National Healthcare Disparities Report - LDI Health Economist
National Healthcare Disparities Report - LDI Health Economist
National Healthcare Disparities Report - LDI Health Economist
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Effectiveness of Care<br />
In addition, this year we have a special focus section on functional improvement of inpatient rehabilitation<br />
facility (IRF) patients recovering from stroke.<br />
Findings<br />
Outcome: Improvement in Mobility Among Home <strong>Health</strong> Care Patients<br />
After an illness or injury, many patients receiving home health care may need temporary help to walk safely.<br />
This assistance can come from another person or from equipment, such as a cane. Patients who use a<br />
wheelchair may have difficulty moving around safely, but if they can perform this activity with little<br />
assistance, they are more independent, self-confident, and active.<br />
As patients recover from illness or injury, physical therapy can facilitate improvements in walking and<br />
moving with a wheelchair. However, in cases of patients with some neurologic conditions, such as<br />
progressive multiple sclerosis or Parkinson’s disease, ambulation may not improve even when the home<br />
health agency provides good care. In addition, the characteristics of patients referred to home health agencies<br />
vary across States.<br />
Figure 2.51. Adult home health care patients whose ability to walk or move around improved, by race<br />
and ethnicity, 2002-2009<br />
Percent<br />
60 White<br />
Black<br />
55<br />
50<br />
45<br />
40<br />
Asian<br />
NHOPI<br />
2008 Achievable Benchmark: 54%<br />
>1 Race<br />
AI/AN<br />
Percent<br />
60<br />
55<br />
50<br />
45<br />
40<br />
Non-Hispanic White<br />
Hispanic<br />
2008 Achievable Benchmark: 54%<br />
Chapter 2 Functional Status Preservation and Rehabilitation<br />
35<br />
35<br />
30<br />
30<br />
25<br />
Z<br />
0<br />
2002<br />
2003<br />
2004<br />
2005<br />
2006<br />
2007<br />
2008<br />
2009<br />
Key: AI/AN = American Indian or Alaska Native; NHOPI = Native Hawaiian or Other Pacific Islander.<br />
Source: Centers for Medicare & Medicaid Services, Outcome and Assessment Information Set (OASIS), 2002-2009.<br />
Denominator: Adult nonmaternity patients completing an episode of skilled home health care and not already performing at the<br />
highest level at the start of the episode, according to the OASIS question on ambulation.<br />
25<br />
Z<br />
0<br />
2002<br />
2003<br />
2004<br />
2005<br />
2006<br />
2007<br />
2008<br />
2009<br />
<strong>National</strong> <strong><strong>Health</strong>care</strong> <strong>Disparities</strong> <strong>Report</strong>, 2011<br />
121