A comparison of quality measures between for-profit and nonprofit home health agencies providing services in Michigan

2.50
Hdl Handle:
http://hdl.handle.net/10755/158352
Type:
Presentation
Title:
A comparison of quality measures between for-profit and nonprofit home health agencies providing services in Michigan
Abstract:
A comparison of quality measures between for-profit and nonprofit home health agencies providing services in Michigan
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2010
Author:Allison, Kathryn, M.S.
P.I. Institution Name:University of Michigan
Contact Address:13063 Michalek Lane, South Lyon, MI, 48178, USA
Contact Telephone:248-767-2476
Co-Authors:K. Allison, H. Tzeng, , University of Michigan, Ann Arbor, MI;
Purpose: This study investigated the differences in quality measures between for-profit and nonprofit Medicare-certified home health agencies (MCHHAs) in Michigan. 12 quality measures reported by MCHHAs and published on the CMS website were studied. The research question was: Are there differences in the means of quality measures between for-profit and nonprofit MCHHAs in Michigan? Background: About 68% of the home health agencies in U.S. are for-profit. There are few studies examining the association between profit orientation and home care quality. Methods: This exploratory cross-sectional study used publicly available data retrieved from the CMS website. Data were retrieved on May 8, 2009, resulting in 505 MCHHAs in Michigan. Information was abstracted and entered into an SPSS dataset. Independent t-tests were used. Results: Independent t-tests revealed that for-profit MCHHAs had statistically significantly higher mean percentages on improvement in pain management, moving around, bladder control, bathing, and ability to take medications, and had a significantly lower mean percentage on use of unplanned medical care related to a worse or infected wound. Nonprofit MCHHAs had a significantly lower mean percentage on patients who were admitted to the hospital. Discussion: Significant differences between nonprofit and for-profit MCHHAs were found on 6 of the 12 quality measures, with for-profit agencies performing better on 5 measures. Nurses involved in home health administration and health policy should be aware of the comparative value of both types of ownership.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleA comparison of quality measures between for-profit and nonprofit home health agencies providing services in Michiganen_GB
dc.identifier.urihttp://hdl.handle.net/10755/158352-
dc.description.abstract<table><tr><td colspan="2" class="item-title">A comparison of quality measures between for-profit and nonprofit home health agencies providing services in Michigan</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Allison, Kathryn, M.S.</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Michigan</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">13063 Michalek Lane, South Lyon, MI, 48178, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">248-767-2476</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">katyla@umich.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">K. Allison, H. Tzeng, , University of Michigan, Ann Arbor, MI;</td></tr><tr><td colspan="2" class="item-abstract">Purpose: This study investigated the differences in quality measures between for-profit and nonprofit Medicare-certified home health agencies (MCHHAs) in Michigan. 12 quality measures reported by MCHHAs and published on the CMS website were studied. The research question was: Are there differences in the means of quality measures between for-profit and nonprofit MCHHAs in Michigan? Background: About 68% of the home health agencies in U.S. are for-profit. There are few studies examining the association between profit orientation and home care quality. Methods: This exploratory cross-sectional study used publicly available data retrieved from the CMS website. Data were retrieved on May 8, 2009, resulting in 505 MCHHAs in Michigan. Information was abstracted and entered into an SPSS dataset. Independent t-tests were used. Results: Independent t-tests revealed that for-profit MCHHAs had statistically significantly higher mean percentages on improvement in pain management, moving around, bladder control, bathing, and ability to take medications, and had a significantly lower mean percentage on use of unplanned medical care related to a worse or infected wound. Nonprofit MCHHAs had a significantly lower mean percentage on patients who were admitted to the hospital. Discussion: Significant differences between nonprofit and for-profit MCHHAs were found on 6 of the 12 quality measures, with for-profit agencies performing better on 5 measures. Nurses involved in home health administration and health policy should be aware of the comparative value of both types of ownership.</td></tr></table>en_GB
dc.date.available2011-10-26T20:57:52Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T20:57:52Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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