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Nursing Home and Home Health Care
Importance and Measures
| Demographics |
| Number of nursing home residents (1999)...................................................................... |
1,600,00044 |
| Number of home health patients (2000).......................................................................... |
1,460,00045 |
| Discharges from nursing homes (1998-1999).................................................................. |
2,500,00044 |
| Discharges from home health agencies (2000)................................................................ |
7,800,00045 |
| |
|
| Cost |
| Total cost of nursing home services (2003)............................................................. |
=$110.8 billion46 |
| Total cost of home health services (2003)...................................................................... |
$40 billion46 |
Measures
The NHQR tracks 14 measures of nursing home care for both postacute and chronic care residents and 12 measures for home health care that reflect improvement or deterioration during the course of care. Two core report measures in nursing home care and two core report measures in home health care are highlighted in this section:
- Use of restraints among chronic care nursing home residents
- Presence of pressure ulcers among nursing home residents
- Improvement in ambulation in home health episodes
- Acute care hospitalization of home health patients
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