Visual Result of VNA Quality Home Health Care
Attached is one map out of the six that I have created (see below). Please note that this is not the final version as it needs to be reviewed by my advisor before presenting it to my supervisor and the association.
The map displays how often home health care (HHC) treated their patients of heart failure symptoms (%). It compares geographically areas that have overall higher or lower treatment than others. Rhode Island seems to have the highest treatment rate than Massachusetts, Southern New Hampshire, and Connecticut. Rhode Island is a small state and has only two VNA agencies which is probably why it had a high score. Southern New Hampshire does not have a single VNA agency and is therefore shared by MA VNAs. Surprisingly, major cities (i.e. Boston, Worcester, Hartford, & Providence) scored lower than rural areas. Of course, this may have to do with higher population density and the fact that there are more VNAs overlapping each other as well. Even more surprisingly, the central area of MA (Fitchburg – Gardner area) scored the lowest of all. Generally, this indicates that the HHC agencies may need to invest more financially and services at those particular regions. It may also indicate that HHC patients are not healthy enough for HHC treatment and must be submitted to the hospital to utilize the facilities for advance treatment. The second map, how often HHC patients were admitted to hospitals displays similar trends to the first map. Fitchburg – Gardner area has high admittance rate partly because of less efficiency treating heart failure symptoms of the patient.
Here are other maps (not displayed) that I have created or are on their way:
1) How Often Patients Received Urgent Home Health Care Without Being Sent To The Hospital (Created)
2) How Often Do HHC Patients Have To Be Admitted To Hospitals (Created)
3) Population Risk Assessment #1: Ratio of Often Admittance To Hospitals vs. Frequency of HHC Patients of Heart Failure Symptoms (Created)
4) Population Risk Assessment #2: Ratio of Often Admittance To Hospital vs. Patients Receiving Immediate HHC Treatment Without Admittance To Hospital (Created)
5) Population Risk Assessment #3: Ratio of Congestive Heart Failure Discharge Rate vs. Frequency Treating Heart Failure Symptoms of HHC Patient (Created)
6) Cost vs. Overall HHC Quality Analysis (Underway)
These maps have to be reviewed prior to display publicly.