Predictors of Super-Performers in the Home Health Industry

2021 ◽  
Vol 1 (1) ◽  
pp. 14-29
Author(s):  
Sukhen Dey ◽  
Pamela Pinto-Oehme
Keyword(s):  
Home Health Care ◽  
Healthcare Providers ◽  
The Elderly ◽  
Healthcare Research ◽  
Home Health ◽  
Home Healthcare ◽  
Machine Learning Techniques ◽  
Consumer Experience ◽  
Applied Machine Learning ◽  
The U.S

The world is aging. This paper focuses on the home health care sector. The authors have examined the patient experience aspects of the elderly population. The Agency for Healthcare Research and Quality (AHRQ) designed a Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey specifically for the home healthcare population (HHCAHPS). This paper has identified super-performers within the U.S. home healthcare agencies. By super-performers, this research implies agencies that received superior consumer experience ratings among the U.S. home healthcare segment. The authors applied machine learning techniques to compose a predictive model and identify the predictors of super-performer agencies. The study signals the need for clinically oriented variables for a better model. This paper intends to continue this research with the additional clinically-driven care measures for the patients at home.

Strategies for Implementing the National Standards for Culturally and Linguistically Appropriate Services in Home Health Care

2017 ◽  
Vol 29 (3) ◽  
pp. 168-175 ◽  
Author(s):  
Mary Curry Narayan
Keyword(s):  
Health Care ◽  
Home Health Care ◽  
Healthcare Providers ◽  
Home Health ◽  
National Standards ◽  
Sixth Edition ◽  
Health Care Consumer ◽  
Equitable Outcomes ◽  
Consumer Assessment ◽  
Linguistically Appropriate

This article is an abridged version of a book chapter, Culturally and Linguistically Appropriate Services, published in the Handbook of Home Health Care Administration, Sixth Edition (Marilyn Harris, editor). The article describes the importance of culturally and linguistically competent care for the success of home health agencies. It uses the 15 standards of the National Standards for Culturally and Linguistically Appropriate Services in Health and Health Care (CLAS Standards) as an outline for identifying strategies that home health leaders can incorporate into their agencies’ practices to enhance their care to culturally and linguistically diverse patients. Providing services that produce equitable outcomes for diverse patients is likely to enhance agency Home Health Compare and HHCAHPS (Home Health Care Consumer Assessment of Healthcare Providers and Systems) scores, Star Ratings, and reimbursement in a value-based reimbursement model.

An evaluation of home health care needs and Quality of Life among the elderly in a semi-rural area of Western Turkey

2016 ◽  
Vol 7 (1) ◽  
pp. 8-12 ◽  
Author(s):  
R. Aydin ◽  
E. Unal ◽  
M.E. Gokler ◽  
S. Metintas ◽  
G.O. Emiral ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Rural Area ◽  
Home Health Care ◽  
The Elderly ◽  
Home Health ◽  
Health Care Needs ◽  
Care Needs ◽  
Western Turkey

scholarly journals Patient-Rated Performance of Home Health Agencies and Hospitalization Risk: A Propensity-Score Matched Analysis

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 536-536
Author(s):  
Chenjuan Ma ◽  
Lisa Groom ◽  
Shih-Yin Lin ◽  
Daniel David ◽  
Abraham Brody
Keyword(s):  
Health Care ◽  
Propensity Score ◽  
Propensity Score Matching ◽  
Patient Experience ◽  
Home Health Care ◽  
Healthcare Providers ◽  
Home Health ◽  
High Performing ◽  
Health Agencies ◽  
Home Health Agencies

Abstract Home health care is the most commonly used home- and community-based service to older adults “Aging in Place”. Patient experience of healthcare services is a critical aspect of patient-centered care. Indeed, policymakers have linked patient-rated quality of care to payment to healthcare providers. This study aimed to examine the association between patient-rated care performance of home health agencies and risk for hospitalization among Medicare beneficiaries. This study used several national datasets from 2016 and included 491,718 individuals from 8,459 home health agencies. Home health agencies’ performance was measured using patient experience star rating from the Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS). Propensity score matching was used to balance the differences in patient characteristics at baseline between those receiving care from high-performing home health agencies and those in lower-performing agencies. On average, patients were 80.5 years old, 65% female, 81% White, 10% Black, and 6% Hispanic, with 90% taking 5 or more medications. Patients had a mean score of 1.73 (SD=1.69) on the Charlson Index. Respectively, 10% and 16% of patients were hospitalized within 30 and 60 days of home health care initiation. Estimates of logistic regression after propensity score matching found that patients receiving care from lower-performing agencies were at similar risk for both 30-day (OR=0.99, p=0.817) and 60-day (OR=1.02, p=0.616) hospitalization following the start of home health care, compared to those in high-performing agencies. Our findings suggest discrepancies (or no relationship) between patient experience and objective outcomes of home health care.

An Application for Routing Ambulance via ACO in Home Healthcare

2020 ◽  
pp. 102-110
Author(s):  
Şahin Inanç ◽  
Arzu Eren Şenaras
Keyword(s):  
Health Care ◽  
Ant Colony Optimization ◽  
Home Health Care ◽  
Home Health ◽  
Ant Colony ◽  
Home Healthcare ◽  
Heuristic Methods

In this study, rovers of ambulances were identified and determined quickly and practically via ant colony optimization. Non-intuitive methods can also be used to determine the routing, but when the number of nodes is large, and the number of operations is very large, the heuristic methods are more practical. The purpose of this work is to use ant colony optimization via C# for ambulance routing. The patients were served as soon as possible thanks to ambulance routing. In this the effectiveness of the ambulance has been increased. In this study, 12 nodes were selected as an application. The nodes were used to determine the route of the ambulance in-home health care.

Introduction

2021 ◽  
pp. 1-5
Author(s):  
Richard Schweid
Keyword(s):  
United States ◽  
Activities Of Daily Living ◽  
Home Health Care ◽  
Daily Living ◽  
Current System ◽  
Well Being ◽  
The Elderly ◽  
The United States ◽  
Home Health ◽  
Turnover Rates

This introductory chapter provides an overview of home health care in the United States. Most Americans over sixty-five want to grow old at home, but the reality is that to do so, the majority of them will eventually need someone to help with what are called activities of daily living, those things basic to maintaining life, like eating, bathing, and using the toilet, and with the instrumental activities of daily living, such as cooking and cleaning. The millions of women employed as aides to help the elderly with these tasks in the United States are treated as menial laborers, paid minimum wage, often with no benefits, although the job they are doing is critically important to both our personal well-being and that of society as a whole. Given the low pay and stressful work, it is not surprising that home health aides have one of the highest turnover rates of any job. This book then analyzes what is wrong in the current system of providing home care to the elderly and how those deficiencies might be remedied.

Cultural Competence in Home Healthcare Nursing: Disparity, Cost, Regulatory, Accreditation, Ethical, and Practice Issues

2019 ◽  
Vol 32 (2) ◽  
pp. 76-80
Author(s):  
Mary Curry Narayan
Keyword(s):  
Cultural Competence ◽  
Home Health Care ◽  
Ethical Issues ◽  
Quality Care ◽  
Home Health ◽  
Home Healthcare ◽  
Culturally Competent ◽  
Vulnerable Patient ◽  
Home Health Agencies ◽  
The Many

Home healthcare patients, who are members of minority, marginalized, or vulnerable patient populations, are at risk for healthcare disparities. Inadequate attention to the needs of the many different types of diverse patient populations seen by home health agencies could compromise an agency’s outcome indicators, reimbursement in value-based payment programs and responsibility to deliver equitable quality care. Culturally competent home health nurses may have a role in decreasing disparities and improving patient outcomes. This article discusses the incidence of disparities in home health care and highlights literature about the economic, regulatory, accrediting, policy, social justice, and ethical issues surrounding disparate and inequitable care for home healthcare patients. Patients in need of culturally competent care include those characterized by diversity related to race, ethnicity, language, religion, socioeconomic status, sexual orientation, gender identification, mental and physical disabilities, and stigmatized diagnoses (e.g., obesity and substance abuse). Home healthcare nurses who strengthen the cultural competence of their care may be able to decrease the incidence of disparate outcomes. By investing in the cultural competence of their home healthcare nurses, agencies may strengthen their commitment to their missions and the financial health of their agencies.

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