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Variation in Value-Based Outcome Measures Among Assisted Living Communities Served by a Home-Based Primary Care Practice During COVID-19
Author(s) -
William R. Mills,
Janet Buccola,
Jamie Roosa,
Lisa Lemin,
Lynn Cappelli,
Belinda Schraer
Publication year - 2020
Publication title -
home health care management and practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.262
H-Index - 19
eISSN - 1552-6739
pISSN - 1084-8223
DOI - 10.1177/1084822320963094
Subject(s) - medicine , house call , covid-19 , pandemic , primary care , population , demography , gerontology , nursing homes , home health , health care , family medicine , nursing , environmental health , disease , pathology , sociology , infectious disease (medical specialty) , economics , economic growth
We aimed to determine the hospitalization rate and average days spent at home in a population of assisted living (AL) residents served by a home-based primary care (HBPC) practice during the COVID-19 pandemic. We provided on-site HBPC to 1,699 AL residents and calculated hospitalization rate and days spent at home. The AL population had a mean age of 84 ± 10 years and 73% were female. The mean hospitalization rate was 449 admissions per 1,000 per year, and there was wide variation among AL communities. AL residents spent a mean of 358 days at home per year, and the average days spent at home varied during the COVID-19 pandemic. Use of these measures may help AL articulate its value proposition by enabling seniors with complex health needs to live in community settings for as many days as possible.

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