The Medicare home health interim payment system (IPS) implemented in fiscal year 1998 provided very strong incentives for home health agencies (HHAs) to reduce the number of visits provided to each Medicare user and to avoid those beneficiaries whose Medicare plan of care was likely to exceed the average beneficiary cost limit. We analyzed multiple years of data from the Medicare Current Benefi...

Medical home services for families with children with special health care needs can provide needed help for families struggling to gain access to coverage and needed services. Wisconsin, through Medicaid Early and Periodic Screening, Diagnosis, and Treatment Services, has an opportunity to provide this important and necessary service.

The PCMH is a promising model of care that aims to 5. A systems-based approach to quality and safety that strengthen the primary care foundation of the health care includes gathering and responding to patient experience system by reorganizing the way primary care practitioners’ data, a commitment to on-going quality improvement, practices provide care.1,2 A medical home is supported by and prac...

In the past, health care was delivered mainly in acute-care facilities. Today, health care is delivered in hospital, outpatient, transitional care, long-term care, rehabilitative care, home, and private office settings. Measures to reduce health-care costs include decreasing the number of hospitals and the length of patient stays, increasing outpatient and home care, and increasing long-term ca...

The nation’s nearly 80 million baby boomers are about to enter their peak years of chronic disease and are set to become an unprecedented driver of health care costs. New technology, however, promises to enable a transformation in the delivery of care, putting patients at the center of care systems that engage and empower them and their families, directly connecting patients to caregivers, and ...

background: population aging has social, economic and political consequences. most family caregivers prefer to care for their family member older person with chronic disease at home. despite traditional culture within iranian families, in some cases, hospitalization of the elderly in nursing home is inevitable, and this affects the old person and his/her family. the aim of this study was to exp...

The Hospital Infection Control Practices Advisory Committee published guidelines for prudent use of vancomycin to combat increasing resistance to antimicrobial drugs. Studies examining compliance with these guidelines primarily involve hospitalized patients. The growing practice of home use of antimicrobial drugs led to this retrospective cohort study that evaluated parenteral vancomycin use in...

Purpose Home health care services rely on clinical and administrative technologies generally known as ―telemedicine‖. The purpose of this paper is to describe a case in the implementation of home care initiated by a major urban trauma hospital for patients with chronic diseases, thus to make the case for the use of service-dominant logic in the implementation of technologies in the service sect...

Understanding a care coordination framework, its functions, and its effects on children and families is critical for patients and families themselves, as well as for pediatricians, pediatric medical subspecialists/surgical specialists, and anyone providing services to children and families. Care coordination is an essential element of a transformed American health care delivery system that emph...