Partnership for better patient outcomes: home health and HMO collaboration.
This article describes the evolution of a collaborative model of quality improvement between an HMO and six contracted home health agencies using OASIS items to measure patient outcomes. The results showed that when agencies completed quality improvement activities independently, HMO patients' outcomes did not improve substantially. In contrast, when the HMO and agencies collaborated, patient outcomes improved as much as 19% in 1 year. This collaborative model can help purchasers and providers to share responsibility for improvement in patient outcomes.
Adams
C E
CE
College of Nursing, Medical University of South Carolina, Charleston 29245, USA. Adamsce@musc.edu
Haney
M
M
D000203:Activities of Daily Living; D003152:Community Health Nursing / Q000458:organization & administration*; D005260:Female; D006279:Health Maintenance Organizations / Q000458:organization & administration*; D006304:Health Status; D006699:Home Care Services / Q000458:organization & administration*; D006801:Humans; D007373:Interinstitutional Relations; D008297:Male; D017146:Models, Organizational; D017063:Outcome Assessment, Health Care; D017749:Total Quality Management / Q000458:organization & administration*