Evidence map›Paper›PMID 33613028›Full record

ArticleHealth services insights2021

Identifying Associations between Quality Initiatives and Quality Measures among Home Health Agencies: Findings from a National Study.

Jacqueline S Zinn, Heather Ladd, Eugene Nuccio, Susan L Ettner, Dara H Sorkin, Dana B Mukamel

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Health services insights, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Jacqueline S ZinnFox School of Business, Temple University, Philadelphia, PA, USA.
Heather LaddDepartment of Medicine, Division of General Internal Medicine, iTEQC Research Program, University of California, Irvine, USA.
Eugene NuccioSchool of Medicine, Division of Health Care Policy & Research, University of Colorado Anschutz Medical Campus, Aurora, USA.
Susan L EttnerDepartment of Medicine, Division of General Internal Medicine and Health Services Research, University of California, Los Angeles, USA.
Dara H SorkinPublic Health, and Psychology and Social Behavior, Department of Medicine, Division of General Internal Medicine, University of California, Irvine, USA.
Dana B MukamelPublic Health and Nursing, Department of Medicine, Division of General Internal Medicine, iTEQC Research Program, University of California, Irvine, USA.ORCID https://orcid.org/0000-0003-4147-5785

Funding

The Costs of Home Health and Patient OutcomesR01AG051719 · NIA · UNIVERSITY OF CALIFORNIA-IRVINE · PI MUKAMEL, DANA B · 2016 to 2019
$2.1M
NIA NIH HHS R01 AG051719
6 · The paper itself

Abstract

Home health performance gained visibility with the publication of Home Health Compare and the Home Health Value-Based Payment demonstration. Both provide incentives for home health agencies (HHA) to invest in quality improvements. The objective of this study is to identify the association between quality initiatives adopted by HHAs and improved performance. A 2018 national survey of 7459 HHAs, yielding a sample of 1192 eligible HHAs, provided information about 23 quality initiatives, which was linked to 5 composite Super Quality Measures (SQMs): ADL/pain, self-treatment, timely care, hospitalizations, and patient experience. Exclusions for missing data and outliers yielded a final analytical sample of 903 HHAs. Regression models estimated associations between quality initiatives and SQMs. The relationships between sixteen of the SQM/quality initiative pairs were positively associated with improvement and 7 were negatively associated. Web-based technologies for staff and care-givers improved performance but deteriorated patient experience. Web support-groups for staff and review of HHC rankings reduced hospitalization rates. While this study offers insights for quality improvement, a limitation may be a lack of sensitivity to the nuances of quality improvement implementation. Therefore, this study should be viewed as hypothesis-generating concerning initiatives likely to have the greatest potential meriting further investigation.

Indexed as

OASISquality measuresQuality of care

Identifiers

PMID33613028
PMCPMC7868452

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.