Information management goals and process failures during home visits for middle-aged and older adults receiving skilled home healthcare services after hospital discharge: a multisite, qualitative study.

BMJ Quality & Safety
Alicia I ArbajeAyse P Gurses

Abstract

Middle-aged and older adults requiring skilled home healthcare ('home health') services following hospital discharge are at high risk of experiencing suboptimal outcomes. Information management (IM) needed to organise and communicate care plans is critical to ensure safety. Little is known about IM during this transition. (1) Describe the current IM process (activity goals, subactivities, information required, information sources/targets and modes of communication) from home health providers' perspectives and (2) Identify IM-related process failures. Multisite qualitative study. We performed semistructured interviews and direct observations with 33 home health administrative staff, 46 home health providers, 60 middle-aged and older adults, and 40 informal caregivers during the preadmission process and initial home visit. Data were analysed to generate themes and information flow diagrams. We identified four IM goals during the preadmission process: prepare referral document and inform agency; verify insurance; contact adult and review case to schedule visit. We identified four IM goals during the initial home visit: assess appropriateness and obtain consent; manage expectations; ensure safety and develop contingency plans. We i...Continue Reading

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Citations

Jun 5, 2019·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Sara C KellerAyse P Gurses
Sep 11, 2020·Journal of the American Medical Informatics Association : JAMIA·Paulina S SockolowEllen J Bass
Feb 7, 2020·Journal of General Internal Medicine·Madeline R SterlingLisa M Kern
Oct 17, 2020·Journal of Patient Experience·Jo-Ana D ChaseDavid R Mehr
Aug 2, 2020·Journal of the American Medical Directors Association·Paulina S SockolowEllen J Bass
Mar 28, 2021·Journal of the American Geriatrics Society·Julia G BurgdorfJennifer L Wolff
Jul 17, 2021·Home Health Care Management & Practice·Paulina S SockolowEllen J Bass
Feb 26, 2019·Journal of the American Medical Directors Association·Christine D JonesRebecca S Boxer
Jul 18, 2020·Journal of the American Medical Directors Association·Sara C KellerAlicia I Arbaje
Jul 22, 2021·Research in Gerontological Nursing·David RussellJo-Ana D Chase
Oct 8, 2021·Journal of the American Geriatrics Society·Julia G BurgdorfJennifer L Wolff

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