联合委员会认可和非联合委员会认可的家庭卫生机构的公共质量评级比较：一项复制研究

IF 0.8 Q4 NURSING

Home Health Care Management and Practice Pub Date : 2022-01-21 DOI:10.1177/10848223211073900

Beth A. Longo, S. Schmaltz, Scott C. Williams

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引用次数: 2

摘要

这是一项描述性复制研究，使用医疗保险和医疗补助服务中心的家庭健康比较数据集，在3年内比较了2083家经联合委员会（TJC）认可的家庭健康机构和8695家非TJC认可的家庭卫生机构。衡量标准包括星级评定和17项质量指标。使用纵向模型来确定TJC认证和非TJC认证组织在质量措施方面的差异。使用Cochran-Mantel-Haenszel检验分析了星级的分类差异。TJC认可的家庭卫生机构在这3项中的每一项的平均评分都高于非TJC认可家庭卫生机构年（3.4对3.2，p < .001）。当对类别进行分类以评估差异时，分析显示，较大比例的TJC认证机构聚集在较高评级内（TJC认证41%，非TJC认证32%），较少的TJC认可组织聚集在较低评级内（经TJC认证22%，非TJC-认证30%；p < .001）。两个基于索赔的结果测量（住院和急诊室就诊）与最初的研究一致，在最初的研究中，TJC认可的家庭卫生组织在所有3个方面的发病率都具有统计学意义与未经TJC认证的HHA相比。这项复制研究验证并扩展了原始研究结果的可推广性。

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Comparing Public Quality Ratings for Joint Commission Accredited and Non-Joint Commission Accredited Home Health Agencies: A Replication Study

This was a descriptive replication study comparing 2083 home health agencies accredited by The Joint Commission (TJC) and 8695 non-TJC-accredited home health agencies over a 3-year period using the Centers for Medicare and Medicaid Services Home Health Compare data set. Metrics included the star ratings and 17 quality measures. A longitudinal model was used to determine differences between TJC-accredited and non-TJC-accredited organizations on the quality measures. Categorical differences in star ratings were analyzed using a Cochran-Mantel-Haenszel test. TJC-accredited home health agencies had better average ratings than non-TJC-accredited home health agencies for each of the 3 years (3.4 vs 3.2, p < .001). When categories were collapsed to evaluate differences, the analysis revealed that a significantly larger proportion of TJC-accredited facilities were clustered within the higher ratings (41% for TJC-accredited vs 32% for non-TJC-accredited), and fewer TJC-accredited organizations were clustered within the lower ratings (22% for TJC-accredited vs 30% for non-TJC-accredited; p < .001). Two claims-based outcome measures (hospitalization and emergency room visits) were consistent with the original study in which TJC-accredited home health organizations had statistically significant lower rates across all 3 years studied, compared to non-TJC-accredited HHAs. This replication study validates and extends the generalizability of the findings from the original study.

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来源期刊

Home Health Care Management and Practice NURSING-

CiteScore

2.30

自引率

18.20%

发文量

期刊介绍： Home Health Care Management & Practice is a comprehensive resource for clinicians, case managers, and administrators providing home and community based health care. Articles address diverse issues, ranging from individual patient care and case management to the human resource management and organizational operations management and administration of organizations and agencies. Regular columns focus on research, legal issues, psychosocial perspectives, accreditation and licensing, compliance, management, and cultural diversity. Specific topics include treatment, care and therapeutic techniques, cultural competence, family caregivers, equipment management, human resources, home health center.