The Costs of Home Health and Patient Outcomes

家庭健康的成本和患者的治疗结果

• 批准号: 9164927
• 负责人: DANA B MUKAMEL
• 金额: $ 63.19万
• 依托单位: UNIVERSITY OF CALIFORNIA-IRVINE
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-09-01 至 2020-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9164927
• 关键词: Address; Affordable Care Act; Aging; Care given by nurses; Caring; Characteristics; Charge; Chronic Disease; Data; Data Analyses; Data Reporting; Data Set; Dimensions; Economics; Effectiveness; Elderly; Electronic Mail; Environment; Exhibits; Expenditure; Goals; Health; Health Care Costs; Health Personnel; Healthcare Systems; Home Care Services; Home Health Agency; Home environment; Hospitalization; Incentives; Individual; Industry; Investigation; Knowledge; Letters; Link; Marketing; Measures; Medicare; Medicare claim; Medicare/Medicaid; Methodology; Methods; Modality; National Institute on Aging; Online Systems; Outcome; Ownership; Patient Preferences; Patient-Focused Outcomes; Patients; Perception; Performance; Policies; Policy Maker; Production; Prospective Payment System; Provider; Quality of Care; Reporting; Research; Sampling; Science; Specific qualifier value; Surveys; System; Techniques; Technology; Testing; Travel; Update; aging population; base; cost; cost effective; cost effectiveness; design; evidence base; hospice environment; improved; improved outcome; insight; meetings; patient home care; payment; response; trend; web app

PROJECT SUMMARY/ABSTRACT The elderly and those suffering from chronic disease increasingly rely on home health care (HH). Over the last decade, the number of home health agencies (HHAs) has increased by over 50% and expenditures have doubled. These trends are expected to continue as technology allows more individuals to receive care at home, and as payers and providers are looking for cost efficiencies. Developing the science and identifying the policies that will allow the elderly to maximize their health and independence in cost effective ways is a major theme of the NIA's “Strategic Directions for Research on Aging,” and the CMS policy as directed by the Affordable Care Act (ACA). ACA specifically calls for CMS to update the HH payment system to reflect factors influencing costs, health outcomes being a major one, and to undertake studies to develop the evidence base to support such updates. This project is designed to contribute to the evidence base linking costs and patients' health outcomes. This project will investigate the relationship between costs and patient health outcomes in HH through the study of cost functions. It will link primary and secondary data. A national web-based survey will be administered to 12,000 HHAs nationally. The survey will be sponsored and sent out by the National Association of Home Care & Hospice (NAHC). Survey responses will be linked to national OASIS and cost reports data to create a unique dataset, which will allow investigation of the costs and effectiveness of specific improvement strategies and actions. The study will employ sophisticated econometric techniques to estimate cost functions for HHAs. The project is also proposing to disseminate its finding to HHAs, policy makers, and others through a newly developed web-based application that would allow the user to obtain preliminary estimates of effectiveness and costliness of improvement initiatives under user specified scenarios. This app will be based on the relationships estimated in the first part of the project. Throughout, the project will benefit from the support and advice of a NAHC National Advisory Group composed of directors and financial officers of HHAs nationally. The knowledge generated by this project will inform policy makers and HHAs about the relationships between costs and patient health outcomes in different types of agencies and markets and will offer important guidance and insights to policies designed to incentivize efficient and effective care.

项目摘要/摘要 年龄较大的人和患有慢性疾病的人越来越依赖家庭保健（HH）。超过 在过去的十年中，家庭健康机构（HHA）的数量增加了50％以上，支出 增加了一倍。预计这些趋势将继续持续，因为技术允许更多的人在 家，随着付款人和提供商的寻找成本效率。发展科学并确定 允许古老的政策以成本效益的方式最大化其健康和独立性是一个 NIA的“衰老研究战略方向”的主要主题，以及CMS政策。 负担得起的护理法（ACA）。 ACA专门要求CMS更新HH支付系统以反映因素 影响成本，健康成果是主要的成本，并进行研究以发展证据基础 支持此类更新。该项目旨在有助于证据基础，将成本和患者联系起来 健康结果。 该项目将调查HH的成本与患者健康结果之间的关系 成本功能的研究。它将链接主要数据和辅助数据。基于国家网络的国家调查将是 在全国范围内管理为12,000 HHA。该调查将由国家赞助和发送 家庭护理与临终关怀协会（NAHC）。调查回复将与国家绿洲和成本有关 报告数据以创建独特的数据集，这将允许调查特定的成本和有效性 改进策略和行动。该研究将采用复杂的经济技术来估计 HHA的成本功能。 该项目还提议通过A将其发现传播给HHA，政策制定者和其他 新开发的基于Web的应用程序将允许用户获得初步估算 在用户指定的方案下，改进计划的有效性和成本。这个应用将依据 关于项目第一部分中估计的关系。 在整个过程中，该项目将受益于NAHC国家咨询小组的支持和建议 由全国HHA的董事和财务官组成。 该项目产生的知识将为政策制定者和HHA提供信息 在不同类型的机构和市场中的成本与患者健康结果之间，将提供重要的 旨在激励有效和有效护理的政策的指导和见解。