|Dataset Full Name||National Home health and Hospice Care Survey|
|Summary||The NHHCS is a survey of a national sample of home health care agencies and hospice care agencies. All agencies selected to participate in the survey were certified by Medicare and/or Medicaid or individual states at the time of the survey. Home health agencies that provide only personal assistance services or durable medical equipment are not part of the survey. The survey uses Computer-Assisted Personal Interviews (CAPI) for data collection regarding services the agencies provide and staffing levels. The survey also gathers data (through home health and hospice agencies) on demographic characteristics of patients who receive services. The 2007 version of the survey included a supplemental survey of home health aides employed by home health and/or hospice agencies (National Home Health Aide Survey - NHHAS).|
|Key Terms||Agency Characteristics, Medications (provided to patients), Patient Characteristics|
|Sponsoring Agency/Entity||Centers for Disease Control and Prevention (CDC): National Center for Health Statistics (NCHS): Division of Health Care Statistics - Long-term Care Statistics Branch||Health Conditions/Disability Measures|
Cardiovascular conditions, Diabetes, Depression, ICD-9/10 diagnostic codes (primary diagnosis & up to 15 secondary diagnoses), Pressure ulcers, Pulmonary disorders
Ambulatory disability, Cognitive disability, Functional limitations (ADLs and/or IADLs), Special equipment use/assistive technology, Personal assistance needs
|Measures/Outcomes of Interest|
Agency Characteristics: Ownership, Size, Referral sources, Accreditation, Contracts with other agencies, Staff competencies [educational, cultural etc.], Employee training, Staffing diversity, Medical, Rehabilitative services, Personal assistance provision, Advance directives, Agency administration and management [education, competency, work experience], Employment history [past three months], Compensation levels, Non-medical services [transportation etc.], Teaching status [health professionals], Medications (provided to patients): number, drug type.
Patient Characteristics: (Note: No direct interviews with patients, patient variables collected through agency). Socio-demographic variables, Length of stay, Source of payment, Living situation, Medical diagnosis, Caregiver availability, Secondary complications [pressure ulcers etc.], Functional status, Activities of Daily Living assistance, Durable medical equipment use, Types of services, Intensity of services [number of visits]
|Sample Population||Home health care agencies and Hospice care agencies|
|Unit of Observation||Agency & Patient|
|Geographic specificity||Metropolitan Statistical Area (MSA)||Data Collection|
|Data Collection Mode||Survey (CAPI)|
|Years Collected||1992, 1993, 1994, 1996, 1998, 2000, and 2007|
|Data Collection Frequency||Variable||Strengths and Limitations|
|Strengths||Data collected at three levels: agency, medication, and patient levels. Adequate and appropriate documentation available (including data files, questionnaire, and data dictionaries). Researchers can determine intensity of services (rehabilitative services) provided to patients at home and hospice settings. Comprehensive information available related to agency and patient level characteristics.|
|Limitations||Most recent data available from 2007, Data collection is inconsist over time (seven year gap from 2000-2007) so longitudinal utility of data is questionable. Relatively small sample size.||Data Details|
|Data Access Requirements||Data Use agreement, No cost|
|Summary Tables/reports||Data Highlights - Selected Tables and Charts & Reports:
|Data Components||Agency Medication Patient files||Selected papers|
|Technical||Survey Methodology & Documentation:
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