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The Gerontologist, Vol 36, Issue 4 492-501, Copyright © 1996 by The Gerontological Society of America

ARTICLES

Quality of Medicare-reimbursed home health care

AM Jette, KW Smith and SM McDermott
Sargent College, Boston University, MA 02215, USA.

We investigated the prevalence of quality of care deficiencies in 4,324 Medicare-reimbursed episodes of care provided by 47 home health agencies. The quality of care protocol consisted of a process-oriented, systematic record review by a trained nurse reviewer. Results suggest that an estimated 14.4% of home health care episodes had quality deficiencies with the potential for or actual adverse effects on the patient. Multivariate analyses revealed that the complexity of patients' needs increased the likelihood and severity of the quality problems. Agency ownership was not related to risk of a quality problem, but regional variation in agency effects was observed. Specific problem areas were identified that suggested several ways that home health care could be improved.


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B. Han, W. J. McAuley, and R. E. Remsburg
Agency Ownership, Patient Payment Source, and Length of Service in Home Care, 1992 2000
Gerontologist, August 1, 2007; 47(4): 438 - 446.
[Abstract] [Full Text] [PDF]


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