title: Advance directives in home health and hospice agencies: United States, 2007.
abstract: This report provides nationally representative data on policies, storage, and implementation of advance directives (ADs) in home health and hospice (HHH) agencies in the United States using the National Home and Hospice Care Survey. Federally mandated ADs policies were followed in >93% of all agencies. Nearly all agencies stored ADs in a file at the agency, but only half stored them at the patient's residence. Nearly all agencies informed staff about the AD, but only 77% and 72% of home health agencies informed the attending physician and next-of-kin, respectively. Home health and hospice agencies are nearly universally compliant with ADs policies that are required in order to receive Medicare and Medicaid payments, but have much lower rates of adoption of ADs policies beyond federally mandated minimums.
authors.affiliation: American Association of Homes and Services for the Aging, Washington, DC, USA. hresnick@aahsa.org
authors.forename: Helaine E
authors.initials: HE
authors.lastname: Resnick
authors.forename: Susan E
authors.initials: SE
authors.lastname: Hickman
authors.forename: Gregory L
authors.initials: GL
authors.lastname: Foster
mesh_terms: D024362:Advance Directive Adherence / Q000458:organization & administration / Q000706:statistics & numerical data; D016223:Advance Directives / Q000706:statistics & numerical data*; D003142:Communication; D054521:Cultural Competency; D018574:Home Care Agencies / Q000458:organization & administration / Q000706:statistics & numerical data*; D017051:Hospice Care / Q000458:organization & administration / Q000706:statistics & numerical data*; D006801:Humans; D007318:Inservice Training / Q000458:organization & administration; D010067:Ownership / Q000706:statistics & numerical data; D057766:Policy; D014481:United States