Question

An outcome of concern to both hospitals and home health care agencies are:

1.Observation status percentages

2.DRG ratios

3.Readmission rates

4.Costs of care to insurance companies

Answer 1

Outcome of concern to both hospital and home health care agencies readmission rates is a concern for both hospital and home health care agencies. It is measure of quality health care provided by the hospital and home health agencies.readmission should be 30 day following discharge for hospitals and 60 days for home health agency and not before that. many elderly patient with comorbities are ones get admitted frequently. there fore hospitals and home health agencies should provide quality care

1. Observation status and percentages: percentage and observation are become higher if the patient was admitted with symptoms. If it resolved within 24 hours, the patient will be discharged and if the patient has symptoms and remain in the hospital for further treatment. The patient with symptoms in the observation will not get benefit of insurance or rarely get one third of benefits than admission. Only if get insurance if get admitted in the hospital.

2. DRG ratio: it is the patient classification system that helps to pay prospective payments to hospital and home health agencies. DRG covers all charges when the patient gets admitted as inpatient

3. Readmission rates: if the elderly patient has more than co-morbidities. Readmission rates are important to assess the quality of care. It is impossible to reduce readmission rates and unable to predict. There is a communication between the hospital and health agencies can help to reduce readmission. Readmission rates are a measure of quality care. Therefore the medicare advises home health care agencies by motivating to use home health care in order to reduce readmission.

4. Cost of care to insurance companies: insurance companies have limited the cost for people who access the health care unnecessarily and may use many health services in order to reduce to access to health care