Citation

Whitney SL, Marchetti GF, Ellis JL, Otis L. Home Healthc. Now 2015; 33(5): 265-274.

Affiliation

Susan L. Whitney, PT, PhD, NCS, ATC, FAPTA, is a professor, University of Pittsburgh, Department of Physical Therapy, Pittsburgh, Pennsylvania and Rehabilitation Research Chair, Department of Rehab Science, College of Allied Medical Sciences, King Saud University. Gregory F. Marchetti, PT, PhD, is an Associate Professor, Duquesne University, Department of Physical Therapy, Pittsburgh, Pennsylvania. Jennifer L. Ellis, PT, DPT, MS, is a National Director, Neurologic Specialties, Gentiva Corporation, Indianapolis, Indiana. Laurie Otis, PT, MBA, MHA, is a National Clinical Specialist, Neurologic Specialties, Gentiva Corporation, Fort Myers, Florida.

Copyright

(Copyright © 2015, Lippincott Williams and Wilkins)

DOI

10.1097/NHH.0000000000000232

PMID

25943219

Abstract

A retrospective cohort study with adjustment for baseline group differences was conducted to determine if there was a difference in Outcome and Information Data Set (OASIS-C) activities of daily living (ADL) outcomes as well as the duration and number of home care visits between usual home care rehabilitation services and a home care rehabilitation team that was specially trained in falls identification and prevention. Data from adult Medicare beneficiaries who were treated in a large multistate home care practice with at least one visit by a physical therapist were retrieved retrospectively for analysis (n = 3,907 records). Patients identified as having multiple fall risk factors based on OASIS-C assessment undergoing a specialized care program demonstrated greater improvements in mean total ADL scores after home healthcare rehabilitation services compared with subjects at fall risk receiving usual care. Interdisciplinary care delivered by a healthcare team specially trained in fall prevention appeared to decrease the number of home care visits and resulted in improved ADL OASIS-C outcome scores after adjustment for potential confounders.

Language: en