National Healthcare Quality and Disparities Report
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Topics
- Consumer Assessment of Healthcare Providers and Systems (CAHPS) (1)
- Elderly (1)
- (-) Home Healthcare (6)
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AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 6 of 6 Research Studies DisplayedLi J
Public reporting and consumer demand in the home health sector.
The author used a natural experiment in the home health sector to assess whether a higher rating under the star ratings program affected patient choice. Findings indicated that higher rated agencies increased their market share by a statistically insignificant amount. No evidence of heterogeneous effects across the rating distribution or over time was discovered. The author concluded that star ratings are unlikely to improve home health quality despite continued policymaker interest.
AHRQ-funded; HS026836.
Citation: Li J .
Public reporting and consumer demand in the home health sector.
AHRQ-funded; HS026836..
Keywords: Home Healthcare, Nursing Homes, Provider Performance, Patient Experience, Quality of Care
Li J
Home health agencies with high quality of patient care star ratings reduced short-term hospitalization rates and increased days independently at home.
Accurate Medicare Quality of Patient Care home health star ratings are crucial to helping patients find high-quality care, yet critics of these ratings indicate that they are not valid. The purpose of this retrospective study was to assess whether using the highest-rated home health agency available in a ZIP code improves outcomes. The researchers included 1,870,080 Medicare fee-for-service beneficiaries using home health care from July 2015 through July 2016 in the United States. The study found that treatment by the highest-rated agencies available decreased risks of hospitalization, emergency department use, and institutionalization during the initial episode, and increased days independently at home by 2.6% or 3.75 days in the 180 days after the end of the initial episode. Treatment effects were stronger for agencies that were above-average, had 1 or more stars than the next-best agency, and nonrural residents. Effects were positive for both postacute and community-entry patients.
AHRQ-funded; HS026836.
Citation: Li J .
Home health agencies with high quality of patient care star ratings reduced short-term hospitalization rates and increased days independently at home.
Med Care 2024 Jan; 62(1):11-20. doi: 10.1097/mlr.0000000000001930..
Keywords: Home Healthcare, Quality of Care, Hospitalization, Provider Performance
Wang J, Ying M, Li Y
Home health agencies with more socially vulnerable patients have poorer experience of care ratings.
The purpose of this study was to evaluate the relationship between Medicare dual eligibility and race/ ethnicity when exploring Medicare-certified Home Health Agencies (CHHAs) and experience of care ratings. The researchers analyzed the 2017 national Consumer Assessment of Healthcare Providers and Systems and matched datasets of 10,906 CHHAs and found that CHHAs with higher concentrations of dual-eligible patients were less likely to have high experience of care ratings. In addition, CHHAs with higher proportions of racial/ ethnic minorities were less likely to have high experience of care ratings in the domains of care delivery, communication, and specific care issues.
AHRQ-funded; HS026893.
Citation: Wang J, Ying M, Li Y .
Home health agencies with more socially vulnerable patients have poorer experience of care ratings.
J Appl Gerontol 2022 Mar;41(3):661-70. doi: 10.1177/07334648211053859..
Keywords: Elderly, Home Healthcare, Vulnerable Populations, Provider Performance
Schwartz ML, Rahman M, Thomas KS
Consumer selection and home health agency quality and patient experience stars.
The objective of this study was to compare the impact of the introduction of two distinct sets of star ratings, quality of care, and patient experience, on home health agency (HHA) selection. The investigators concluded that the introduction of quality of care and patient experience stars were associated with changes in HHA selection; however, the strength of these relationships was weaker than observed in other health care settings where a single star rating was reported.
AHRQ-funded; HS026440.
Citation: Schwartz ML, Rahman M, Thomas KS .
Consumer selection and home health agency quality and patient experience stars.
Health Serv Res 2022 Feb;57(1):113-24. doi: 10.1111/1475-6773.13867..
Keywords: Consumer Assessment of Healthcare Providers and Systems (CAHPS), Home Healthcare, Patient Experience, Quality Measures, Quality of Care, Provider Performance, Quality Indicators (QIs)
Geng F, Mansouri S, Stevenson DG
Evolution of the home health care market: the expansion and quality performance of multi-agency chains.
This study examined the growth and quality performance of multi-agency home health agency (HHA) chains from 2005 to 2018. All Medicare-certified HHAs were included. Over the time period, the number of HHAs increased from 7899 to 10,818 and the number of chain-owned HHAs more than doubled from 903 to 1841. In 2018, for-profit nonchain agencies were still the largest category - both in the number of agencies (67.8%) and number of Medicare enrollees served (40.7%). Non-chain for-profit HHAs served the highest proportion of dual eligible beneficiaries and African Americans among all agency types.
AHRQ-funded; HS024072.
Citation: Geng F, Mansouri S, Stevenson DG .
Evolution of the home health care market: the expansion and quality performance of multi-agency chains.
Health Serv Res 2020 Dec;55(Suppl 3):1073-84. doi: 10.1111/1475-6773.13597..
Keywords: Home Healthcare, Provider Performance, Quality of Care
Wang Y, Pandolfi MM, Fine J
Community level association between home health and nursing home performance on quality and hospital 30-day readmissions for Medicare patients.
Using CMS data from 2010 to 2012, the researchers evaluated whether community-level home health agencies and nursing home performance is associated with community-level hospital 30-day all-cause risk-standardized readmission rates for Medicare patients. They found that increasing nursing home performance by one star for all of its 4 measures and home health performance by 10 points for all of its 6 measures is associated with decreases in community-level risk-standardized readmission rates.
AHRQ-funded; HS023000.
Citation: Wang Y, Pandolfi MM, Fine J .
Community level association between home health and nursing home performance on quality and hospital 30-day readmissions for Medicare patients.
Home Health Care Manag Pract 2016 Nov;28(4):201-08. doi: 10.1177/1084822316639032.
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Keywords: Quality of Care, Hospital Readmissions, Home Healthcare, Nursing Homes, Provider Performance