Cost-Effective Approaches to Corporate Compliance for Hospice and Home Health Providers

2001 ◽  
Vol 13 (3) ◽  
pp. 176-183 ◽  
Author(s):  
Anthony J. Scarcelli
Author(s):  
Ankit Singh ◽  
Ajeya Jha ◽  
Shankar Purbey

Home healthcare fills an important void in a country's healthcare system; factors promoting home healthcare growth vary. In this study, the perceptions of the users and providers are analyzed to identify the important factors. Survey analysis was done for ten identified factors on 378 nurses and 394 patients. Responses were analyzed with Garret Ranking Method. The systematic random sampling method was used after acquiring the list of nurses working in home health organizations. The preference should be given to the user's perception as the customer is the king; it is encouraging for Indian home health providers that users are feeling they are deriving benefits from home health service usage; however, this feeling can be further enhanced by focusing on the right factors such as doctors recommendation, the rise of chronic diseases and the cost advantage associated with home health over Institutional care. Results revealed a disparity between the perceptions of the providers and users. This study suggests that home health agencies highlight features, such as cost-effective care, medical professionals' recommendation, and utility in providing relief to chronic disease patients.


2010 ◽  
Vol 4 (4) ◽  
pp. 339-343 ◽  
Author(s):  
Wendi Cross ◽  
Catherine Cerulli ◽  
Heidi Richards ◽  
Hua He ◽  
Jack Herrmann

ABSTRACTObjective: Disaster mental health (DMH) is vital to comprehensive disaster preparedness for communities. A train-the-trainer (TTT) model is frequently used in public health to disseminate knowledge and skills to communities, although few studies have examined its success. We report on the development and implementation of a DMH TTT program and examine variables that predict dissemination.Methods: This secondary analysis examines 140 community-based mental health providers' participation in a TTT DMH program in 2005–2006. Instructors' dissemination of the training was followed for 12 months. Bivariate and multivariate analyses were conducted to predict dissemination of the training program.Results: Sixty percent of the trainees in the DMH TTT program conducted training programs in the 12-month period following being trained. The likelihood of conducting training programs was predicted by a self-report measure of perceptions of transfer of training. The number of individuals subsequently trained (559) was predicted by prior DMH training and sex. No other variables predicted dissemination of DMH training.Conclusions: The TTT model was moderately successful in disseminating DMH training. Intervention at the organizational and individual level, as well as training modifications, may increase cost-effective dissemination of DMH training.(Disaster Med Public Health Preparedness. 2010;4:339-343)


Author(s):  
Madeline R. Marks ◽  
Amanda C. Tan ◽  
Clint Bowers

Mental health providers cannot ignore the importance of utilizing technology in this era of the internet of things. This chapter reaffirms the need for mental health providers and software developers to work in concert with each other when developing technology for mental health. The authors also articulate the importance of the patient and the patient's role in connecting technology to the equation. As researchers and practitioners, the goal should be to create technology that will encourage repeated and continuous use of said technology and not just technology acceptance in order to move the field forward toward the provision of low-cost, effective mental health services.


2010 ◽  
Vol 28 (1) ◽  
pp. 253-294 ◽  
Author(s):  
Dorothy Jones ◽  
Margaret Lunney ◽  
Gail Keenan ◽  
Sue Moorhead

The evolution of standardized nursing languages (SNLs) has been occurring for more than four decades. The importance of this work continues to be acknowledged as an effective strategy to delineate professional nursing practice. In today's health care environment, the demand to deliver cost-effective, safe, quality patient care is an essential mandate embedded in all health reform policies. Communicating the contributions of professional nursing practice to other nurses, health providers, and other members of the health care team requires the articulation of nursing's focus of concern and responses to these concerns to improve patient outcomes. The visibility of the electronic health record (EHR) in practice settings has accelerated the need for nursing to communicate its practice within the structure of the electronic format. The integration of SNLs into the patient record offers nurses an opportunity to describe the focus of their practice through the identification of nursing diagnosis, interventions and outcomes (IOM, 2010). Continued development, testing, and refinement of SNLs offers nursing an accurate and reliable way to use data elements across populations and settings to communicate nursing practice, enable nursing administrators and leaders in health care to delineate needed resources, cost out nursing care with greater precision, and design new models of care that reflect nursepatient ratios and patient acuity that are data driven (Pesut & Herman, 1998). The continued use of nursing languages and acceleration of nursing research using this data can provide the needed evidence to help link nursing knowledge to evidence-driven, cost-effective, quality outcomes that more accurately reflect nursing's impact on patient care as well as the health care system of which they are a part. The evaluation of research to support the development, use, and continued refinement of nursing language is critical to research and the transformation of patient care by nurses on a global level.


2005 ◽  
Vol 6 (2) ◽  
pp. 90-97 ◽  
Author(s):  
Rebecca G. Logsdon ◽  
Susan M. McCurry ◽  
Linda Teri

Regular exercise is a mainstay of preventive health care for individuals of all ages. Research with older adults has shown that exercise reduces risk of chronic illness, maintains mobility and function, enhances mood, and may even improve cognitive function. For individuals with dementia, exercise programs are particularly likely to improve health, mood, and quality of life; the challenge at this time is to make exercise accessible and enjoyable, demonstrate its benefits, and convince family caregivers of its worth for individuals with dementia. Home health providers are uniquely positioned to assist caregivers in developing and implementing a home exercise program for their care recipient with dementia. Results of a controlled critical trial conducted at the University of Washington have demonstrated the feasibility and efficacy of a home health exercise and problem solving intervention (Reducing Disability in Alzheimer’s Disease, or RDAD) for decreasing physical, psychological, and behavioral disabilities associated with dementia. This article describes the RDAD program, discusses the role of home health providers in its delivery, and provides an example of its implementation.


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