Home Health Care

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Stefan Nickel - One of the best experts on this subject based on the ideXlab platform.

  • mid term and short term planning support for Home Health Care services
    European Journal of Operational Research, 2012
    Co-Authors: Stefan Nickel, Michael Schroder, Jorg Steeg
    Abstract:

    In this paper we are looking at routing and scheduling problems arising in the context of Home Health Care services. Many small companies are working in this sector in Germany and planning is still done manually, resulting in long planning times and relatively inflexible solutions.

  • mid term and short term planning support for Home Health Care services
    European Journal of Operational Research, 2012
    Co-Authors: Stefan Nickel, Michael Schroder, Jorg Steeg
    Abstract:

    Abstract In this paper we are looking at routing and scheduling problems arising in the context of Home Health Care services. Many small companies are working in this sector in Germany and planning is still done manually, resulting in long planning times and relatively inflexible solutions. First, we consider the Home Health Care problem (HHCP) which seeks for a weekly optimal plan. However, in practice a master schedule is generated which is modified to incorporate operational changes. We take this approach into account by looking at the master schedule problem (MSP) and at the operational planning problem (OPP). The problems are solved using different metaheuristics combined with methods from constraint programming. This allows a very flexible treatment of realistic constraints. Computational results are presented using real world data.

Jorg Steeg - One of the best experts on this subject based on the ideXlab platform.

  • mid term and short term planning support for Home Health Care services
    European Journal of Operational Research, 2012
    Co-Authors: Stefan Nickel, Michael Schroder, Jorg Steeg
    Abstract:

    In this paper we are looking at routing and scheduling problems arising in the context of Home Health Care services. Many small companies are working in this sector in Germany and planning is still done manually, resulting in long planning times and relatively inflexible solutions.

  • mid term and short term planning support for Home Health Care services
    European Journal of Operational Research, 2012
    Co-Authors: Stefan Nickel, Michael Schroder, Jorg Steeg
    Abstract:

    Abstract In this paper we are looking at routing and scheduling problems arising in the context of Home Health Care services. Many small companies are working in this sector in Germany and planning is still done manually, resulting in long planning times and relatively inflexible solutions. First, we consider the Home Health Care problem (HHCP) which seeks for a weekly optimal plan. However, in practice a master schedule is generated which is modified to incorporate operational changes. We take this approach into account by looking at the master schedule problem (MSP) and at the operational planning problem (OPP). The problems are solved using different metaheuristics combined with methods from constraint programming. This allows a very flexible treatment of realistic constraints. Computational results are presented using real world data.

Hans Ahlfeldt - One of the best experts on this subject based on the ideXlab platform.

Arnold M Epstein - One of the best experts on this subject based on the ideXlab platform.

  • association between race neighborhood and medicaid enrollment and outcomes in mediCare Home Health Care
    Journal of the American Geriatrics Society, 2018
    Co-Authors: Karen Joynt E Maddox, Lena M Chen, Rachael B Zuckerman, Arnold M Epstein
    Abstract:

    Background/Objectives More than 3 million MediCare beneficiaries use Home Health Care annually, yet little is known about how vulnerable beneficiaries fare in the Home Health setting. This is particularly important given the recent launch of MediCare's Home Health Value-Based Purchasing model. The objective of this study was to determine odds of adverse clinical outcomes associated with dual enrollment in Medicaid and MediCare as a marker of individual poverty, residence in a low-income ZIP code tabulation area (ZCTA), and black race. Design Retrospective observational study using individuals-level logistic regression. Setting Home Health Care. Participants Fee-for-service MediCare beneficiaries from 2012 to 2014. Measurements Thirty- and 60-day clinical outcomes, including readmissions, admissions, and emergency department (ED) use. Results Home Health agencies serving a high proportion of dually enrolled, low-income ZCTA, or black beneficiaries were less often high-quality. Dually-enrolled, low-income ZCTA, and Black beneficiaries receiving Home Health Care after hospitalization had higher risk-adjusted odds of 30-day readmission (odds ratio [OR] = 1.08, P < 0.001; OR = 1.03, P < 0.001; and OR = 1.02, P = 0.002 respectively) and 30-day ED use (OR = 1.20, 1.07, and 1.15, P < 0.001 for each). Those receiving Home Health Care without preceding hospitalization had higher 60-day admission (OR = 1.06, P < 0.001; OR = 1.01, P = 0.002; and OR = 1.05, P < 0.001), and 60-day ED use (OR = 1.16, 1.03, and 1.19, P < 0.001 for each). Differences were primarily within agencies rather than between the agencies where these beneficiaries sought Care. Conclusion MediCare beneficiaries receiving Home Health services who are dually enrolled, live in a low-income neighborhood, or are black have higher rates of adverse clinical outcomes. These populations may be an important target for quality improvement under Home Health Value-Based Purchasing.

Leili Lind - One of the best experts on this subject based on the ideXlab platform.

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