Linking home care interventions and hospitalization outcomes for frail and non-frail elderly patients

Research in Nursing and Health

Volumn 34, Issue 2, 2011, Pages 160-168

  Monsen, Karen A ^a   Westra, Bonnie L ^a   Oancea, S Cristina ^b   Yu, Fang ^a   Kerr, Madeleine J ^a  

^a UNIVERSITY OF MINNESOTA   (United States)

^b UNIVERSITY OF MINNESOTA   (United States)

Author keywords

Computers technology; Home care; Nursing care interventions; Statistical test development refinement; Systems research patterns of care

Indexed keywords

AGED; ARTICLE; DAILY LIFE ACTIVITY; FRAIL ELDERLY; HOME CARE; HOSPITALIZATION; HUMAN; METHODOLOGY; RECEIVER OPERATING CHARACTERISTIC; RETROSPECTIVE STUDY; STANDARD; STATISTICS; TREATMENT OUTCOME;

ACTIVITIES OF DAILY LIVING; AGED; FRAIL ELDERLY; HOME CARE SERVICES; HOSPITALIZATION; HUMANS; OUTCOME AND PROCESS ASSESSMENT (HEALTH CARE); RETROSPECTIVE STUDIES; ROC CURVE;

EID: 79952327189     PISSN: 01606891     EISSN: 1098240X     Source Type: Journal    
DOI: 10.1002/nur.20426     Document Type: Article

References (24)

1. Agency for Healthcare Research and Quality. (2008). Clinical classification software for services and procedures: Healthcare cost and utilization project (HCUP). Retrieved October 24, 2010 from.
2. Barnard, K.E., Magyary, D., Sumner, G., Booth, C.L., Mitchell, S.K., & Spieker, S. (1988). Prevention of parenting alterations for women with low social support. Psychiatry, 51, 248-253.
3. Bauer, M., Fitzgerald, L., Haesler, E., & Manfrin, M. (2009). Hospital discharge planning for frail older people and their family. Are we delivering best practice? A review of the evidence. Journal of Clinical Nursing, 18, 2539-2546.
4. Briggs. (2006). Briggs® national quality improvement/hospitalization reduction study. West Des Moines, IA: Briggs Corporation.
5. Centers for Medicare & Medicaid Services. (2008). OASIS-Based home health agency patient outcome and case mix reports. Retrieved October 24, 2010, from
6. Fortinsky, R.H., Baker, D., Gottschalk, M., King, M., Trella, P., & Tinetti, M.E. (2008). Extent of implementation of evidence-based fall prevention practices for older patients in home health care. Journal of the American Geriatric Society, 56, 737-743.
7. Gobbens, R.J., Luijkx, K.G., Wijnen-Sponselee, M.T., & Schols, J.M. (2010). Toward a conceptual definition of frail community dwelling older people. Nursing Outlook, 58, 76-86.
8. Golden, A.G., Tewary, S., Dang, S., & Roos, B.A. (2010). Care management's challenges and opportunities to reduce the rapid rehospitalization of frail community-dwelling older adults. The Gerontologist, 50, 451-458.
9. Landi, F., Onder, G., Cesari, M., Barillaro, C., Lattanzio, F., Carbonin, P.U., et al. (2004). Comorbidity and social factors predicted hospitalization in frail elderly patients. Journal of Clinical Epidemiology, 57, 832-836.
10. Hey, T., Tansley, S., & Tolle, K. (2009). The fourth paradigm. Redmond, WA: Microsoft Research.
11. Levinson, D.R. (2006). Effect of the home health prospective payment system on the quality of home health care. Retrieved from.
12. Martin, K.S. (2005). The Omaha System: A key to practice, documentation, and information management (reprinted 2nd ed.). Omaha, NE: Health Connections Press.
13. Martin, K.S., Monsen, K.A., & Bowles, K.H. (2011). The Omaha System and meaningful use: Applications in practice, education, and research. CIN, Computers, Informatics, Nursing, 29(1), 52-58.
14. Martin, K.S., & Scheet, N.J. (1992). The Omaha System: Applications for community health nursing. Philadelphia, PA: Saunders.
15. McCullagh, P., & Nelder, J.A. (1989). Generalized linear models (2nd ed.). Boca Raton, FL: Chapman & Hall/CRC Press.
16. Miller, E.A., & Weissert, W.G. (2001). Incidence of four adverse outcomes in the elderly population: Implications for home care policy and research. Home Health Care Services Quarterly, 20(4), 17-47.
17. Monsen, K.A. (2006) Linking public health nurse home visiting interventions to patient outcomes. Unpublished doctoral dissertation. University of Minnesota, Minneapolis.
18. Monsen, K.A., Banerjee, A., & Das, P. (2010). Discovering client and intervention patterns in home visiting data. Western Journal of Nursing Research, 32, 1031-1054.
19. Monsen, K.A., Honey, M., & Wilson, S. (2010). Meaningful use of a standardized terminology to support the electronic health record in New Zealand. Applied Clinical Informatics, 1, 368-376. http://dx.doi.org/10.4338/ACI-2010-06-CR-0035.
20. Monsen, K.A., Westra, B.L., Yu, F., Ramadoss, V.K., & Kerr, M.J. (2009). Data management for intervention effectiveness research: Comparing deductive and inductive approaches. Research in Nursing & Health, 32, 647-656.
21. Peikes, D., Chen, A., Schore, J., & Brown, R. (2009). Effects of care coordination on hospitalization, quality of care, and health care expenditures among Medicare beneficiaries: 15 randomized trials. JAMA, 301, 603-618.
22. Shaughnessy, P.W., Hittle, D.F., Crisler, K.S., Powell, M.C., Richard, A.A., Kramer, A.M., et al. (2002). Improving patient outcomes of home health care: Findings from two demonstration trials of outcome-based quality improvement. Journal of the American Geriatrics Society, 50, 1354-1364.
23. Thompson, M.L., & Zucchini, W. (1989). On the statistical analysis of ROC curves. Statistics in Medicine, 8, 1277-1290.
24. Westra, B.L., Savik, K., Holmes, J.H., Oancea, C., & Choromanski, L. (in review). Acute care hospitalization for elderly home health care patients.