Physician Evaluation and Management of Medicare Home Health Patients
Bibliographic Data
| ID | 9104041 |
|---|---|
| Authors | Jennifer L Wolff, Jennifer C Wolff (0000-0002-7898-3903, Centers for Medicare and Medicaid Services, corresponding author), Ann Meadow (Centers for Medicare and Medicaid Services), Cynthia M Boyd (0000-0001-5642-9015, Johns Hopkins Medicine, corresponding author), Carlos O Weiss (Johns Hopkins University), Bruce Leff (0000-0003-1714-7458, Johns Hopkins Medicine, corresponding author) |
| Year | 2009 |
| Volume | 47 |
| Issue | 11 |
| Pages | 1147-1155 |
| Publication date | 2009-11-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/mlr.0b013e3181b58e30 |
| PMID | 19786916 |
| OpenAlex | W2034699778 |
| Language | EN |
| Citations received | 1 |
| References cited | 28 |
OBJECTIVE: The Medicare home health benefit is predicated on physician referral and involvement. In this study, we investigated (1) the frequency and (2) implications of home health patients' evaluation and management by community physicians. METHODS: The 2005 and 2006 Medicare 5% Standard Analytic Files were linked to the Outcome and Assessment Information Set to examine physician visits among 74,462 fee-for service Medicare beneficiaries with a home health episode of care between July 1, 2005 and December 1, 2006. We examined whether receipt of community physician evaluation and management visits by home health patients was associated with subsequent discharge disposition, comparing discharge from the agency as opposed to inpatient facility transfer. RESULTS: More than one-third (34.6%) of patients did not receive physician evaluation and management visits during their home health episode. Home health patients most commonly incurred physician office visits exclusively (51.5%) or in combination with consultations (6.8%) or house call visits (2.2%), as well as house call visits exclusively (3.3%). Patients who incurred physician evaluation and management visits during their episode of care were more likely to be discharged from home health agencies than their counterparts who did not (77.9% vs. 70.6%, respectively). The association between physician visits and home health discharge was statistically significant in both simple regression models (odds ratio = 1.47; 95% confidence interval [CI], 1.42-1.52) and in multivariate analyses accounting for socio-demographic factors, health, and functioning (odds ratio = 1.45; 95% CI, 1.40-1.51). CONCLUSIONS: More systematic integration of physicians in home care processes may reduce subsequent hospital and other inpatient facility use among home health patients
Family medicine · MEDLINE · Frailty in Older Adults · Geriatric Care and Nursing Homes · Health disparities and outcomes · Medicine
Rehospitalizations among Patients in the Medicare Fee-for-Service Program
Coordinating Care — A Perilous Journey through the Health Care System
The Care Transitions Intervention
Deficits in Communication and Information Transfer Between Hospital-Based and Primary Care Physicians
Medicare Home Health Patients’ Transitions Through Acute And Post-Acute Care Settings
Carepartner Experiences With Hospital Care
| Unique citing works | 1 |
|---|---|
| Citations per year | 0,14 |
| Citation span | 2019 - 2019 (1) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 1 |