Implementation of US Post-Acute Care Payment Reform and COVID-19 Policies: Examining Experiences of Health System Leaders, Staff, Patients, and Family Caregivers—A Protocol
Abstract
:1. Introduction
1.1. History of PAC Spending
1.2. Emergence of COVID-19
1.3. Conceptual Model
1.4. Research Objectives
2. Methods and Analysis
2.1. Defining Cases for Phase I (Administration Perspectives)
2.2. Phase I Sampling Frame and Eligibility
2.3. Phase I Recruitment Effort
2.4. Defining Cases for Phase II (Frontline Staff, Patients, Family Caregivers’ Perspectives)
2.5. Phase II Sampling Frame and Eligibility
2.6. Data Collection
2.6.1. Interview Guide Development
2.6.2. Background and Sociodemographic Information
2.6.3. Interviewer Training
2.7. Analysis
2.8. Scientific Rigour
2.9. Ethical Considerations
3. Discussion
4. Limitations
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Skilled Nursing Facility (n = 150 Maximum Administrators) | Home Health Agency (n = 150 Maximum Administrators) | |||||||
---|---|---|---|---|---|---|---|---|
Case 1 | Case 2 | Case 3 | Case 1 | Case 2 | Case 3 | |||
Region | Low | Mod | High | Low | Mod | High | ||
Region 1—Northeast | Urban | For profit | n = 3–5 | |||||
Non-profit/government | ||||||||
Rural | For profit | |||||||
Non-profit/government | ||||||||
Region 2—Midwest | Urban | For profit | ||||||
Non-profit/government | ||||||||
Rural | For profit | |||||||
Non-profit/government | ||||||||
Region 3—South | Urban | For profit | ||||||
Non-profit/ government | ||||||||
Rural | For profit | |||||||
Non-profit/government | ||||||||
Region 4—West | Urban | For profit | ||||||
Non-profit/government | ||||||||
Rural | For profit | |||||||
Non-profit/government | ||||||||
Case-specific sample maximum | n = 50 | n = 50 | n = 50 | n = 50 | n = 50 | n = 50 |
Region | Case 1 | Case 2 | Case 3 |
---|---|---|---|
Urban-Located Organization-Serving Urban Populations | Urban Located Organization-Serving Combination of Urban and Rural Populations (>10%) | Rural-Located Organization-Serving Rural Population (>80%) | |
Region 1—Northeast | SNF (n = 1), HHA (n = 1) | ||
R2—Midwest | |||
R3—South | |||
R4—West | |||
Case-specific sample total | SNF (n = 4), HHA (n = 4) | SNF (n = 4), HHA (n = 4) | SNF (n = 4), HHA (n = 4) |
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Leland, N.E.; Rouch, S.A.; Prusynski, R.A.; Shore, A.D.; Kaufman, H.; Hoover, L.P.; Mroz, T.M.; Freburger, J.K.; Saliba, D. Implementation of US Post-Acute Care Payment Reform and COVID-19 Policies: Examining Experiences of Health System Leaders, Staff, Patients, and Family Caregivers—A Protocol. Int. J. Environ. Res. Public Health 2023, 20, 6959. https://doi.org/10.3390/ijerph20206959
Leland NE, Rouch SA, Prusynski RA, Shore AD, Kaufman H, Hoover LP, Mroz TM, Freburger JK, Saliba D. Implementation of US Post-Acute Care Payment Reform and COVID-19 Policies: Examining Experiences of Health System Leaders, Staff, Patients, and Family Caregivers—A Protocol. International Journal of Environmental Research and Public Health. 2023; 20(20):6959. https://doi.org/10.3390/ijerph20206959
Chicago/Turabian StyleLeland, Natalie E., Stephanie A. Rouch, Rachel A. Prusynski, Amanda D. Shore, Hannah Kaufman, Lorelei P. Hoover, Tracy M. Mroz, Janet K. Freburger, and Debra Saliba. 2023. "Implementation of US Post-Acute Care Payment Reform and COVID-19 Policies: Examining Experiences of Health System Leaders, Staff, Patients, and Family Caregivers—A Protocol" International Journal of Environmental Research and Public Health 20, no. 20: 6959. https://doi.org/10.3390/ijerph20206959