Patient Classification in Home Health Care: Are We Ready?
Article first published online: 5 MAY 2007
Public Health Nursing
Volume 7, Issue 3, pages 130–137, September 1990
How to Cite
Cox, C. L., Wood, J. E., Montgomery, A. C. and Smith, P. C. (1990), Patient Classification in Home Health Care: Are We Ready?. Public Health Nursing, 7: 130–137. doi: 10.1111/j.1525-1446.1990.tb00625.x
- Issue published online: 5 MAY 2007
- Article first published online: 5 MAY 2007
This longitudinal descriptive study retrospectively profiled the acutely ill patient in home health care and explored the utility of using patient record data in predicting agency resource use and patient outcome. The findings suggest that those variables traditionally relied on for reimbursement qualification and as components of patient-classification schemes may not be wholly adequate to explain resource use and patient outcome in the home health setting. Professional nursing judgment of the patient's prognosis was found to be the most sensitive variable predicting outcome. Selected diagnoses and self-care capacity of the patient were the major predictors of resource use. Suggestions are offered for further studies that may move public health nursing more quickly toward the development of consistent and accurate home health care case mix measures.