Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

1.3K
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
1.3K
Discharge Summary Forms01:31

Discharge Summary Forms

1.1K
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
1.1K
Continuing Care01:25

Continuing Care

1.7K
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
1.7K
Restorative Care01:19

Restorative Care

2.2K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
2.2K
Specialized Care Centers and Settings-II01:30

Specialized Care Centers and Settings-II

885
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
885
Secondary Healthcare System01:11

Secondary Healthcare System

1.8K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.8K

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Impact of Continuous Glucose Monitoring on Clinical Outcomes and Productivity Losses Among People Living With Type 2 Diabetes Not Using Insulin From an Employer's Perspective.

Journal of diabetes science and technology·2026
Same author

High-need beneficiary enrollment patterns in Medicare Advantage and traditional Medicare.

The American journal of managed care·2024
Same author

HIV and Drug Use: A Tale of Synergy in Pulmonary Vascular Disease Development.

Comprehensive Physiology·2023
Same author

Inequities In The Use Of High-Quality Home Health.

Health affairs (Project Hope)·2023
Same author

Improving care for individuals with serious infections who inject drugs.

Therapeutic advances in infectious disease·2023
Same author

Beneficiary Switching Between Traditional Medicare and Medicare Advantage Between 2016 and 2020.

JAMA health forum·2022
Same journal

Pilot Implementation of the Shed-MEDS Deprescribing Intervention for Persons With Dementia in Assisted Living Facilities.

Journal of the American Medical Directors Association·2026
Same journal

Disease-Related Factors Contributing to the Increase in the Frequency of Care Provided by Working Family Caregivers During the COVID-19 Pandemic: A Cross-Sectional Study.

Journal of the American Medical Directors Association·2026
Same journal

Frailty Trajectories in Men Aged 71 Years or Older Living in Western Australia: Results From the Health in Men Study.

Journal of the American Medical Directors Association·2026
Same journal

Resident- and Facility-Level Correlates of Resident-Reported Quality of Life in Assisted Living Facilities in Minnesota.

Journal of the American Medical Directors Association·2026
Same journal

The Embedded Model for Bridging Essential Delivery of Care in Assisted Living Facilities-EMBED-ALF.

Journal of the American Medical Directors Association·2026
Same journal

Opportunities for Improving End-of-Life Care for Veterans Receiving Hospice in Community Nursing Homes.

Journal of the American Medical Directors Association·2026
See all related articles

Related Experiment Video

Updated: Nov 22, 2025

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
06:52

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

10.2K

Incomplete Home Health Care Referral After Hospitalization Among Medicare Beneficiaries.

Berna Demiralp1, Jessica S Speelman2, Christine M Cook2

  • 1KNG Health Consulting, Rockville, MD, USA.

Journal of the American Medical Directors Association
|January 8, 2021
PubMed
Summary
This summary is machine-generated.

Nearly one-third of patients referred to home health care after hospitalization do not receive it. Completing home health referrals is linked to lower mortality and readmission rates, despite increased spending.

Keywords:
Home health careincomplete referralsmortalityreadmissions

More Related Videos

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
04:24

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

Published on: April 19, 2019

12.1K
Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure
05:16

Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure

Published on: June 10, 2025

402

Related Experiment Videos

Last Updated: Nov 22, 2025

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
06:52

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

10.2K
A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
04:24

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

Published on: April 19, 2019

12.1K
Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure
05:16

Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure

Published on: June 10, 2025

402

Area of Science:

  • Health Services Research
  • Healthcare Policy
  • Patient Outcomes

Background:

  • Incomplete referrals to home health care after acute care hospitalization are a concern.
  • Understanding the prevalence and impact of these incomplete referrals is crucial for improving post-discharge care.

Purpose of the Study:

  • To examine the prevalence of incomplete home health referrals (defined as not receiving care within 7 days of discharge).
  • To investigate the relationship between complete home health referrals and patient outcomes, including mortality, readmission, and spending.

Main Methods:

  • Retrospective cohort study of Medicare beneficiaries discharged from acute care hospitals (October 2015 - December 2016).
  • Compared patient characteristics and outcomes for those with complete versus incomplete home health referrals.
  • Risk-adjusted outcomes using demographic, socioeconomic, clinical, and hospital characteristics.

Main Results:

  • Approximately 29% of hospitalizations had incomplete home health referrals.
  • Referral completion rates varied by clinical condition (17% for musculoskeletal to 38% for digestive).
  • Complete referrals were associated with lower 1-year mortality (1.4 pp) and readmission rates (2.4 pp), but higher spending ($1053).

Conclusions:

  • Nearly one in three patients referred to home health care do not receive it.
  • Complete home health referrals are associated with improved patient outcomes (lower mortality and readmissions) but higher costs.
  • Policymakers must consider the quality-cost tradeoff when developing policies for home health care utilization.