Articles tagged with Home Care
A new study found that patients in primary care networks had significantly fewer emergency department visits and shorter hospital stays. The analysis of data from Alberta, Canada, suggests a province-wide program to promote team-based primary care can effectively reduce ED use.
A study by Victoria Claydon found that bowel care is the top concern for individuals with spinal cord injuries, followed by sexual function, bladder function, and pain. The research highlights the need for holistic solutions to address the complex bodily system impacts of spinal cord injury.
Researchers found that family support is a key influencer of care preferences in older adults with advanced illnesses, but also discovered that individuals often lack a clear understanding of their own preferences. The study emphasizes the importance of considering these factors when providing person-centered care.
A new study found that predicting avoidable transfers from nursing homes is challenging due to the limited predictive value of symptoms and patient risk conditions. The study suggests that a multi-component approach like OPTIMISTIC has been successful in reducing these transfers, but further work is needed.
A new smartphone app called 'Corrie' has been designed to help patients navigate the hospital discharge process and transition to home after a heart attack. The app allows patients to track medications, follow-up appointments, and lifestyle changes, resulting in a lower readmission rate compared to standard care.
A pilot study by Brigham and Women's Hospital found that a home hospital model reduced direct costs up to half compared to traditional hospital care. The model also decreased hospital utilization and improved patient physical activity, with no significant impact on quality or safety.
A large-scale trial found that upskilling care home staff to deliver person-centred care, combined with just one hour of social interaction per week, significantly improves quality of life and reduces agitation and aggression in people with dementia. The approach also saves money compared to standard care.
A new algorithm developed at the University of Waterloo will help first responders and home care providers identify elderly individuals who are most vulnerable during natural disasters. The algorithm uses data from interRAI's home care assessment to generate an up-to-date list of those who may need assistance.
Aalto University researchers have developed a new work model that allocates caregivers to a shared pool, reducing the need for temporary agency staff by up to 60%. This approach has improved home care services and reduced carers' workload, enabling them to better respond to clients' needs.
Leaders who champion community health workers and a culture of innovation are key to their integration into medical home care teams. Community health workers' diverse roles, including outreach, education, and system navigation, can improve patient outcomes despite growing awareness needs.
A UTA study surveyed 344 married couples finding that mobile device use during family time results in lower job satisfaction and performance. The study highlights the need for companies to consider the impact of work-life interaction on employee relationships and productivity.
A new study analyzing heart attack care and spending in America since the turn of the century shows increased survival rates and growing costs, with variation between hospitals on both scores. Early stenting treatment has been found to be cost-effective, particularly for high-volume hospitals.
A national collaborative program helped nursing homes improve infection prevention practices, leading to a 54% reduction in catheter-associated urinary tract infections (CAUTIs). The AHRQ Safety Program empowered IPs to support practice changes and instilled a robust resident-safety culture.
The number of doctors specializing in nursing home care has risen by over a third between 2012 and 2015, according to a new study. This trend suggests the emergence of a significant new specialty in medical practice, but its impact on patient outcomes and continuity of care remains uncertain.
The OPTIMISTIC program reduced avoidable hospitalizations among long-stay nursing facility residents by 33%, eliminating nearly one in five hospitalizations. The initiative lowered Medicare expenditures by $1589 per resident, resulting in a total savings of over $13.5 million from 2014 to 2016.
Researchers developed a new framework to report and design models of care for multimorbidity, highlighting changing elements such as reduced home care and increased extended appointments. The framework provides a tool for standardized reporting and research on multimorbidity interventions.
A patient-centered medical home model implemented in over 800 Veterans Health Administration primary care clinics showed significant improvements in chronic disease outcomes, including better blood pressure and cholesterol control for up to 1-5% of patients. The model, known as Patient Aligned Care Teams (PACT), provided multidisciplin...
A study by BMJ Group reveals nearly 120,000 excess deaths in England due to spending cuts on health and social care. The majority of these deaths occurred among the over-60s and care home residents.
Hospitalized adults with prior experience with their primary care physician (PCP) had better long-term outcomes than those without, according to a study published in JAMA Internal Medicine. Patients cared for by their PCPs were more likely to be discharged home and had lower 30-day mortality rates.
Researchers aim to integrate advance care planning into nursing home workflow to support decision-making for dementia patients and their families. The multistate project will evaluate the effectiveness of a pragmatic program that helps staff identify patient goals and values.
A single-center study compared outcomes of 222 hip fracture patients treated before and after implementing the Perioperative Surgical Home (PSH) model. PSH patients had reduced mortality rates, fewer ER visits, and higher discharge rates to home care.
Experts argue that increasing physical activity can help older people live independently and reduce the need for social care. Regular exercise can reverse age-related decline and improve cognitive ability, reducing the risk of dementia.
A new systematic review of evidence suggests that primary care physicians and their teams can provide effective addiction care using anti-opioid medication. The studies found that patients had the highest chance of successful treatment when working with a team of non-physicians, including nurse case managers.
Researchers from King's College London predict that care homes will become the most common place to die, with over 230,000 annual deaths predicted by 2040. This increase is driven by a rise in deaths occurring at home and a decline in hospital deaths.
Medicare beneficiaries who receive home health services from lower-quality agencies are more likely to experience higher rates of hospital admissions and emergency department visits. Home health care is a critical area for addressing healthcare disparities, particularly among vulnerable populations.
A new study from the University of Cambridge found that very old people are more likely to die comfortably in care homes or at home, compared to hospitals. The researchers highlight the need for improved training in end-of-life care for all staff and address the shortage of palliative care doctors in the NHS.
A new study found that nearly half of women requesting early medication abortion cited access barriers due to long waiting times, distance, or work commitments. Thirty percent related to privacy concerns, including lack of confidentiality and stigma, with eighteen percent involving controlling circumstances like partner violence.
A community health worker-led multicomponent intervention improved systolic and diastolic blood pressure control in low-income patients with uncontrolled hypertension. Over 18 months, the intervention group showed a significant decrease in blood pressure and increased controlled hypertension rates compared to usual care.
A new study found that hospitals caring for high fractions of black infants are more likely to miss critical nursing care, which can affect survival and development. This missed care often involves teaching and counseling parents, as well as preparation for discharge, highlighting the need for supportive care environments with adequate...
A study at Children's National Hospital found that starting discharge education early, using a classroom setting and attuned communication improve parents' satisfaction with the NICU discharge process. The initiative boosted timely communication by 36% and improved satisfaction scores.
Patients with OSA improved CPAP use when telemonitored and received individualized, automated messages that reinforced therapy adherence. Telemonitoring increased CPAP use by 36-60 minutes per night.
A new study by the RAND Corporation found that 56% of people aged 57-61 will stay in a nursing home at least one night during their lifetime, contradicting previous estimates of 35%. The study analyzed 18 years of data and found that most people can afford nursing home care, with costs averaging $7,300 over a lifetime.
A new University of Michigan study found that tired family caregivers are associated with greater ER visits and higher overall health care costs for the person they care for. Patients with fatigued or sad caregivers had 23% higher emergency department visits and $1,900 more in Medicare costs.
Advanced practice nurses (APRNs) play a key role in improving nursing home care by reducing hospitalizations related to falls, dehydration, and other health issues. Leadership support is essential for APRNs to be successful in this role.
A new simulation study shows that dementia can more than double the healthcare expenditure of aging individuals, with the majority of the financial burden falling on family members. The total average cost to care for a person with dementia was $321,000 over five years, compared to $137,280 without dementia.
A new study by the American Academy of Neurology found that telemedicine is as effective as traditional in-person care for people with Parkinson's disease. Virtual house calls provided convenience and comfort without compromising quality of life.
A new analysis of care needs in England from 1991 and 2011 reveals an increase in years spent with substantial care needs for older adults. By 2025, an estimated 191000 more people will require medium dependency care, leading to a need for an additional 71000 care home places.
A study found that apathy is present in half of nursing home patients and linked with an increased risk of dying over a 4-month period. Screening and treatment strategies for apathy are necessary to improve quality of life and advanced care planning.
A study by RTI International found that low Medicaid payment rates discourage residential care providers from serving Medicaid beneficiaries, limiting access to community-based care. This results in a reliance on nursing homes, which can be more expensive for taxpayers.
A recent study published in Nursing Outlook found that home care nurses working in better work environments are less likely to miss required care, report burnout, or intend to leave their jobs. The researchers suggest that improving work environments can lead to improved care quality and reduced turnover.
A study by CU Anschutz researchers found serious communication challenges between HHC agencies and physicians following hospital discharge, citing medication list discrepancies, confusion over who wrote patient care orders, and inaccessible hospital records. Improvements in accountability and communication could address these issues an...
Medical expenditures in the US have increased by 47% between 1996-1997 and 2011-2012, mainly due to higher prescription drug use. However, primary care physician visits and home health care costs remained relatively stable.
A standardized discharge planning program called Project ReEngineered Discharge (RED) improves patient experience by providing a clear plan for self-care at home. The study found patients who received the RED intervention were more likely to feel comfortable caring for themselves, with higher satisfaction rates.
A new study found that offering the New York University Caregiver Intervention (NYUCI) program to eligible Minnesota Medicaid enrollees could save $40.4 million over 15 years, with increased net savings of $52.2 million via video teleconferencing.
A RAND Corporation study found that safety-net providers adopting a medical home model improved primary care access but did not decrease specialty care use or Medicare expenditures. The model aims to provide comprehensive, personalized care, which can improve outcomes for chronic conditions like diabetes and asthma.
A recent study found that frail patients are almost twice as likely to die in the year following critical care admission, with nearly 40% dying within one year. Additionally, frail patients were more than twice as likely to need institutional care and become increasingly dependent after discharge from hospital.
A recent study reveals a 400% surge in premature and potentially preventable deaths of Australian nursing home residents over the past decade. Falls and choking were responsible for most unintentional deaths, with a smaller number attributed to clinical care complications or intentional acts such as suicide and assault.
A new study from the University of Pennsylvania School of Nursing suggests that aggressive end-of-life care for advanced lung cancer patients is not associated with better patient outcomes. The research found that high rates of chemotherapy and mechanical ventilation in the final days of life were linked to lower overall ratings of care.
The number of people aged over 65 needing care is projected to reach 2.8 million by 2025, with dementia set to become the biggest growing cause of disability. Effective disease prevention measures and increased investment in health and social care are needed to address this growing burden.
The Trauma Medical Home model provides comprehensive care for injured individuals over 50, addressing physical, psychological, and cognitive recovery. By monitoring patient progress and coordinating with primary care physicians, the model aims to significantly decrease healthcare costs and improve patient outcomes.
The University of Plymouth and a collaboration of Cornish and national partners have been awarded £2.7m European funding to improve the use of e-health in Cornwall and the Isles of Scilly.
A patient-centered medical home model successfully treated 66 patients with HCV, demonstrating that general internists can deliver effective care. The multidisciplinary team approach and enhanced social work services show promise for broader implementation of HCV treatment in primary care settings.
Researchers found that Canadian primary care practices scored an average of 5.36 out of 10 on the Patient Medical Home (PMH) model, with Ontario being the only province to score higher than the national average. Despite efforts to implement the PMH model, provinces showed little variation in achieving key objectives.
A new study published in JAMA Internal Medicine found that imposing copays on Medicare home health care does not reduce its usage, despite increased out-of-pocket costs for seniors. The researchers analyzed data from over 290,000 seniors and found no significant difference in home care usage between plans with and without copays.
A study found that UK care workers' understanding of their role and job control are significant workplace hazards. Despite this, zero-hours contracts did not significantly influence employee wellbeing, but employees with these contracts had greater levels of engagement in their jobs.
A recent study by NYU and the Visiting Nurse Service of New York found that only 18.1% of RN visits and 26.7% of PT visits with LEP patients were language concordant, pointing to a lack of understanding of the language capacity of the US healthcare workforce. This highlights the need for more research on this subject and the implementa...
A study published in Health Affairs found that Partners Pioneer ACO's care management program reduced avoidable hospitalizations and emergency department visits among patients with elevated but modifiable risks. The program achieved a $101 per participant monthly reduction in Medicare spending, a 6% decline.
The LifeCourse model, integrating palliative care principles, positively affects patients' quality of life and medical costs. Allina Health is addressing limited resources by implementing care guides in existing care teams.
The LifeCourse model fulfills the Triple Aim by addressing patients' medical and non-medical needs during late-stage care. Analysis of 900 intervention and usual care patients shows significant improvements in cost reduction and quality of life.
A study found that less than 50% of eligible women in India take up the Janani Suraksha Yojana scheme due to obstacles such as poor care quality and transport challenges. Community health workers, known as ASHAs, were identified as major enabling factors in accessing delivery care.