2.50
Hdl Handle:
http://hdl.handle.net/10755/159499
Type:
Presentation
Title:
Cost of Home Care in the Prospective Payment System
Abstract:
Cost of Home Care in the Prospective Payment System
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2002
Author:Anderson, Mary, PhD
P.I. Institution Name:University of Illinois at Chicago
Title:Associate Professor
Contact Address:Quad-Cities Regional Program, 1515 5th Avenue, Suite 400, Moline, IL, 61265, USA
Contact Telephone:309.757.9467
There has been much speculation in the literature about the impact of the prospective payment system (PPS) on the home care industry, but few reports of systematic investigation. Clearly, comprehension of client characteristics is essential for categorizing home care clients into the correct Home Health Resource Groups (HHRG), for allocating resources appropriately, and for implementing necessary organizational changes to accommodate clients who require variations in the amount of resources predicted by the PPS. The purposes of this study were to describe the characteristics of home health clients that resulted in: 1) a financial gain, and 2) a financial loss for one agency under the PPS compared to the interim payment system (IPS). A secondary data analysis of 140 cases complied by one not-for-profit, hospital-affiliated home care organization was completed. Results suggested that client characteristics of the projected loss group had more re-certifications on admission and at the end of the 60-day episode; a greater LOS (3 weeks); and more visits, particularly from skilled nursing. Comprehension of client characteristics and the subsequent ability to adjust for the proper case-mix is crucial if home care agencies are to remain financially viable under the PPS. Replication of this project needs to be done using more variables and multiple sites.
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.titleCost of Home Care in the Prospective Payment Systemen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159499-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Cost of Home Care in the Prospective Payment System</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">2002</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Anderson, Mary, PhD</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">Quad-Cities Regional Program, 1515 5th 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</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">maa928@uic.edu</td></tr><tr><td colspan="2" class="item-abstract">There has been much speculation in the literature about the impact of the prospective payment system (PPS) on the home care industry, but few reports of systematic investigation. Clearly, comprehension of client characteristics is essential for categorizing home care clients into the correct Home Health Resource Groups (HHRG), for allocating resources appropriately, and for implementing necessary organizational changes to accommodate clients who require variations in the amount of resources predicted by the PPS. The purposes of this study were to describe the characteristics of home health clients that resulted in: 1) a financial gain, and 2) a financial loss for one agency under the PPS compared to the interim payment system (IPS). A secondary data analysis of 140 cases complied by one not-for-profit, hospital-affiliated home care organization was completed. Results suggested that client characteristics of the projected loss group had more re-certifications on admission and at the end of the 60-day episode; a greater LOS (3 weeks); and more visits, particularly from skilled nursing. Comprehension of client characteristics and the subsequent ability to adjust for the proper case-mix is crucial if home care agencies are to remain financially viable under the PPS. Replication of this project needs to be done using more variables and multiple sites.</td></tr></table>en_GB
dc.date.available2011-10-26T22:04:21Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T22:04:21Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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