Home Health Agency Quality Improvement Strategies, United States, 2013-2018 (ICPSR 38652)
Version Date: Feb 16, 2023 View help for published
Principal Investigator(s): View help for Principal Investigator(s)
Dana B. Mukamel, University of California, Irvine. Department of Medicine. iTEQC Research Program
https://doi.org/10.3886/ICPSR38652.v1
Version V1
Summary View help for Summary
The main objective of the study was to assess home health agency quality improvement strategies across the United States. A mail-based survey was administered to a national sample of directors of home health agencies. The survey asked about the technologies, health services, and quality measures used at each agency, and they had considered or adopted these in the time period between 2013 and 2018.
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Subject Terms View help for Subject Terms
Geographic Coverage View help for Geographic Coverage
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Time Period(s) View help for Time Period(s)
Date of Collection View help for Date of Collection
Study Purpose View help for Study Purpose
The purpose of this study was to assess quality improvement strategies and policies at home health agencies across the United States.
Study Design View help for Study Design
Home health agencies (HHAs) large enough to provide relevant data were found using cost reports to the Center of Medicare and Medicaid Services (CMS). Surveys were mailed out to these agencies, to be filled out by the individual responsible for managing day-to-day operations.
Sample View help for Sample
The initial survey sample was comprised of 8,388 home health agencies (HHAs) that submitted full cost reports to the Center of Medicare and Medicaid Services (CMS). This was representative of 70% of the approximately 12,000 HHAs nationally. Data for these HHAs was linked to Home Health Compare reports (also published by CMS) using the CMS Certification Number (CCN). Agencies without a CCN were excluded, leaving a final sample of 7,941.
Universe View help for Universe
United States Home Health Agencies not considered low-utilization
Unit(s) of Observation View help for Unit(s) of Observation
Data Type(s) View help for Data Type(s)
Mode of Data Collection View help for Mode of Data Collection
Description of Variables View help for Description of Variables
Usage of office technologies, clinical technologies, quality improvement programs, availability of specific health services, implementation of Home Health Compare quality measures, and agency characteristics.
Response Rates View help for Response Rates
Surveys were mailed to 7,459 home health agencies in the United States that were not considered low-utilization and thus required to submit Medicare Cost Reports. 1,192 HHAs (16%) were returned with a response to at least one of 27 quality improvement strategies.
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The public-use data files in this collection are available for access by the general public. Access does not require affiliation with an ICPSR member institution.