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: 9756259
• 负责人: DANA B MUKAMEL
• 金额: $ 61.98万
• 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 2022-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9756259
• 关键词: Address; Affordable Care Act; Aging; Care given by nurses; Caring; Characteristics; Charge; Chronic Disease; Cost efficiency; Data; Data Reporting; Data Set; Dimensions; Economics; Effectiveness; Elderly; Electronic Mail; Environment; Exhibits; Expenditure; Goals; Health; Health Personnel; Healthcare Systems; Home Care Services; Home Health Agency; Home Health Care Agencies; Home environment; Hospice Care; Hospitalization; Incentives; Individual; Industry; Investigation; Knowledge; Letters; Link; 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; econometrics; evidence base; improved; improved outcome; insight; patient home care; payment; relative cost; 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.

项目总结/文摘

项目成果

Home Health Care Quality, Its Costs and Implications for Home Health Value-Based Purchasing.

• DOI: 10.1177/1077558720974528
• 发表时间: 2022-03
• 期刊: Medical care research and review : MCRR
• 作者: Mukamel DB;Ladd H;Nuccio E;Zinn JS;Sorkin DH;Ettner SL
• 通讯作者: Ettner SL

Certificate of need and the cost of competition in home healthcare markets.

家庭医疗保健市场的需求证明和竞争成本。

• DOI: 10.1080/01621424.2020.1728464
• 发表时间: 2020
• 期刊: Home health care services quarterly
• 影响因子: 1.4
• 作者: Ettner,SusanL;Zinn,JacquelineS;Xu,Haiyong;Ladd,Heather;Nuccio,Eugene;Sorkin,DaraH;Mukamel,DanaB
• 通讯作者: Mukamel,DanaB

Identifying Associations between Quality Initiatives and Quality Measures among Home Health Agencies: Findings from a National Study.

• DOI: 10.1177/1178632921992092
• 发表时间: 2021
• 期刊: Health services insights
• 影响因子: 2.8
• 作者: Zinn JS;Ladd H;Nuccio E;Ettner SL;Sorkin DH;Mukamel DB
• 通讯作者: Mukamel DB