Patient Experience and Process Measures of Quality of Care at Home Health Agencies
Smith, L. M., Anderson, W. L., Lines, L. M., Pronier, C., Thornburg, V., Butler, J. P., ... 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. DOI: 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.