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Comparative Study
. 2015 Nov-Dec;33(6):306-13.

Comparing Aging in Place to Home Health Care: Impact of Nurse Care Coordination On Utilization and Costs

Lori L Popejoy, Colleen Galambos, Frank Stetzer, Mihail Popescu, Lanis Hicks, Mohammed A Khalilia, Marilyn J Rantz, Karen D Marek
Comparative Study

Comparing Aging in Place to Home Health Care: Impact of Nurse Care Coordination On Utilization and Costs

Lori L Popejoy et al. Nurs Econ. 2015 Nov-Dec.

Abstract

The goal of this study was to compare utilization and cost outcomes of patients who received long-term care coordination in an Aging in Place program to patients who received care coordination as a routine service in home health care. This research offered the unique opportunity to compare two groups of patients who received services from a single home health care agency, using the same electronic health record, to identify the impact of long-term and routine care coordination on utilization and costs to Medicare and Medicaid programs. This study supports that long-term care coordination supplied by nurses outside of a primary medical home can positively influence functional, cognitive, and health care utilization for frail older people. The care coordinators in this study practiced nursing by routinely assessing and educating patients and families, assuring adequate service delivery, and communicating with the multidisciplinary health care team. Care coordination managed by registered nurses can influence utilization and cost outcomes, and impact health and functional abilities.

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ADDITIONAL READING

    1. Marek KD, Stetzer F, Adams SJ, Popejoy L, Rantz M. Aging in place versus nursing home care: Comparison of costs to Medicare and Medicaid. Research in Gerontological Nursing. 2012;5(2):129. doi: 10.3928/19404921-20110802-01. - DOI - PubMed

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