ArticleJournal of the American Geriatrics Society2019
Measuring Quality in Home Healthcare.
Article in Journal of the American Geriatrics Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
What it found
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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.
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Who cites it
11 citing papers in PubMed.
- Quality of Medicare Skilled Home Health for People Living With Dementia in the US: National Patterns and Implications.Journal of the American Geriatrics Society · 2026Article
- The cooperative difference: perceived drivers of higher care quality at home care cooperatives.Health affairs scholar · 2025Article
- Evaluating the health outcomes of aging in place: the role of medicaid aging waiver program on U.S. older adults.BMC public health · 2024Article
- Home Care for the Elderly: An Integrated Approach to Perception, Quality of Life, and Cognition.International journal of environmental research and public health · 2024Article
- The impact of using community home-based elderly care services on older adults' self-reported health: fresh evidence from China.Frontiers in public health · 2023Article
- The Effects of Home Health Value-Based Purchasing on Home Health Care Quality in For-Profit and Nonprofit Agencies: A Comparative Interrupted Time-Series Analysis, 2012-2018.Medical care research and review : MCRR · 2022Article
- Influenza vaccination of home health care staff and the impact on patient hospitalizations.American journal of infection control · 2022Article
- What Should Be Considered When Evaluating the Quality of Home Care? A Survey of Expert Opinions on the Evaluation of the Quality of Home Care in Japan.International journal of environmental research and public health · 2022Article
- Skilled home healthcare clinicians' experiences in communicating with physicians: A national survey.Journal of the American Geriatrics Society · 2022Article
- Factors associated with homecare coordination and quality of care: a research protocol for a national multi-center cross-sectional study.BMC health services research · 2021Article
- Identifying Associations between Quality Initiatives and Quality Measures among Home Health Agencies: Findings from a National Study.Health services insights · 2021Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
BACKGROUND/
objectivesImproving quality performance in home health is an increasingly high priority. The objective of this study was to examine trends in industry performance over time using three quality measures: a composite quality metric (Q index), an infection prevention measure (vaccination verification), and an outcome measure (hospital avoidance). DESIGN/SETTING/PARTICIPANTS/MEASURES: We linked Home Health Compare and Provider of Services data from 2012 to 2016, which included 39 211 observations during the 5-year study period and 7670 agencies in 2016. The Q index was developed to allow comparability over time, equally weighting the contributions of each element. After examining summary statistics, we developed three regression models stratified by ownership (for-profit/nonprofit agency) and included two constructs of nurse staffing, in addition to controlling for known confounders.
resultsMost agencies (80.4%) were for-profit agencies. The Q index and vaccination verification improved substantially over time, but there was no change in hospital avoidance. Ownership status was associated with all three measures (P < .001). Registered nurse staffing (relative to licensed practical nurses and home health aides) was associated with higher Q index and vaccination verification (P < .001).
conclusionThe Q index allows for assessment of trends over time in home healthcare. Ownership and nurse staffing are important factors in the quality of care. The overall home care market is driven by for-profit agencies, but their characteristics and outcomes differ from nonprofit agencies. J Am Geriatr Soc 67:1859-1865, 2019.
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