2.50
Hdl Handle:
http://hdl.handle.net/10755/161477
Type:
Presentation
Title:
A COPD Homecare Pathway Pilot Study
Abstract:
A COPD Homecare Pathway Pilot Study
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2003
Author:Narsavage, Georgia
Contact Address:SON, 10900 Euclid Ave, Cleveland, OH, 44106-4904, USA
Co-Authors:Yea-Jyh (Kathy) Chen; Dickerson, Diane; Su-Er Guo
This study explores the use of a “COPD Homecare Pathway” compared to “no homecare” in COPD patients that have not been referred for homecare services, and to COPD patients receiving usual homecare immediately after hospital discharge. In a sample of 20 older adults with COPD discharged from a University hospital, the study examines: 1)Controlling for severity of illness, what are the effects of using the COPD HOMECARE PATHWAY intervention compared to USUAL HOMECARE and NO HOMECARE on a) Health care service use (number of provider visits, rehospitalizations, emergency/urgent care visits, number of homecare visits)? b) Patient outcomes (change in objective and subjective functional status)? c) Health care costs (Medicare-approved payment for provider visits - CPT, rehospitalizations - HHRG, emergency/ urgent care visits - CPT, and homecare visits - PPS )? 2) What are the acceptability and resource requirements of the COPD HOMECARE PATHWAY intervention? Subjective and objective measures of patient function, health care service use and health care costs are measured for the 12 weeks following hospital discharge and are compared for the intervention group, the no homecare group, and a group of patients matched by gender and severity of illness who receive usual homecare immediately after hospital discharge. ANOVA examines the effects over time in both men and women. A short-term goal of this pilot study is to refine the implementation and methods to study the “COPD Homecare Pathway” in a homecare agency. The long-term goal is to identify cost-effective care following hospital discharge for patients who have had COPD exacerbation. The pilot data will be used to develop the protocol for the RCT with a sample large enough to test the “COPD Homecare pathway” as to cost effectiveness and patient outcomes. AN: MN030058
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 COPD Homecare Pathway Pilot Studyen_GB
dc.identifier.urihttp://hdl.handle.net/10755/161477-
dc.description.abstract<table><tr><td colspan="2" class="item-title">A COPD Homecare Pathway Pilot Study</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">2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Narsavage, Georgia</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">SON, 10900 Euclid Ave, Cleveland, OH, 44106-4904, USA</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Yea-Jyh (Kathy) Chen; Dickerson, Diane; Su-Er Guo </td></tr><tr><td colspan="2" class="item-abstract">This study explores the use of a &ldquo;COPD Homecare Pathway&rdquo; compared to &ldquo;no homecare&rdquo; in COPD patients that have not been referred for homecare services, and to COPD patients receiving usual homecare immediately after hospital discharge. In a sample of 20 older adults with COPD discharged from a University hospital, the study examines: 1)Controlling for severity of illness, what are the effects of using the COPD HOMECARE PATHWAY intervention compared to USUAL HOMECARE and NO HOMECARE on a) Health care service use (number of provider visits, rehospitalizations, emergency/urgent care visits, number of homecare visits)? b) Patient outcomes (change in objective and subjective functional status)? c) Health care costs (Medicare-approved payment for provider visits - CPT, rehospitalizations - HHRG, emergency/ urgent care visits - CPT, and homecare visits - PPS )? 2) What are the acceptability and resource requirements of the COPD HOMECARE PATHWAY intervention? Subjective and objective measures of patient function, health care service use and health care costs are measured for the 12 weeks following hospital discharge and are compared for the intervention group, the no homecare group, and a group of patients matched by gender and severity of illness who receive usual homecare immediately after hospital discharge. ANOVA examines the effects over time in both men and women. A short-term goal of this pilot study is to refine the implementation and methods to study the &ldquo;COPD Homecare Pathway&rdquo; in a homecare agency. The long-term goal is to identify cost-effective care following hospital discharge for patients who have had COPD exacerbation. The pilot data will be used to develop the protocol for the RCT with a sample large enough to test the &ldquo;COPD Homecare pathway&rdquo; as to cost effectiveness and patient outcomes. AN: MN030058 </td></tr></table>en_GB
dc.date.available2011-10-26T23:21:59Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:21:59Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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