Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Clinical and Demographic Profiles of Home Care Patients With Alzheimer’s Disease and Related Dementias: Implications for Information Transfer Across Care Settings

Clinical and Demographic Profiles of Home Care Patients With Alzheimer’s Disease and Related... Home health care (HHC) clinicians serving individuals with Alzheimer’s disease and related dementias (ADRD) do not always have information about the person’s ADRD diagnosis, which may be used to improve the HHC plan of care. This retrospective cohort study examined characteristics of 56,652 HHC patients with varied documentation of ADRD diagnoses. Data included clinical assessments and Medicare claims for a 6-month look-back period and 4-year follow-up. Nearly half the sample had an ADRD diagnosis observed in the claims either prior to or following the HHC admission. Among those with a prior diagnosis, 63% did not have it documented on the HHC assessment; the diagnosis may not have been known to the HHC team or incorporated into the care plan. Patients with ADRD had heightened risk for adverse outcomes (e.g., urinary tract infection and aspiration pneumonia). Interoperable data across health care settings should include ADRD-specific elements about diagnoses, symptoms, and risk factors. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Applied Gerontology SAGE

Clinical and Demographic Profiles of Home Care Patients With Alzheimer’s Disease and Related Dementias: Implications for Information Transfer Across Care Settings

Loading next page...
 
/lp/sage/clinical-and-demographic-profiles-of-home-care-patients-with-alzheimer-hsbff9dj2j
Publisher
SAGE
Copyright
© The Author(s) 2021
ISSN
0733-4648
eISSN
1552-4523
DOI
10.1177/0733464821999225
Publisher site
See Article on Publisher Site

Abstract

Home health care (HHC) clinicians serving individuals with Alzheimer’s disease and related dementias (ADRD) do not always have information about the person’s ADRD diagnosis, which may be used to improve the HHC plan of care. This retrospective cohort study examined characteristics of 56,652 HHC patients with varied documentation of ADRD diagnoses. Data included clinical assessments and Medicare claims for a 6-month look-back period and 4-year follow-up. Nearly half the sample had an ADRD diagnosis observed in the claims either prior to or following the HHC admission. Among those with a prior diagnosis, 63% did not have it documented on the HHC assessment; the diagnosis may not have been known to the HHC team or incorporated into the care plan. Patients with ADRD had heightened risk for adverse outcomes (e.g., urinary tract infection and aspiration pneumonia). Interoperable data across health care settings should include ADRD-specific elements about diagnoses, symptoms, and risk factors.

Journal

Journal of Applied GerontologySAGE

Published: Jan 1, 2021

There are no references for this article.