Utilization trends in home health           Rebecca Byrd, RN                    Techota
Goals●   Explain how home health care can reduce    rehospitalizations●   Discriminate between home health agencies    bas...
The problem of rehospitaliation●   Anywhere from 10-25% of inpatient discharges    will be readmitted●   Medicare patients...
Hospital Readmissions Reduction                Program●   Outside the scope of this presentation●   Probably something you...
How does home health come into               play?●   IHI (Institute for Healthcare Improvement) found    that the single ...
Selecting a home health agency●   To find the best home health care agencies, do    not rely on the agencys marketing stra...
A brief word about OASIS...●   The Outcome and Asessment Information Set●   Long list of questions that are incorporated i...
Types of Process Measures that              matter most●   Management of heart failure symptoms●   Diabetic foot care●   D...
Types of Outcomes Measures that              matter most●   Acute care hospitalizations●   Emergency department use●   Imp...
An example of what the results look like...(this is not an endorsement of any particular home                 health care ...
THANK YOU!!!Please email any questions to rbyrd@rubic.com
ReferencesJiang, H.J., and Wier, L.M. (2010). All-causehospital readmissions among non-elderlyMedicaid patients 2007. AHRQ...
Home health utilization trends
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Home health utilization trends

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Home health utilization trends

  1. 1. Utilization trends in home health Rebecca Byrd, RN Techota
  2. 2. Goals● Explain how home health care can reduce rehospitalizations● Discriminate between home health agencies based on publicly reported outcome measures● Summarize outcome measurements using OASIS
  3. 3. The problem of rehospitaliation● Anywhere from 10-25% of inpatient discharges will be readmitted● Medicare patients have a higher readmission rate● More than half of Medicare readmissions related to circulatory diseases (Jiang and Wier, 2010)● Financial penalties for high readmission rates start 10/1/12 – thank you ACA!
  4. 4. Hospital Readmissions Reduction Program● Outside the scope of this presentation● Probably something youre already familiar with● If not, exhaustive details are at the CMS website● http://cms.gov/Medicare/Medicare-Fee-for-Service-
  5. 5. How does home health come into play?● IHI (Institute for Healthcare Improvement) found that the single biggest problem with readmissions was lack of post-acute care● Home health provides nursing assessment, health teaching, and clinical interventions following hospitalization● Medication reconcilliation and drug monitoring are required components of home health care under federal regulations
  6. 6. Selecting a home health agency● To find the best home health care agencies, do not rely on the agencys marketing strategy!● Do your own homework on Home Health Compare● http://medicare.gov/homehealthcompare/● Lets you compare both process measures and outcomes measures from up to 3 different agencies (at a time) vs. state and national trends
  7. 7. A brief word about OASIS...● The Outcome and Asessment Information Set● Long list of questions that are incorporated into the admission and discharge assessments● Keyed into a computer and uploaded to a CMS database● Compares each patients admission vs. discharge scores to determine outcomes● Also tracks when patients come in and out of the hospital
  8. 8. Types of Process Measures that matter most● Management of heart failure symptoms● Diabetic foot care● Drug education● Fall risk assessment
  9. 9. Types of Outcomes Measures that matter most● Acute care hospitalizations● Emergency department use● Improvement in oral medications● Improvement in dyspnea● Improvement in ambulation
  10. 10. An example of what the results look like...(this is not an endorsement of any particular home health care agency)
  11. 11. THANK YOU!!!Please email any questions to rbyrd@rubic.com
  12. 12. ReferencesJiang, H.J., and Wier, L.M. (2010). All-causehospital readmissions among non-elderlyMedicaid patients 2007. AHRQ Statistical Brief#89. Accessed atwww.hcup-us.ahrq.gov/reports/statbriefs/sb90.jsp

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