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Measuring the Quality of Home Health Care for Children

Organization: Ann & Robert H. Lurie Children's Hospital of Chicago

Primary Contact: Carolyn Foster, MD, MSHS

Grant Amount: $199,768 for 24 months

Date Awarded:

Purpose

To develop a measurement instrument to evaluate access to, and quality of, home health care for children with medical complexity. The instrument will assess issues such as timeliness, efficiency, effectiveness, safety, equity, expense, and patient-centeredness.

Outcome

A comprehensive, caregiver-reported measure of access to, and quality of, home health care for children with medical complexity was developed, pilot-tested, and fielded with caregivers. An article in Academic Pediatrics describes the development of the measure and provides information about accessing it for use. Three additional articles in academic journals resulted from this project, which covered workforce gaps, payment models, and policy challenges; parental needs and preferences in caring for children with medical complexity; and physical and environmental barriers to mobility and participation for children with medical complexity. 

Related Resources

An analysis of workforce gaps, payment models, and policy challenges unique to home health care for children and youth with medical complexity, including legal challenges brought by families because of home nursing shortages. The authors propose a portfolio of solutions to address the current failures.

No validated tools currently exist to measure pediatric home health care quality. This article outlines the development and testing of PediHome, a content-valid family-reported survey measure of home health care quality for children with medical complexity. PediHome can be used to identify deficits in timely access to care, overall home health care quality, and specific aspects such as confidence in nursing care provided.