This study conducted exploratory analyses to develop a better understanding of community-admitted Medicare home health patients, including whether there have been any differential trends between community-admitted and post-acute care (PAC) patients over time and what their patterns of care tell us about the underlying reasons for the community-adm
The technology challenges facing LTPAC providers and their trading partners mirror the interoperability issues that face the overall health care industry. However, there their manifestation and possible solutions are somewhat unique to this segment. Key technology factors and trends are discussed below.
Abramson, E.L., S. McGinnis, J. Moore, and R. Kaushal. 2014. A statewide assessment of electronic health record adoption and health information exchange among nursing homes. Health Services Research , 49(1 PART 2): 361-72 (accessed November 24, 2014).
Awareness is growing that LTPAC providers play a critical role in care coordination and related payment and delivery system reforms intended to improve quality and reduce costs. Examples include ACOs and other new payment and care delivery models (e.g., PCMHs and health homes), Medicare's hospital readmission policy hospital, and post-acute care b
This section seeks to answer the following research question:
How has the creation, transmission, and receipt of eHIE (including interoperable exchange) at times of transitions in care and during instances of shared care impacted the clinical workflow in the LTPAC settings and that of their clinical trading partners (i.e., physicians, hospita
This section seeks to answer the following research questions:
What types of health information do the LTPAC providers and their trading partners need to support continuity and coordination of care; and how were these information needs identified? What types of information do the LTPAC providers and their trading partners create and transmit?
There is growing awareness that long-term and post-acute care (LTPAC) providers play a critical role in care coordination and related payment and delivery reforms intended to improve quality and reduce costs, such as accountable care organizations (ACOs), hospital and post-acute care bundling, and Medicare's hospital readmission policy. Additional
In this report, we describe findings related to electronic health information exchange (eHIE) involving long-term and post-acute care (LTPAC) providers. These questions cover three general areas: preparing for eHIE between LTPAC providers and their exchange partners, implementing eHIE between LTPAC providers and their exchange partners, and assess
This report provides an overview of current efforts for implementing electronic health information exchange (eHIE) by long-term and post-acute care (LTPAC) providers. The report describes the extent to which LTPAC providers are preparing for and implementing eHIE with their partners and assessing its impact. The report provides a review of the gre
U.S. Department of Health and Human Services
Post-Acute and Long-Term Care: A Primer on Services, Expenditures and Payment Methods
David C. Grabowski, PhD
Harvard Medical School
June 2010
PDF Version: http://aspe.hhs.gov/daltcp/reports/2010/paltc.pdf (20 PDF pages)
U.S. Department of Health and Human Services
Subacute Care: Policy Synthesis and Market Area Analysis
Proponents of subacute care claim that subacute care is a cost-effective alternative to acute care services, that is, it can be provided in lower cost settings with no diminution of quality.
U.S. Department of Health and Human Services
Post-Acute Care Issues for Medicare: Interviews with Provider and Consumer Groups, and Researchers and Policy Analysts
Korbin Liu, Urban InstituteJennie Harvell, U.S. Department of Health and Human ServicesBarbara Gage, The MEDSTAT Group
May 2000
PDF Version: http://aspe.hhs.gov/