ArticleResearch in nursing & health2015
The impact of home health length of stay and number of skilled nursing visits on hospitalization among Medicare-reimbursed skilled home health beneficiaries.
Article in Research in nursing & health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
23 citing papers in PubMed.
- Racial and Ethnic Differences in Post-acute Home Health Services Among Older Adults With Alzheimer's Disease and Related Dementias.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026Article
- Does the Veterans Health Administration Purchase High-Quality Home Health Care?Journal of the American Medical Directors Association · 2025Observational
- Developing a clinical decision support framework for integrating predictive models into routine nursing practices in home health care for patients with heart failure.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2025Article
- Predicting emergency department visits and hospitalizations for patients with heart failure in home healthcare using a time series risk model.Journal of the American Medical Informatics Association : JAMIA · 2023Article
- Impoverishing effects of out-of-pocket healthcare expenditures in India.Journal of family medicine and primary care · 2022Article
- Medications Associated With Geriatric Syndromes (MAGS) and Hospitalization Risk in Home Health Care Patients.Journal of the American Medical Directors Association · 2022Article
- Documentation of hospitalization risk factors in electronic health records (EHRs): a qualitative study with home healthcare clinicians.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- Planning the Episode: Home Care Admission Nurse Decision-Making Regarding the Patient Visit Pattern.Home health care management & practice · 2021Article
- Mobility and Self-Care are Associated With Discharge to Community After Home Health for People With Dementia.Journal of the American Medical Directors Association · 2021Article
- Unmet family caregiver training needs associated with acute care utilization during home health care.Journal of the American Geriatrics Society · 2021Article
- Utilization and Functional Outcomes Among Medicare Home Health Recipients Varied Across Living Situations.Journal of the American Geriatrics Society · 2021Article
- The Time is Now: Informatics Research Opportunities in Home Health Care.Applied clinical informatics · 2021Article
- Implications of 2020 Skilled Home Healthcare Payment Reform for Persons with Dementia.Journal of the American Geriatrics Society · 2020Article
- Effect of health insurance program for the poor on out-of-pocket inpatient care cost in India: evidence from a nationally representative cross-sectional survey.BMC health services research · 2020Article
- Relationships Between Race/Ethnicity and Health Care Utilization Among Older Post-Acute Home Health Care Patients.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2020Article
- Functional outcome in home health: Do racial and ethnic minority patients with dementia fare worse?PloS one · 2020Article
- Article
- Perceived Stress and Health among Home Care Aides: Caring for Older Clients in a Medicaid-Funded Home Care Program.Journal of health care for the poor and underserved · 2019Article
- Discharge home health services referral and 30-day all-cause readmission in older adults with heart failure.Archives of medical science : AMS · 2018Article
- Identifying unmet needs of older adults transitioning from home health care to independence at home: A qualitative study.Geriatric nursing (New York, N.Y.)Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
The implementation of the Home Health Prospective Payment System in 2000 led to a dramatic reduction in home health length of stay and number of skilled nursing visits among Medicare beneficiaries. While policy leaders have focused on the rising costs of home health care, its potential underutilization, and the relationship between service use and patient outcomes including hospitalization rates have not been rigorously examined. A secondary analysis of five Medicare-owned assessment and claims data sets for the year 2009 was conducted among two independently randomly selected samples of Medicare-reimbursed home health recipients (each n = 31,485) to examine the relationship between home health length of stay or number of skilled nursing visits and hospitalization rates within 90 days of discharge from home health. Patients who had a home health length of stay of at least 22 days or received at least four skilled nursing visits had significantly lower odds of hospitalization than patients with shorter home health stays and fewer skilled nursing visits. Additional study is needed to clarify the best way to structure home health services and determine readiness for discharge to reduce hospitalization among this chronically ill population. In the mean time, the findings of this study suggest that home health providers should consider the benefits of at least four SNV and/or a home health LOS of 22 days or longer.
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