care Hospitalization and Emergency Department Use
We linked the Medicare Provider Utilization and Payment Data for Home Health and the Home Health Compare data for the year 2016 to identify home healthcare agency (HHA) characteristics associated with acute care hospitalization (ACH) or emergency department (ED) use. The study cohort consisted of 9,800 HHAs. Beta regression was used to examine the association between average age, race/ethnic composition, number of skilled nursing visits, number of therapy visits, percentage of dual eligible patients, HHA ownership, HHA location, Medicare tenure, proportion of patients with a diagnosis of schizophrenia, stroke, diabetes, de...
Source: Home Healthcare Nurse - March 1, 2020 Category: Nursing Tags: Feature Source Type: research

Associations Between Hospital-Level Patient Satisfaction Scores and Hospital-Acquired Pressure Ulcer Occurrences Among Medicare Stroke Patients
Conclusions: Using hospital-level patient satisfaction HCAHPS scores to monitor and project HAPU occurrences is recommended.
Source: Journal of Nursing Care Quality - August 27, 2019 Category: Nursing Tags: Articles Source Type: research

Disparities in Home Health Service Providers among Medicare Beneficiaries with Stroke.
This study examined the intensity of home health (HH) services, as defined by the number of visits and service delivery by rehabilitation specialists, among Medicare beneficiaries with stroke. A cross-sectional secondary data analysis was conducted using 2009 HH claims data obtained from the Centers for Medicare and Medicaid Services' Research Data Assistance Center. There were no significant rural-urban differences in the number of HH visits. Rural beneficiaries were significantly less likely than urban beneficiaries to receive services from rehabilitation specialists. Current HH payment reform recommendations may have un...
Source: Home Health Care Services Quarterly - April 12, 2016 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

Improving Sepsis Recognition and Utilization of Early Goal-Directed Therapy in the Prehospital Environment: A Review of the Literature
The Agency for Healthcare Research and Quality ranks septicemia as the most expensive condition treated in United States hospitals, resulting in an aggregate cost of $20.3 billion (5.2%) of the total aggregate cost for all hospitalizations.1 For many years, emphasis has been placed on improving acute myocardial infarction (AMI) and stroke outcomes through implementation and management of the hospital quality core measures mandated by the Centers for Medicare and Medicaid Services (CMS), which has resulted in better outcomes and reduced morbidity and mortality from these conditions.
Source: Journal of Emergency Nursing: JEN - March 27, 2016 Category: Nursing Authors: Scott David Baker Tags: /Baker Source Type: research