Use of Home Health Services Among High Risk Rural Medicare Patients: Patient, Service, and Community Factors Associated with Outcomes of Care
Research center:
Lead researcher:
Contact:
Project funded:
September 2015
Project completed:
May 2018
Topics:
This study examined outcomes of care for rural Medicare patients who were discharged from hospitals and admitted to home healthcare for post-acute services. Outcomes included emergent care use and re-hospitalization during the home health admission and community discharge. Key predictors included type of rural community (large, small, isolated small rural), geographic region, types and amounts of home health services provided, home health agency workforce characteristics, and available community healthcare resources.
Publications
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Service Provision and Quality Outcomes in Home Health for Rural Medicare Beneficiaries at High Risk for Unplanned Care
Journal Article
WWAMI Rural Health Research Center
Date: 06/2018
This study examined service provision and quality outcomes among rural Medicare beneficiaries who used home health from 2011-2013 and were at high risk for unplanned care. More skilled nursing visits and visits by more types of providers were associated with higher hospital readmission and emergency department use and lower community discharge.