Disparities In Clinical Outcomes In Medicare Home Health Care

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Population-Level Studies Reveal Ways to Enhance Patient Care

of care being delivered to patients, identify disparities in treatment and outcomes, and estimate the economic burden of disease on individuals and society. While randomized clinical trials remain extremely important in generating clinical knowledge, there

Increasing Health Equity in Washington State

Achieving equity in health care is essential to successfully achieving the Institute of Healthcare Improvement s Triple Aim improving the experience of care and health of a population while lowering per capita cost. By focusing on reducing disparities, health providers, health plans and community organizations work to

Rural Disparities in Access to Care - hrsa.gov

Jul 17, 2020 At the heart of many rural-urban health disparities is the lack of access to quality health care. Rural communities often lack basic health care facilities, and rural residents face. chronic shortages of doctors, nurses, pharmacists, and non-physician providers. 8 Overview: Rural populations face increasing disparities in many health

Guide to Reducing Disparities in Readmissions

Recent years have seen a significant transformation of the health care system. An entire set of structures has been developed to facilitate increased access to cost-effective and high-quality care. Pursuing high-value health care is the ultimate goal, and health care provider organizations across the country are faced with the daunting

Using CMS Data for Research on Disparities in Health and

Economic and Clinical Outcomes of Pregnancy among Medicaid Recipients. Maternal and Child Health Journal 2013;17(8):1518-25. ˗ MAX data for 14 states Rahman M, Foster AD. Racial segregation and quality of care disparity in US nursing homes. Journal of Health Economics 2015;39:1-16 ˗ FFS Medicare enrollees entering nursing homes for SNF stays

Field Notes: Grady Heart Failure Program

patients. Clinical outcomes are tracked according to the American Heart Association s Get with the Guidelines metrics. The program is also working to customize its electronic data collection system to collect, and monitor outcomes related to patients social needs and socioeconomic barriers to care. Addressing Health Disparities

Technical Assistance Webinar: Collecting and Using - Medicaid

minorities continue to experience worse health outcomes To better understand why and where there are disparities, we need to be able to measure and report in a standardized and systematic way the nature and extent of these disparities Stratifying the data allows us to identify disparities and targets to improve outcomes

National Healthcare Quality and Disparities Report (QDR

identify areas of strengths and weaknesses in the health care system along three main axes: access to health care, quality of health care, and priorities of the National Quality Strategy. The reports are based on more than 250 measures of quality and disparities covering a broad array of health care services and settings.

Clinical Outcomes in a Primary Care Practice Within a Center

This article describes initial clinical outcomes achieved in a Center for Health Equity (CHE) created to help ensure that needed resources to achieve health were more fairly distributed among populations that needed them. The CHE was built by a large integrated health care system (Summa Health System, SHS) and a 4000-member church (The

Addressing Health Disparities Through Innovations in Medical

care provide the best outcomes at the lowest costs. In these primary care oriented systems and regions, Medicare beneficiaries have fewer specialists involved in an episode of care and more visits with primary care physicians, spend fewer hospital days in intensive care, and have lower health care costs.

Association Between Race, Neighborhood, and Medicaid

Key words: home health, readmission, disparities, value-based purchasing INTRODUCTION More than 3 million Medicare beneficiaries use home health care annually, and Medicare spending on home health care totaled nearly $18 billion in 2014.1 A home health agency (HHA)

Leveraging Meaningful Use to Reduce Health

It s impossible to achieve better health outcomes and significantly reduce health care costs without tackling health disparities, which are a pervasive and costly problem. We have the chance to leverage Stage 3 of the Meaningful Use program to make significant progress in addressing disparities. We must not squander this opportunity.

2018 National Healthcare Quality and Disparities Report Data

range of health policy issues, including cost and quality of health services, medical practice patterns, access to healthcare programs, and outcomes of treatments at the national, State, and local levels.

Medicare QIOs and Health Disparities - Home - Centers for

Medicare QIOs and Health Disparities. Opportunities to Reduce Health Care Disparities Between 1980 and 2005, the number of Americans with diabetes has more than tripled. Added to the statistic is the fact that African-Americans are almost twice as likely as Caucasians to be diagnosed with the disease and suffer from its complications.

Driven to Tiers: Socioeconomic and Racial Disparities in the

Socioeconomic, Racial Disparities in Nursing Home Care 231 Medicare distribution. While it is true that the limits on resources due to the mix of residents is conceptually a continuum, we felt that a relatively extreme payer-mix configuration provided the fewest op-portunities for cross-subsidizing the residents care. Although Medicaid

The Impact of the Patient-Centered Medical Home on Health

Jan 01, 2009 disparities, health care disparities, social determinants of health, health equity, minority health. Online Appendix Exhibit 1A provides details of the exact search terms and results. In the first stage of study selection, titles and abstracts were screened for relevance per

November 2, 2020 Department of Health and Human Services

supporting, and utilizing DTx products in clinical practice are based in 15 countries, across four continents. Each of DTA s initiatives are focused on enabling expanded access to high-quality, evidence-based digital therapeutics for patients, healthcare providers, and payors in order to improve clinical and health economic outcomes.

Left Out: Barriers to Health Equity for Rural and Underserved

But health disparities persist, and gaps in access to care continue to grow as primary care decline and health care facilities close. Health outcomes are inexorably linked to ZIP code, are notably worse for the millions who live in rural and underserved communities and are further compounded by health disparities

Racial and ethnic disparities in substance use disorders and

Primary outcomes were health services use, cost of care, and mortality. The SEER-Medicare linked data consist of claims for inpatient hospitalization, outpatient hospital visits (including emergency room, or ER, visits), physician or provider services, durable medical equipment, home health services, skilled nursing facility, and hospice care

Disparities and Discrimination in Health Care: An Introduction

these instances, racial disparities in health care are associated with disparities in health outcomes; blacks suffer higher mortality rates from all of these diseases than whites (Smedley, Stith, and Nelson 2003). Despite this association, however, the causal role of disparities in health care

A Framework for Patient-Centered Health Risk Assessments

clinical preventive care, health promotion, and disease management services on ways to use HRAs followed by evidence-based health improvement programs. 2. Ultimately, reduce health disparities through the use of HRAs and follow-up interventions that are linguistically and culturally tailored and are available to persons with disabilities. 3.

Impacting Health Disparities in Urban Communities: Preparing

Jan 02, 2016 research pointing to significant disparities of access to high quality care and poor health outcomes among minorities.1 The reasons for these results are multi-factorial; however, one factor hindering the reduction of health disparities is a lack of a framework for truly engaged orientation to the particular circumstances of such local

Home Health Care Agency Availability In Rural Counties

Medicare and Medicaid Services modified Medicare reimbursement for home health care, seeking to control costs by reducing inflation-associated adjustments in charges. In the past, changes in reimbursement may have affected rural home health care agencies more adversely than those in urban areas.

Association Between Race, Neighborhood, and Medicaid

CLINICAL INVESTIGATIONS Association Between Race, Neighborhood, and Medicaid Enrollment and Outcomes in Medicare Home Health Care Karen E. Joynt Maddox, MD, MPH,*† Lena M. Chen, MD, MA,†‡ Rachael Zuckerman, PhD,†


disparities in disease burden, health outcomes, and access to quality health care. Expanding health insurance coverage will help to alleviate some of these disparities, but coverage expansions must be accompanied by targeted strategies to address both clinical and community-based health disparities.

HHS Initiatives to Address the Disparate Impact of COVID-19

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES PAGE 2 CDC Shows Higher Hospitalization of African Americans for COVID-19: In March 2020, the CDC out-lined characteristics and clinical outcomes of hospitalized COVID-19 patients in Georgia, document-ing that African American patients were overrepresented in hospital admissions relative to other

Disparities After Discharge: The Association of Limited

Feb 08, 2021 Main outcomes: Process measures (reach rate, time to address patient reported issue) and outcome measures (discharge instructions questions, difficulty obtaining prescriptions, medication concerns, follow up care questions, new or worsening symptoms, any other clinical issues). Results: 13,860 patients were included in the study; 11% had LEP


Sep 13, 2018 quality of health care that are not due to access related-factors, clinical needs, preferences, and appropriateness of interventions HEALTH DISPARITIES Smedley BD, Stith AY, Nelson AR, eds. Unequal Treatment: Confronting Racial and Ethnic Disparities In Health Care. Washington, DC: National Academy Press;2003.

Eliminating Health Care Disparities: Implementing the

Achieving health care equity and eliminating health care disparities are a top goal of hospitals and health systems. Health care equity has become an important discussion nationally as policymakers aim to im-prove quality of care while lowering costs through a variety of changes to existing incentives. Recognizing

Addressing Equity in Telemedicine for - NEJM Catalyst - Home

May 04, 2020 health tools.5,6 As primary care clinicians, we are already seeing early signs of disparities in access to care delivered through telemedicine. This has alarming implications for inadequate chronic disease management that may result in increased disparities in clinical outcomes as some patients disproportionately

Racial and Ethnic Disparities in Alzheimer's Disease: A

disparities. The literature shows consistent and adverse disparities among Blacks and Hispanics compared to non-Hispanic Whites in the prevalence and incidence of Alzheimer s disease, mortality, participation in clinical trials, use of medications and other interventions, use of long-term services and supports, health care expenditures,

Disparities in Clinical Outcomes in Medicare Home Health Care

Disparities in Clinical Outcomes in Medicare Home Health Care T he persistence of health inequities is detrimental to individuals and families, and also puts an added demand on health care resources.1 Blacks fair worse across life expectancy and chronic conditions, and receive lower quality health care than Whites.2 It is estimated that by

HEALTH - California

health care system, advance payment models that reward high-quality, cost-efficient care, and promote investments in primary care and behavioral health. The Office of Statewide Health Planning and Development s programs for data assets and health care workforce development and the Office of Health Care Affordability s

The Economic Case for Health Equity - Welcome to ASTHO

Implementing clinical smoking cession interventions costs an estimated $2,587 for each year of life saved, the most cost effective of all c linical preventative services. 29. Increased Direct and Indirect Health Care Costs Data clearly reflect the serious gaps in health outcomes by race, ethnicity, socioeconomic class,

Surgical Telehealth: Impact on Practice, Outcomes and Disparities

Finally, Medicare allowed patients to connect from home in March 2020. Medicare program began paying for virtual care. 2001. 2016. 2019. 2020. March 2020

2020 Georgia County Health Rankings

the things we can change to improve health for all, like opportunities for quality education, good paying jobs, access to quality clinical care, healthy foods, green spaces, and secure and affordable housing. We measure four health factor areas.

Health Research to Improve Health Equity for Latinos

Apr 23, 2016 categories of health outcomes Health disparities research is devoted to advancing scientific knowledge about the mechanisms that lead to disparities and how this knowledge is translated into interventions to reduce health disparities. Health Disparities Definition

Maternal and obstetric care challenges in rural America

Apr 27, 2020 maternal health and obstetric care challenges in rural America. Throughout the course of the meeting, the Committee heard from subject matter experts on maternal health care delivery at the national and state levels. As part of the Committee s meeting, members traveled to Macon, Georgia and Mercer School of Medicine.

Unequal Treatment: Report of the Institute of Medicine on

the end of life on the other. Disparities are present in cardiac care, cancer screening and treatment, diabetes management, end stage renal disease, treatment of HIV infection, pediatric care, maternal and child health, men-tal health, rehabilitative and nursing home services, and many surgical procedures. In some instances minorities