A Basis for Prospective Payment for Home Care

Pasquale, Debra K.

doi:10.1111/j.1547-5069.1987.tb00005.x

Cited by 16 publications

(34 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Three studies examining resource consumption in home care have included limited reference to service provided by home health aides (Ballard & McNamara, 1983;Glick, 1987;Pasquale, 1987).…”

Section: Review Of the Literaturementioning

confidence: 99%

Characteristics of Clients Who Receive Home Health Aide Service

Hays

Willborn²

1996

Public Health Nursing

View full text Add to dashboard Cite

Nurses who plan and supervise home health aide service must have a good understanding of the amount and intensity of nursing care and the amount of home health aide service that individual clients will need. However, there is little in the nursing literature that describes how clients who receive both RN and home health aide services differ from clients who receive only RN care. Indeed, there have been few reports on how need for home health aide service relates to the amount of nursing care received. Secondary analysis of data from a study on resource consumption in home care revealed that clients who receive home health aide service: 1) are older; 2) are more likely to be women; 3) have a higher rating using the Community Health Intensity Rating Scale; and 4) are discharged from the caseload due to death or institutionalization at a higher rate than those who receive only RN care. Clients who received both home health aide services and RN care needed assistance with activities of daily living, but they also required more RN care than did clients who received only RN care. These data hold implications for nurses in addressing agency staffing, focusing home health aide training, and advocating for resources to address service needs of this segment of their care population.

show abstract

“…Three studies examining resource consumption in home care have included limited reference to service provided by home health aides (Ballard & McNamara, 1983;Glick, 1987;Pasquale, 1987).…”

Section: Review Of the Literaturementioning

confidence: 99%

Characteristics of Clients Who Receive Home Health Aide Service

Hays

Willborn²

1996

Public Health Nursing

View full text Add to dashboard Cite

show abstract

“…The Omaha System also has been used to evaluate home care practice or predict resources or outcomes in home care. 19-23 One of the findings was that an increase in the number of nursing problems was associated with higher resource use. 19, 22 Helberg’s study 21 also supported the relationship between increased nursing interventions and resource utilization.…”

Section: Introductionmentioning

confidence: 99%

The Feasibility of Integrating the Omaha System Data Across Home Care Agencies and Vendors

Westra

Oancea

Savik

et al. 2010

CIN: Computers, Informatics, Nursing

View full text Add to dashboard Cite

Federal and state initiatives are aligning around the goal that by 2014 all Americans will have electronic health records to support access to their health information any time and anywhere. As a key health care provider, nursing data must be included to enhance patient safety, effectiveness, and efficiency of care that is patient-centric. The purpose of this study was to test the feasibility of abstracting, integrating, and comparing the effective use of a standardized terminology, the Omaha System, across software vendors and 15 homecare agencies. Results showed that the 2,900 patients in this study had an average of four problems on care plans, with interventions most frequently addressing surveillance (39%) and teaching (30%). Findings in this study support the feasibility of integrating data across software vendors and agencies as well as the usefulness for describing care provided in homecare. However, before exchanging data across systems data quality issues found in this study need attention. There was missing data for 10.8% of patients as well as concerns about the validity of using the problem rating scale for outcomes. Strategies for effective use of standardized nursing terminologies are recommended.

show abstract

“…Most patients who use home health care services are elderly, white, unmarried women who are referred to care after hospital discharge (Ballard & McNamara, 1983;Harris et al, 1987;Pasquale, 1987Pasquale, , 1988Williams et al, 1990). Although sociodemographic factors may not directly influence use of home care, they are risk factors for disease develop-nursing visits and agency reimbursement under Medicare conditions of participation.…”

mentioning

confidence: 99%

“…They include the primary medical diagnosis, comorbidities and complications arising from the illness or medical care, and whether or not the patient had a surgical procedure before home care admission. The majority of patients who use these services have more than one medical diagnosis and chronic health problems, and are treated for cardiac, respiratory, or musculoskeletal conditions (Harris et al, 1987;Pasquale, 1987Pasquale, , 1988Ruther & Helbing, 1988). Patients with cancer required more home care nursing visits than those with cardiac disease, and number of diagnoses was a significant predictor of nursing visits per day for the former (Ballard & McNamara, 1983).…”

mentioning

confidence: 99%

See 1 more Smart Citation

Use of Home Care Nursing Resources by the Elderly

Helberg

1994

Public Health Nursing

View full text Add to dashboard Cite

We explored the influence of nursing dependency over and above sociodemographic factors and medical conditions on the use of home care nursing resources by patients 65 years of age and older. Use measures were number of visits made by home care nurses, and length of nursing stay. Nurses' reports, direct observation of nursing care provided, patient interviews, and record abstraction were used to obtain data on 236 patients who were admitted to and discharged from a certified public home health agency. Nursing dependency explained a significant amount of variance over and above sociodemographic factors and medical conditions in number of visits made by nurses and length of nursing stay. Measures of nursing dependency should be incorporated into future studies that examine factors related to use of home care nursing resources.

show abstract

A Basis for Prospective Payment for Home Care

Cited by 16 publications

References 11 publications

Characteristics of Clients Who Receive Home Health Aide Service

Characteristics of Clients Who Receive Home Health Aide Service

The Feasibility of Integrating the Omaha System Data Across Home Care Agencies and Vendors

Use of Home Care Nursing Resources by the Elderly

Contact Info

Product

Resources

About