The methodology and home health care service models may seem to be a bit complex to you. However, qualitative research and a review of the literature will help you to know about the key factors that determines the success of any home health project.
Ideally, this is a project that involves multiple phases. It involves innovation, delivering quality and offer value. When you research on the matter several themes, points and challenges may surface which will ask for a more qualitative research on a few specific matters such as:
- The literature
- The process
- The outcome as well as
- The patient satisfaction level.
Typically, the literature review and qualitative research involve both scholarly as well as trade publications on the role and value of home health care. When you build upon the literature review you will first need to conduct amorphous dialogues with entities who are typically the key stakeholders.
The identification of these key stakeholders is very important for that matter and is best done by considering the two most important factors such as:
- By the virtue of their leadership quality in the organizations representing both caregivers and patients or
- Their experience as payers and policy makers.
The individual stakeholders must be interviewed based on the priorities of their addressing the different needs of each of these constituents. This will help you to understand the future of health care industry as well as their perspectives on the relevance and role of it towards the patients, individual or a community on the whole.
About the research and interviews
Research and interviews should involve the health policy as well as the innovation that the providers have thought for providing. It must also include:
- All current as well as the former policy makers of the Centers for Medicare and Medicaid Services or
- The Innovation Center or CMMI
- All advocates for Medicare beneficiaries
- Disease groups
- Caregiversand
- Payers of large commercial as well as Medicare Advantage plans.
However, such an unstructured interview or review is very sensitive in nature and therefore you should be very careful about the positions of the stakeholders and payers. You must also focus on promoting full honesty and promise anonymity to them both.
Interviewing the individuals
When you complete the interviewing process of the payers and key stakeholders in health policy, you should now conduct an interview of the diverse range of individuals from different home health care service providers such as Myallamericancare.com and other organizations.
This interview should be done to pursue new and alternative models of home health care that will help you in your home health care vignettes and case studies. This will:
- Shed a light on the current structural framework of home health care
- Helpyou to analyze the effectiveness of the current care models and system and
- Enable you to find the areas of development required and work towards securing a better future of it.
If you want to understand the innovations in home health and home based care in a much better way, then you can consider the case study anthology of the VNAA or Visiting Nurse Associations of America as a general reference.
However, you do not have to worry about the approval by the Institutional Review Board for this research activity as that is not required. The simple reason behind this is that your research is not the kind of research that should meet the governing definition of human subject research.
On the contrary, your research activity will typically involve information collection and interviewing about the home health care services and the different policies and not living individuals.
Ideally, all the participants who you need to interview should volunteer to be interviewed.
The limitations and results
However, there may be a few limitations you may experience depending on the nature of the qualitative research that you want to perform. In order to avoid these limitations you should select individuals for your interviews based on your priority in understanding the current state and the future prospects of the home health care. You must assume things from different perspectives of different key players such as:
- The payers
- The policy maker and
- The consumers.
This will ensure that the final outcome of your research and interview is not skewed while emphasizing the priorities of the payer, the consumer as well as the government.
This will also ensure that such type of unstructured interviews with the key stakeholders regarding the health policy yield the best results along with a number of chief themes. These themes may involve:
- The future of services, payment and delivery systems that may need to be reformed and
- The future of home health care services in context to the present scenario.
The useful recommendations
It is due to the shift in the demographic of the population that is aging quickly that it is imperative to make a change from the silo-concept to a more coordinated and a far better executed value based care instead of a silo type approach.
This will help you to meet with the consumer preferences and demands by the home health care service agencies more consistently according to its specific characteristics and distinct roles.
The future of the health care delivery system pivots on the ability of providers as well as the payers to influence the large variety of home based care. Since Medicare skilled home health care plays the most significant in this range of services, their officials have already showed their willingness to allow a fair bit of flexibility in in payments designing new payment models. This ensures that the providers who have a fair bit of financial prizedue to their performance that are measured on different parameters such as:
- Quality
- Time
- Ability and
- Cost targets.
However, the present home health care structure and challenges do not allow it to be used optimally. It is for this reason that you should follow a few recommendations to know the future of this specific industry. Ideally, this involves reducing the regulatory hurdles to risk sharing by the policy makers. It will incentivize providing organized and seamless health care.
