RTI uses cookies to offer you the best experience online. By clicking “accept” on this website, you opt in and you agree to the use of cookies. If you would like to know more about how RTI uses cookies and how to manage them please view our Privacy Policy here. You can “opt out” or change your mind by visiting: http://optout.aboutads.info/. Click “accept” to agree.
Patient experience and process measures of quality of care at home health agencies
Factors associated with high performance
Smith, L. M., Anderson, W. L., Lines, L. M., Pronier, C., Thornburg, V., Butler, J. P., Teichman, L., Dean-Whittaker, D., & Goldstein, E. (2017). Patient experience and process measures of quality of care at home health agencies: Factors associated with high performance. Home Health Care Services Quarterly, 36(1), 29-45. https://doi.org/10.1080/01621424.2017.1320698
We examined 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 used potentially led to counterintuitive results for effects of organizational characteristics. This exploratory study showed the value of having separate quality domains.
