scholarly journals Skilled Nursing Facility Patients Discharged to Home Health Agency Services Spend More Days at Home

2020 ◽  
Vol 68 (7) ◽  
pp. 1573-1578 ◽  
Author(s):  
Adam Simning ◽  
Jessica Orth ◽  
Jinjiao Wang ◽  
Thomas V. Caprio ◽  
Yue Li ◽  
...  
Keyword(s):  
Skilled Nursing Facility ◽  
Health Agency ◽  
Home Health ◽  
Nursing Facility ◽  
Skilled Nursing ◽  
Home Health Agency ◽  
At Home

scholarly journals CAPABLE Transitions: A Home Health Agency-Based Intervention to Optimize the SNF-to-Home Transition

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 872-873
Author(s):  
Rachel Missell ◽  
Sarah Szanton ◽  
Thomas Caprio ◽  
Kobi Nathan ◽  
Adam Simning
Keyword(s):  
Older Adults ◽  
Feasibility Study ◽  
Skilled Nursing Facility ◽  
Aging In Place ◽  
Health Agency ◽  
Home Health ◽  
Medical Services ◽  
Care Transition ◽  
Skilled Nursing ◽  
Home Health Agency

Abstract Community Aging in Place-Advancing Better Living for Elders (CAPABLE) consists of an interprofessional team of a registered nurse (RN), occupational therapist (OT), and handyworker that delivers an in-home client-specific package of interventions to optimize function. CAPABLE aims to reduce functional impairment, home hazards, and acute medical services use and is being widely disseminated. To expand CAPABLE to older adults transitioning from the skilled nursing facility (SNF) to home, we developed CAPABLE Transitions, which makes several important modifications to CAPABLE. First, CAPABLE Transitions will be implemented within a Medicare-certified home health agency (CHHA) and delivered to CHHA clients. Second, it will be delivered to CHHA clients with and without dementia. Adding urgency to CAPABLE Transitions’ development, including persons with dementia has the potential to decrease high utilization of services and meet care transition needs. Third, it includes an initial RN care transition visit. Fourth, its services are more intensely delivered at the beginning of the intervention, shortly after SNF discharge. Beginning in the fall of 2020, CAPABLE Transitions will be tested in a feasibility study of 60 older adults discharged from post-acute SNF care to CHHA services in Rochester, NY. We have designed this 3-year feasibility study to consist of yearly recruitment waves that will enable us to iteratively assess and refine the intervention. Following this study, we hope to test CAPABLE Transitions’ effect on improving home time, quality of life, and the use of acute medical services in order to assist older adults in aging in place.

Robotic-assisted total hip arthroplasty: an economic analysis

2021 ◽  
Author(s):  
James Pierce ◽  
Keith Needham ◽  
Chris Adams ◽  
Andrea Coppolecchia ◽  
Carlos Lavernia
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Skilled Nursing Facility ◽  
Health Agency ◽  
Inpatient Rehabilitation ◽  
Cost Index ◽  
Nursing Facility ◽  
Skilled Nursing ◽  
Robotic Assisted ◽  
Total Hip

Aim: To evaluate 90-day episode-of-care (EOC) resource consumption in robotic-assisted total hip arthroplasty (RATHA) versus manual total hip arthroplasty (mTHA). Methods: THA procedures were identified in Medicare 100% data. After propensity score matching 1:5, 938 RATHA and 4,670 mTHA cases were included. 90-day EOC cost, index costs, length of stay and post-index rehabilitation utilization were assessed. Results: RATHA patients were significantly less likely to have post-index inpatient rehabilitation or skilled nursing facility admissions and used fewer home health agency visits, compared with mTHA patients. Total 90-day EOC costs for RATHA patients were found to be US$785 less than those of mTHA patients (p = 0.0095). Conclusion: RATHA was associated with an overall lower 90-day EOC cost when compared with mTHA. The savings associated with RATHA were driven by reduced utilization and cost of post-index rehabilitation services.

scholarly journals Racial Disparities in Health Service Utilization Among Medicare Fee-for-Service Beneficiaries Adjusting for Multiple Chronic Conditions

2017 ◽  
Vol 30 (8) ◽  
pp. 1224-1243 ◽  
Author(s):  
Krupa Gandhi ◽  
Eunjung Lim ◽  
James Davis ◽  
John J. Chen
Keyword(s):  
Racial Disparities ◽  
Chronic Conditions ◽  
Skilled Nursing Facility ◽  
Home Health ◽  
Pacific Islanders ◽  
Multiple Chronic Conditions ◽  
Fee For Service ◽  
Nursing Facility ◽  
Skilled Nursing ◽  
Racial Disparities In Health

Objective: To examine racial disparities in health services utilization in Hawaii among Medicare fee-for-service beneficiaries aged 65 years and above. Method: All-cause utilization of inpatient, outpatient, emergency, home health agency, and skilled nursing facility admissions were investigated using 2012 Medicare data. For each type of service, multivariable logistic regression model was used to investigate racial disparities adjusting for sociodemographic factors and multiple chronic conditions. Results: Of the 84,212 beneficiaries, 27.8% were White, 27.4% were Asian, 27.3% were Pacific Islanders; 70.3% had two or more chronic conditions and 10.5% had six or more. Compared with Whites, all racial groups experienced underutilization across all types of services. As the number of chronic conditions increased, the utilization of inpatient, home health care, and skilled nursing facility dramatically increased. Discussion: Disparities persist among Asians and Pacific Islanders who encounter the problem of underutilization of various health services compared with Whites.

Implementation of Post‐Acute Rehabilitation at Home: A Skilled Nursing Facility‐Substitutive Model

2020 ◽  
Vol 68 (7) ◽  
pp. 1584-1593 ◽  
Author(s):  
Matthew R. Augustine ◽  
Claire Davenport ◽  
Katherine A. Ornstein ◽  
Mitchell Cuan ◽  
Pamela Saenger ◽  
...  
Keyword(s):  
Skilled Nursing Facility ◽  
Nursing Facility ◽  
Skilled Nursing ◽  
Acute Rehabilitation ◽  
At Home

scholarly journals Implications of Racial Differences in the Shifts in the Setting of Care for Alzheimer’s Disease and Related Dementias

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 647-648
Author(s):  
Arseniy Yashkin ◽  
Galina Gorbunova ◽  
Anatoliy Yashin ◽  
Igor Akushevich
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Propensity Score ◽  
Skilled Nursing Facility ◽  
Home Health ◽  
Administrative Claims ◽  
Medicare Beneficiaries ◽  
Nursing Facility ◽  
Skilled Nursing ◽  
Race Ethnicity

Abstract The prevailing setting of care has strong associations with the progression of a disease at time of first diagnosis, subsequent treatment, resulting health outcomes as well as both long-term and short-term costs. The care of Alzheimer’s Disease (AD) and Related Dementias (ADRD) has been experiencing a shift from skilled nursing facility to home health care. However, changes in practice do not disseminate equally across the race/ethnicity spectrum of the U.S. and disadvantaged race/ethnicity-related groups often encounter differing conditions from those experienced by the majority. In this study, we calculated the race/ethnicity-related direct healthcare costs of individuals with AD and ADRD, stratified by care-provider structure (physician, inpatient, outpatient, skilled nursing facility, home health, hospice), and modeled the trends and the relative contributions of each setting over the 1991-2017 period using administrative claims from a 5% sample of Medicare beneficiaries. Inflation and the gradual switch of Medicare compensation to the HCC model between 2004 and 2007 were accounted for. We then applied an inverse probability weighting algorithm to propensity-score-match the AD/ADRD race/ethnicity-specific groups to Medicare beneficiaries to make them comparable in demographics and co-morbidity status but without AD/ADRD. Finally, we performed a comparison of the Medicare costs and associated survival within (AD/ADRD vs. No AD/ADRD) and between (Black vs. White vs. Hispanic) race/ethnicity-related groups. Comparisons were done for: i)1-year before; ii) 1-year after iii) years 2-11; iv)years 12-21 and v) years 22+ after an AD/ADRD diagnosis. We found significant race/ethnicity-related differences in costs and survival both before and after propensity score matching.

Home Health Care for Adults: A Tutorial for SLPs

2013 ◽  
Vol 18 (1) ◽  
pp. 7-13
Author(s):  
Megan L. Malone ◽  
Jennifer Loehr
Keyword(s):  
Health Care ◽  
Acute Care ◽  
Home Health Care ◽  
Outpatient Treatment ◽  
Skilled Nursing Facility ◽  
Home Health ◽  
Nursing Facility ◽  
Skilled Nursing ◽  
Speech Language Pathologist

Today, the settings in which a speech-language pathologist (SLP) can practice are as varied as the patients served. From the skilled nursing facility to outpatient treatment to acute care, SLPs provide services in more settings than ever before. One setting that is growing in need is the home health setting. The home health setting provides many benefits to an SLP and to the patients receiving services.

scholarly journals Home Health Care After Skilled Nursing Facility Discharge Following Heart Failure Hospitalization

2019 ◽  
Vol 68 (1) ◽  
pp. 96-102 ◽  
Author(s):  
Himali Weerahandi ◽  
Haikun Bao ◽  
Jeph Herrin ◽  
Kumar Dharmarajan ◽  
Joseph S. Ross ◽  
...  
Keyword(s):  
Heart Failure ◽  
Health Care ◽  
Home Health Care ◽  
Skilled Nursing Facility ◽  
Home Health ◽  
Heart Failure Hospitalization ◽  
Nursing Facility ◽  
Skilled Nursing
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