2.50
Hdl Handle:
http://hdl.handle.net/10755/159302
Type:
Presentation
Title:
A comparison of home care clients readmitted to the hospital
Abstract:
A comparison of home care clients readmitted to the hospital
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2005
Author:Anderson, Mary Ann, PhD, RN
P.I. Institution Name:University of Illinois at Chicago
Title:Associate Professor
Contact Address:Medical-Surgical Nursing, 1515 - Fifth Avenue; Suite 400, Moline, IL, 61265, USA
Contact Telephone:309-757-9467 ext.24
Co-Authors:Mara Clarke, MS, APN, Family Nurse Practitioner; Mark D. Foreman, PhD, RN, FAAN, Professor; and Lelia B. Helms, PhD, JD, Professor
Purpose: To characterize and compare clients who were readmitted to
the hospital during an episode of home health care, before and after the
inception of the prospective payment system (PPS).
Design: A longitudinal mixed design was used; replicating a study
conducted nine years previously (pre PPS) in the same home care agency.
Methods: Seventy-six closed case medical records from a not-for-profit
hospital affiliated home care agency were retrospectively reviewed and
compared to pre PPS data. The same data collection tool, the Hospital
Readmission Inventory, was used for both pre and post PPS studies.
Secondly, nurse administrators at the data collection agency were
interviewed concerning comparative results.
Findings: Currently readmitted clients are sicker than those characterized
in the prior research report, and are readmitted sooner for a different
diagnosis, with less continuity of services.
Conclusions: The home health care industry has undergone a dramatic change
in reimbursement for services, moving from a fee-for-service to a PPS. The
impact of such organizational change is not clear. Of particular concern
is the adverse patient outcome of an unplanned hospital readmission. Prior
studies have characterized such patients in home health care, but no
reports on the topic were found in a literature search, since the
inception of PPS. Findings from this study begin to fill the gap, and
suggest that an increased emphasis on cost containment and higher risk
clients would appear to be changing established patterns of care delivery.
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 home care clients readmitted to the hospitalen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159302-
dc.description.abstract<table><tr><td colspan="2" class="item-title">A comparison of home care clients readmitted to the hospital</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">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Anderson, Mary Ann, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Illinois at Chicago</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Medical-Surgical Nursing, 1515 - Fifth Avenue; Suite 400, Moline, IL, 61265, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">309-757-9467 ext.24</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">MAA928@uic.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Mara Clarke, MS, APN, Family Nurse Practitioner; Mark D. Foreman, PhD, RN, FAAN, Professor; and Lelia B. Helms, PhD, JD, Professor</td></tr><tr><td colspan="2" class="item-abstract">Purpose: To characterize and compare clients who were readmitted to <br/> the hospital during an episode of home health care, before and after the <br/> inception of the prospective payment system (PPS). <br/> Design: A longitudinal mixed design was used; replicating a study <br/> conducted nine years previously (pre PPS) in the same home care agency.<br/> Methods: Seventy-six closed case medical records from a not-for-profit <br/> hospital affiliated home care agency were retrospectively reviewed and <br/> compared to pre PPS data. The same data collection tool, the Hospital <br/> Readmission Inventory, was used for both pre and post PPS studies. <br/> Secondly, nurse administrators at the data collection agency were <br/> interviewed concerning comparative results. <br/> Findings: Currently readmitted clients are sicker than those characterized <br/> in the prior research report, and are readmitted sooner for a different <br/> diagnosis, with less continuity of services. <br/> Conclusions: The home health care industry has undergone a dramatic change <br/> in reimbursement for services, moving from a fee-for-service to a PPS. The <br/> impact of such organizational change is not clear. Of particular concern <br/> is the adverse patient outcome of an unplanned hospital readmission. Prior <br/> studies have characterized such patients in home health care, but no <br/> reports on the topic were found in a literature search, since the <br/> inception of PPS. Findings from this study begin to fill the gap, and <br/> suggest that an increased emphasis on cost containment and higher risk <br/> clients would appear to be changing established patterns of care delivery.</td></tr></table>en_GB
dc.date.available2011-10-26T21:53:24Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:53:24Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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