VNA Plus utilizes a standardized home care assessment tool known as OASIS to measure patient outcome results. This assessment system is used nation-wide by home care providers to assess patients upon admission and then every 60 days until patients are successfully discharged. Progress toward established goals is also recorded for each patient. The outcome measurement data for VNA Plus is then compared to other home care agencies throughout the state and the nation via a “dashboard” instrument titled “Home Care Compare.” The first percentage given in each category below is the ranking VNA Plus received versus the national benchmark percentage ranking.
1. Assess the patient’s improvement in ability to bathe and dress, improvement in personal hygiene and bladder/bowel control, and medication management.
- Improvement in ability to independently manage medications: 52% vs. benchmark of 47%;
- Improvement in ability to independently bathe: 64% vs. benchmark of 65%; and
- Improvement in patient urinary continence: 59% vs. benchmark of 47%.
2. The following measurements relate to Physical, Occupational and Speech therapies for physically disabled patients and the ability to manage depression and other mental illness in mentally disabled patients.
- Improvement in ability to walk and move around independently: 64% vs. benchmark of 57%; and
- Improvement in the number of patients who were assessed for depression: 94% vs. benchmark of 93%.
3. Families and individuals increase utilization of preventative health care measures such as flu vaccinations, blood pressure education, drug education data, diabetic foot care results and fall risk assessment results.
- Improvements in number of community members who were immunized for flu prevention: 73% vs. benchmark of 65%;
- Improvements in assessments made of home environments for prevention of falls: 99% vs. benchmark of 93%;
- Improvement in diabetic foot care treatment to prevent worsening of condition and/or amputation: 96% vs. benchmark of 87%; and
- Improvements in number of patients who were successfully taught about current and new prescription drugs to prevent side effects and/or possible severe interactions: 96% vs. benchmark of 86%.
4. People with acute and chronic health care problems heal effectively in their homes and are not re-hospitalized; plus our ability to recognize and successfully manage pain.
- Improvements in patients who successfully healed at home: 72% vs. benchmark of 70%;
- Improvement in patient shortness of breath symptoms: 79% vs. benchmark of 64%;
- Improvement in prevention and healing of pressure ulcers: 96% vs. benchmark of 90%;
- Reduction in percentage of patients who needed ER treatment: 2.2% vs. benchmark of 2.6%;
- Reduction in percentage of patients who were readmitted to the hospital: 24% vs. benchmark of 25%;
- Improvement in patient heart failure symptom management: 100% vs. state/national benchmark of 97%; and
- Improvement in patient pain management and interventions: 99% vs. benchmark of 95%.
5. People with acute and chronic health care problems understand and actively participate in managing their illness via improved education and health management tools, including telehealth.
- 1596 patients/families were involved in designing and implementing their own care plans;
- 27 patients were involved in daily monitoring of their chronic conditions via telehealth technology; and
- Patients’ average length on home care services decreased from 80.4 days in 2009 to 76.2 days in 2010.
6. Family caregivers understand and actively participate in patient care via improved education. (This is not an OASIS measurement; outcomes in this category are measured by the standardized patient satisfaction survey mandated by the Center for Medicare/Medicaid Services.)
- Improvement in educating families and explaining patient care: 85% vs. benchmark of 84%.
With national health care reform measures in place–and more on the horizon–VNA Plus recognizes the need to respond and anticipate key health care components, including a focus on care of patients released from hospital settings. Thus, we emphasize and have realized improvements in successful healing at home, reductions in acute care (ER) visits, and re-hospitalization. In addition, with resources more limited than ever, we focus on increased patient/family education resulting in increased responsibility and involvement in care plans.