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Agency characteristics and changes in home health quality after Home Health Compare
Kyoungrae Jung1, Dennis Shea, Candy Warner
1Department of Health Policy and Administration, Pennsylvania State University, 604 Ford Building, University Park, PA 16802, USA. kuj11@psu.edu
Objective:
This study examines the association between home health agency characteristics and quality improvement in home health care after Home Health Compare (HHC), a public-reporting initiative in the Medicare program.
Method:
We examined the changes in seven quality measures reported in HHC from 2003 to 2007. We used a linear regression model to examine whether quality changes over time differed by agency characteristics.
Results:
We found improvements in quality after HHC in the indicators that measure patients' ability to independently manage daily activities; however, the use of emergent care did not change, and hospitalization rates increased during the study period. Agencies with low quality at baseline, not-for-profit or hospital-based agencies, and agencies with longer Medicare tenure showed greater improvement for some quality measures than their counterparts.
Discussion:
There was large variation in the degree of quality improvement after HHC by quality indicators and by agency characteristics.
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