Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 1994 Fall;16(1):35-67.

Measuring and assuring the quality of home health care

P W Shaughnessy  1 , K S Crisler, R E Schlenker, A G Arnold, A M Kramer, M C Powell, D F Hittle
Affiliations
Review

Measuring and assuring the quality of home health care

P W Shaughnessy et al. Health Care Financ Rev. 1994 Fall.

Abstract

The growth in home health care in the United States since 1970, and the exponential increase in the provision of Medicare-covered home health services over the past 5 years, underscores the critical need to assess the effectiveness of home health care in our society. This article presents conceptual and applied topics and approaches involved in assessing effectiveness through measuring the outcomes of home health care. Definitions are provided for a number of terms that relate to quality of care, outcome measures, risk adjustment, and quality assurance (QA) in home health care. The goal is to provide an overview of a potential systemwide approach to outcome-based QA that has its basis in a partnership between the home health industry and payers or regulators.

PubMed Disclaimer

Figures

Figure 1
Figure 1. Outcomes as a Function of Antecedent Care and Natural Progression of Condition (Disease or Disability)
Figure 2
Figure 2. Potential Differential Effects of Outcomes of Care Relative to Timing of Followup Observations
Figure 3
Figure 3. Outcomes in the Context of the Pattern of Change in Health Status
Figure 4
Figure 4. The Quality Assessment Target: A Two-Stage Quality Improvement Screen
Figure 5
Figure 5. Orthopedic Patients' Outcome Profile
Figure 6
Figure 6. Overview of Agency-Payer Partnership for Outcome-Based Quality Improvement (OBQI) and Associated Information Sharing
See this image and copyright information in PMC

References

    1. Branch LG, Goldberg HB. A Preliminary Case-Mix Classification System for Medicare Home Health Clients. Medical Care. 1993;31(4):309–321. - PubMed
    1. Braun KL, Rose CL, Finch MD. Patient Characteristics and Outcomes in Institutional and Community Long-Term Care. The Gerontologist. 1991;31(5):648–656. - PubMed
    1. Carlisle DM, Siu AL, Keeler EB, et al. HMO Versus Fee-for-Service Care of Older Persons with Acute Myocardial Infarction. American Journal of Public Health. 1992 Dec;82(12):1626–1630. - PMC - PubMed
    1. Community Health Accreditation Program Inc. Accreditation Policies and Procedures: Objectives. In: Mitchell MK, Storfjell JL, editors. Standards of Excellence for Home Care Organizations. New York: National League for Nursing; 1989. Publication No. 21-2327.
    1. Crisler KS, Kramer AM, Shaughnessy PW. Study Report 1 Narrative and Appendices from Indicators and Measures to Use in Assuring the Quality of Home Health Care. Denver, CO.: Center for Health Services Research, University of Colorado Health Sciences Center; Apr, 1990. Quality Indicators for Home Health Care: Revisions Based on Further Clinical Panel Review.

Publication types

MeSH terms