The Influence of a Change in Medicare Reimbursement on the Effectiveness of Stage III or Greater Decubitus Ulcer Home Health Nursing Care

2.50
Hdl Handle:
http://hdl.handle.net/10755/155541
Type:
Presentation
Title:
The Influence of a Change in Medicare Reimbursement on the Effectiveness of Stage III or Greater Decubitus Ulcer Home Health Nursing Care
Abstract:
The Influence of a Change in Medicare Reimbursement on the Effectiveness of Stage III or Greater Decubitus Ulcer Home Health Nursing Care
Conference Sponsor:Sigma Theta Tau International
Conference Year:2006
Author:Eaton, Melody K., PhD, MBA, RN
P.I. Institution Name:James Madison University
Title:Associate Professor
This study was designed to describe and evaluate the impact of a change in a Medicare reimbursement program on the effectiveness of home health nursing care for stage III or greater decubitus ulcer patients. This health policy originated from the Balanced Budget Act (BBA) of 1997, and took its full effect with initiation of the Prospective Payment System (PPS) on October 1, 2000. A Quantitative quasi-experimental design was used to evaluate 555 Virginia stage III or greater decubitus ulcer patients, age 65 or older, from a secondary data base (OASIS) to compare pre PPS and post PPS outcomes related to reported ulcer healing status, lengths of stay, and discharge disposition. Data were re-coded, cleaned, and analyzed using SAS/ SPSS software, and descriptive, bivariate, and multivariate regression techniques. Results demonstrated significant differences for the three outcomes studied. In addition, sanitation, ulcer healing status and discharge disposition were linked as predictors for length of stay in home health. In conclusion, results demonstrated that a health policy, The Balanced Budget Act of 1997, has impacted nursing care effectiveness for stage III or greater decubitus ulcer home health patients.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe Influence of a Change in Medicare Reimbursement on the Effectiveness of Stage III or Greater Decubitus Ulcer Home Health Nursing Careen_GB
dc.identifier.urihttp://hdl.handle.net/10755/155541-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Influence of a Change in Medicare Reimbursement on the Effectiveness of Stage III or Greater Decubitus Ulcer Home Health Nursing Care</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Eaton, Melody K., PhD, MBA, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">James Madison University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">eatonmk@cisat.jmu.edu</td></tr><tr><td colspan="2" class="item-abstract">This study was designed to describe and evaluate the impact of a change in a Medicare reimbursement program on the effectiveness of home health nursing care for stage III or greater decubitus ulcer patients. This health policy originated from the Balanced Budget Act (BBA) of 1997, and took its full effect with initiation of the Prospective Payment System (PPS) on October 1, 2000. A Quantitative quasi-experimental design was used to evaluate 555 Virginia stage III or greater decubitus ulcer patients, age 65 or older, from a secondary data base (OASIS) to compare pre PPS and post PPS outcomes related to reported ulcer healing status, lengths of stay, and discharge disposition. Data were re-coded, cleaned, and analyzed using SAS/ SPSS software, and descriptive, bivariate, and multivariate regression techniques. Results demonstrated significant differences for the three outcomes studied. In addition, sanitation, ulcer healing status and discharge disposition were linked as predictors for length of stay in home health. In conclusion, results demonstrated that a health policy, The Balanced Budget Act of 1997, has impacted nursing care effectiveness for stage III or greater decubitus ulcer home health patients.</td></tr></table>en_GB
dc.date.available2011-10-26T13:56:21Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T13:56:21Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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