The Association Between Home Health Compare Quality Metrics and Acute Care Hospitalizations

Robert S. Young, Vickie Morgan, Jungwha Lee, Luke O Hansen

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish (US)
Pages (from-to)141-145
Number of pages5
JournalHome Health Care Management and Practice
Volume26
Issue number3
DOIs
StatePublished - Jan 1 2014

Keywords

  • Medicare
  • acute hospitalization rate
  • home health care
  • home health compare
  • quality metrics

ASJC Scopus subject areas

  • Leadership and Management
  • Community and Home Care
  • Public Health, Environmental and Occupational Health

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