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JAMDA

December 26, 2024

Building a Time-Series Model to Predict Hospitalization Risks in Home Health Care: Insights Into Development, Accuracy, and Fairness

Home health care (HHC) serves more than 5 million older adults annually in the United States, aiming to prevent unnecessary hospitalizations and emergency department (ED) visits. Despite efforts, up to 25% of patients in HHC experience these adverse events. The underutilization of clinical notes, aggregate...

JAMDA

October 18, 2024

Predictors, Diagnoses, and Costs of Emergency Department Visits among Home Care Clients

To examine factors, diagnoses, and costs associated with emergency department (ED) visits among home care clients.

JAMDA

November 6, 2024

Effectiveness Evaluation of Smart Home Technology in Preventing and Detecting Falls in Community and Residential Care Settings for Older Adults: A Systematic Review and Meta-Analysis

To assess the effectiveness of smart home technologies (SHTs) in preventing and detecting falls among older adults in community and residential care settings.

JAMDA

November 15, 2024

Dissociation in Long-Term Care Home Staff During COVID-19: Challenges and Promising Practices

Long-term care (LTC) staff may develop dissociation due to high-stress work environments and trauma exposures. This study aimed to (1) assess the prevalence of pathological dissociation in LTC home staff during the COVID-19 pandemic; (2) examine the associations of pathological dissociation with demographi...

JAMDA

February 18, 2025

Disparities in Infection Risk Among Home Health Care Patients: A Study Using Area Deprivation Index

To examine the association between neighborhood deprivation and infection-related hospitalizations among home health care (HHC) patients across different rurality levels.

JAMDA

March 21, 2025

Racial and Ethnic Disparities in Accessing High-Quality Home Health Care among Older Adults with and Without Dementia

Home health care (HHC) plays a pivotal role in serving millions of US adults aging in place. Although the HHC population is growing rapidly in both size and diversity, driven by an aging US population and a changing demographic profile, there are increasing concerns of equity in HHC, particularly regarding...

JAMDA

April 9, 2025

Care Needs and Self-Sufficiency Assessment of Home Care Clients

Assessing the changing care needs of home care clients is challenging due to the increasing multimorbidity and heterogeneity of geriatric syndromes, including frailty, functional decline, and cognitive impairment. We described the correlation between subjective judgment of changes in self-sufficiency and m...

Policy Snapshot

November 8, 2024

CMS Implements New Respiratory Illness Reporting Requirements for Long-Term Care Facilities

The Centers for Medicare & Medicaid Services (CMS) has issued its final rule for the Calendar Year (CY) 2025 Home Health Prospective Payment System (HH PPS), which includes updates to Medicare payment policies and rates for Home Health Agencies (HHAs). Among the key changes, CMS is finalizing a new dat...

JAMDA

July 5, 2021

Lessons Learned From Ohio's Statewide Implementation of the Preferences for Everyday Living Inventory as a Pay for Performance Initiative to Enhance Person-Centered Care

Person-centered care (PCC) in nursing homes is an elusive organizational goal that has attracted the attention of pay-for-performance (P4P) programs. P4P programs are used to incentivize providers to improve the quality of care delivered. However, P4P programs have both overarching policy initiatives (big ...

Policy Snapshot

October 29, 2021

OIG Recommends CMS Analyze 3-Day Requirement for SNF Stays and Infection Control Surveys

Last week, the Office of Inspector General (OIG) published its OIG’s Top Unimplemented Recommendations: Solutions to Reduce Fraud, Waste, and Abuse in HHS Programs annual report. This year’s report focused on the top 25 unimplemented recommendations that would most positively affect Department of Health an...