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Agency characteristics and changes in home health quality after home health compare
Author(s)Kyoungrae Jung, Dennis Shea, Candy Warner
Journal titleJournal of Aging and Health, vol 22, no 4, June 2010
Pagespp 454-476
Sourcehttp://jah.sagepub.com/ doi:10.1177/0898264310362540
AnnotationThis study examines the association between home health agency characteristics and quality improvement in home health care after Home Health Compare (HHC), a public-reporting initiative in the Medicare programme. The authors examined the changes in seven quality measures reported in HHC from 2003 to 2007. They used a linear regression model to examine whether quality changes over time differed by agency characteristics. There were found improvements in quality after HHC in the indicators that measure patients' ability to independently manage daily activities; however, the use of emergent care did not change, and hospitalization rates increased during the study period. Agencies with low quality at baseline, not-for-profit or hospital-based agencies, and agencies with longer Medicare tenure showed greater improvement for some quality measures than their counterparts. There was large variation in the degree of quality improvement after HHC by quality indicators and by agency characteristics. (KJ).
Accession NumberCPA-100908210 A

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