Patient experience and process measures of quality of care at home health agencies: Factors associated with high performance. 2017

Laura M Smith, and Wayne L Anderson, and Lisa M Lines, and Cristalle Pronier, and Vanessa Thornburg, and Janelle P Butler, and Lori Teichman, and Debra Dean-Whittaker, and Elizabeth Goldstein
a RTI International , eHealth, Quality and Analytics , Waltham , Massachusetts , USA.

We examined the effects of provider characteristics on home health agency performance on patient experience of care (Home Health CAHPS) and process (OASIS) measures. Descriptive, multivariate, and factor analyses were used. While agencies score high on both domains, factor analyses showed that the underlying items represent separate constructs. Freestanding and Visiting Nurse Association agencies, higher number of home health aides per 100 episodes, and urban location were statistically significant predictors of lower performance. Lack of variation in composite measures potentially led to counterintuitive results for effects of organizational characteristics. This exploratory study showed the value of having separate quality domains.

UI MeSH Term Description Entries
D009726 Nurses Professionals qualified by graduation from an accredited school of nursing and by passage of a national licensing examination to practice nursing. They provide services to patients requiring assistance in recovering or maintaining their physical or mental health. Nursing Personnel,Personnel, Nursing,Registered Nurses,Nurse,Nurse, Registered,Nurses, Registered,Registered Nurse
D010559 Personnel Management Planning, organizing, and administering all activities related to personnel. Client-Staff Ratio,Client Staff Ratio,Client-Staff Ratios,Management, Personnel,Ratio, Client-Staff,Ratios, Client-Staff
D011787 Quality of Health Care The levels of excellence which characterize the health service or health care provided based on accepted standards of quality. Pharmacy Audit,Quality of Care,Quality of Healthcare,Audit, Pharmacy,Care Quality,Health Care Quality,Healthcare Quality,Pharmacy Audits
D011795 Surveys and Questionnaires Collections of data obtained from voluntary subjects. The information usually takes the form of answers to questions, or suggestions. Community Survey,Nonrespondent,Questionnaire,Questionnaires,Respondent,Survey,Survey Method,Survey Methods,Surveys,Baseline Survey,Community Surveys,Methodology, Survey,Nonrespondents,Questionnaire Design,Randomized Response Technique,Repeated Rounds of Survey,Respondents,Survey Methodology,Baseline Surveys,Design, Questionnaire,Designs, Questionnaire,Methods, Survey,Questionnaire Designs,Questionnaires and Surveys,Randomized Response Techniques,Response Technique, Randomized,Response Techniques, Randomized,Survey, Baseline,Survey, Community,Surveys, Baseline,Surveys, Community,Techniques, Randomized Response
D005163 Factor Analysis, Statistical A set of statistical methods for analyzing the correlations among several variables in order to estimate the number of fundamental dimensions that underlie the observed data and to describe and measure those dimensions. It is used frequently in the development of scoring systems for rating scales and questionnaires. Analysis, Factor,Analysis, Statistical Factor,Factor Analysis,Statistical Factor Analysis,Analyses, Factor,Analyses, Statistical Factor,Factor Analyses,Factor Analyses, Statistical,Statistical Factor Analyses
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D015999 Multivariate Analysis A set of techniques used when variation in several variables are studied simultaneously. In statistics, multivariate analysis is interpreted as any analytic method that allows simultaneous study of two or more dependent variables. Analysis, Multivariate,Multivariate Analyses
D017060 Patient Satisfaction The degree to which the individual regards the health care service or product or the manner in which it is delivered by the provider as useful, effective, or beneficial. Satisfaction, Patient
D018574 Home Care Agencies Public or private organizations that provide, either directly or through arrangements with other organizations, home health services in the patient's home. (Hospital Administration Terminology, 2d ed) Home Health Agencies,Home Health Care Agencies,Agencies, Home Care,Agencies, Home Health,Agency, Home Care,Agency, Home Health,Care Agencies, Home,Care Agency, Home,Home Care Agency,Home Health Agency
D018576 Home Health Aides Persons who assist ill, elderly, or disabled persons in the home, carrying out personal care and housekeeping tasks. (From Slee & Slee, Health Care Terms. 2d ed, p202) Home Care Aides,Homemaker-Home Health Aides,Aide, Home Care,Aide, Home Health,Aide, Homemaker-Home Health,Aides, Home Care,Aides, Home Health,Aides, Homemaker-Home Health,Care Aide, Home,Care Aides, Home,Health Aide, Home,Health Aide, Homemaker-Home,Health Aides, Home,Health Aides, Homemaker-Home,Home Care Aide,Home Health Aide,Homemaker Home Health Aides,Homemaker-Home Health Aide

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