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Nursing Home and Home Health Care
| Number of nursing home residents (1999)...................................................................... |
1,600,00059 |
| Number of home health patients (2000).......................................................................... |
1,460,00060 |
| Discharges from nursing homes (1998-1999).................................................................. |
2,500,00059 |
| Discharges from home health agencies (2000)............................................................... |
7,800,00060 |
| Causes of nursing home discharges.............................................................................. |
recovery and stabilization (33%) |
| admission to hospital (29%) |
| death (24%) |
| Total cost of nursing home services.............................................................................. |
$110.8 billion61 |
| Total cost of home health services................................................................................. |
$40 billion61 |
| Portion of nursing home expenditures paid by Medicaid and Medicare............................... |
60% |
| Portion of nursing home residents supported by Medicaid................................................ |
70%62 |
| Nursing home care differs by......................................................................................... |
race63 |
| ethnicity63 |
| SES63 |
| Groups more likely to live in nursing homes with limited resources.................................... |
Blacks64 |
This section highlights two core measures of nursing home quality of care—use of physical restraints and presence of pressure sores—and two measures of home health care quality—improvement in walking or moving around and episodes with acute care hospitalization.