Comparison of home health and hospice care agencies by organizational characteristics and services provided: United States, 2007

OBJECTIVE: This report presents national estimates of the organizational characteristics of home health and hospice care agencies in 2007. Comparisons of organizational characteristics and provision of selected services are made by agency type. A comparison of selected characteristics between 1996 and 2007 is also provided to highlight changes that have occurred leading to the current composition of the home health and hospice care sector. METHODS: Estimates are based on data collected on agencies from the 1996, 2000, and 2007 National Home and Hospice Care Survey, conducted by the Centers for Disease Control and Prevention's National Center for Health Statistics. Estimates are derived from data collected during interviews with administrators and staff designated by the administrators. RESULTS: In 2007, there were 14,500 home health and hospice care agencies in the United States, an increase from 11,400 in 2000. Three-quarters of these agencies provided home health care only, 15% provided hospice care only, and 10% provided both home health and hospice care (mixed). The percentage of proprietary home health care only and hospice care only agencies increased during 1996-2007, whereas the percentage of proprietary mixed agencies remained relatively stable. The average number of home health care patients that home health care only and mixed agencies served decreased, while the average number of hospice care patients that hospice care only agencies served increased across years. Among mixed agencies, no significant changes were observed in the average number of hospice care patients being served. The percentage of home health care only agencies offering certain therapeutic and nonmedical services declined over the years. There was an increase in the proportion of hospice care only agencies' providing many core and noncore hospice care services during 1996-2007. Also during this time, the proportion of mixed agencies providing selected nonmedical services decreased.by Eunice Y. Park-Lee and Frederic H. Decker.November 9, 2010.Includes bibliographical references (pages 13-14)

National Hospital Discharge Survey: 2005 annual summary with detailed diagnosis and procedure data

Chiefly tables."By Carol J. DeFrances, Ph.D.; Karen A. Cullen, Ph.D., M.P.H.; and Lola Jean Kozak, Ph.D., Division of Health Care Statistics." - p. 1"December 2007."Also available via the World Wide Web as an Acrobat .pdf file (9.77 MB, 218 p.).Includes bibliographical references (p. 6-7)

Home health care and discharged hospice care patients: United States, 2000 and 2007

OBJECTIVES: This report presents national estimates on home health care patients and discharged hospice care patients. Information on characteristics, length of service, medical diagnoses, functional limitations, service use, advance care planning, and emergent and hospital care use are presented for home health care patients and hospice care discharges. A comparison of selected characteristics for 2000 and 2007 is also provided to highlight changes. METHODS: Estimates are based on data collected on agencies from the 2000 and 2007 National Home and Hospice Care Survey, conducted by the Centers for Disease Control and Prevention's National Center for Health Statistics. Estimates are derived from data collected during interviews with administrators and staff designated by the administrators. RESULTS: Each day in 2007, there were an estimated 1,459,900 home health care patients. They were predominantly aged 65 years or over, female, and white. Their mean length of service was 315 days, and their most common primary diagnosis at admission was diabetes mellitus. About one-fourth of them had advance care planning and one-fifth had at least one overnight hospital stay since admission to the home health care agency. In 2007, there were 1,045,100 discharged hospice care patients. The majority of discharged patients were aged 65 or over, female, and white, and most were discharged deceased. Their mean length of service was 65 days, and the most common primary diagnosis at admission was malignant neoplasm. Most of them had advance care planning, and about one-fourth had three or more types of advance care planning instruments.by by Christine Caffrey, Manisha Sengupta, Abigail Moss, Lauren Harris-Kojetin, and Roberto Valverde, Division of Health Care Statistics.April 27, 2011.Includes bibliographical references (p. 8)

Family structure and children's health: United States, 1988

Prepared by Deborah A. Dawson.Based on data from the 1988 National Health Interview Survey on Child Health.Also available via the World Wide Web.Includes bibliographical references (p. 11-12)

Design and operation of the National Survey of Adoptive Parents, 2007

" Objective: This report presents the development, plan, and operation of the National Survey of Adoptive Parents (NSAP), a module of the State and Local Area Integrated Telephone Survey conducted by the Centers for Disease Control and Prevention\ue2\u20ac\u2122s National Center for Health Statistics. NSAP was designed to produce national estimates of the characteristics, health, and well-being of adopted children and their families, the preadoption experiences of the adoptive parents, and their access to and utilization of postadoption supports and services. Funding for the survey was provided by the Office of the Assistant Secretary for Planning and Evaluation and the Administration for Children and Families, both of the Department of Health and Human Services. Methods: The National Survey of Children\ue2\u20ac\u2122s Health, 2007 (NSCH) was a randomdigit-dial telephone survey of households with children under age 18 years. In households with more than one child, one child was randomly selected to be the subject of the interview. Children identified as adopted, who did not live with a biological parent and who lived in households where English was spoken, were eligible for the NSAP follow-up interview. The NSAP interview was a call-back scheduled at the end of the NSCH telephone interview. Sampled children included those adopted from other countries, from the U.S. foster care system, and from private domestic sources. Respondents were either the adoptive mother or the adoptive father. Results: A total of 2,089 NSAP interviews were completed from April 2007 to July 2008. The interview completion rate (i.e., cooperation rate) for eligible respondents was 74.4%. The overall response rate, taking into account nonresponse to NSCH, was 34.6%." - p. 1"Juy 2010.""by Matthew D. Bramlett, Ph.D., National Center for Health Statistics, Division of Health Interview Statistics; Erin B. Foster, M.S.T., Alicia M. Frasier, M.P.H., Jennifer Satorius, M.S.W., Benjamin J. Skalland, M.S., Kari L. Nysse-Carris, Ph.D., Heather M. Morrison, M.A., and Sadeq R. Chowdhury, Ph.D., NORC at the University of Chicago" - p. 1Also available via the World Wide Web as an Acrobat .pdf file (1.4 MB, 164 p.).Includes bibliographical references (p. 20).Bramlett MD, Foster EB, Frasier AM, et al. Design and operation of the National Survey of Adoptive Parents, 2007. National Center for Health Statistics. Vital Health Stat 1(50). 2010

Summary health statistics for U.S. children: National Health Interview Survey, 2003

"March 2005.""By Achintya N. Dey, M.A. and Barbara Bloom, M.P.A., Division of Health Interview Statistics." - p. 1Also available via the World Wide Web.Includes bibliographical references (p. 6-7)

National Hospital Discharge Survey: annual summary, 1998

OBJECTIVES: This report presents 1998 national estimates and selected trend data on the use of non-Federal short-stay hospitals in the United States. Estimates are provided by demographic characteristics of patients discharged, geographic region of hospitals, conditions diagnosed, and surgical and nonsurgical procedures performed. Measurements of hospital use include number and rate of discharges and days of care, and the average length of stay. Estimates of first-listed diagnoses, days of care, all-listed diagnoses, and all-listed procedures are presented according to their code number in the International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM).METHODS: The estimates are based on data collected through the National Hospital Discharge Survey. The survey has been conducted annually by the National Center for Health Statistics since 1965. In 1998, data were collected for approximately 307,000 discharges. Of the 495 eligible non-Federal short-stay hospitals in the sample, 478 (97 percent) responded to the survey.RESULTS: An estimated 31.8 million inpatients were discharged from non-Federal short-stay hospitals in 1998. These patients used an estimated 160.9 million days of care. Patients 65 years of age and over accounted for 39 percent of discharges and used 48 percent of days of care. Heart disease and deliveries made up 26 percent of first-listed diagnoses. One or more procedures were reported for 63 percent of discharges. The cesarean rate per 100 deliveries increased from 20.8 in 1995 to 22.5 in 1998. An estimated 3.8 million newborn infants were discharged from short-stay hospitals after average stays of 3.2 days.Chiefly tables.Includes bibliographical references (p. 5-6).1107789

Availability of pediatric services and equipment in emergency departments, United States, 2002-03

"OBJECTIVES: This report presents estimates on the availability of pediatric services, expertise, and supplies for treating pediatric emergencies in U.S. hospitals. METHODS: The Emergency Pediatric Services and Equipment Supplement (EPSES) was a self-administered questionnaire added to the 2002-03 National Hospital Ambulatory Medical Care Survey (NHAMCS). NHAMCS samples non-Federal, short-stay and general hospitals in the United States. The EPSES content was based on the 2001 guidelines for pediatric services, medical expertise, small-sized supplies, and equipment for emergency departments (EDs) developed by the American Academy of Pediatrics (AAP) and the American College of Emergency Physicians (ACEP). Combined response rate for both years was 86 percent. Estimates were weighted to produce average annual estimates of pediatric services, expertise, and equipment availability in EDs. RESULTS: One-half of hospitals (52.9 percent) admitted pediatric patients, but did not have a specialized inpatient pediatric ward. One-third (38.3 percent) admitted pediatric patients and had a separate pediatric ward; the remainder did not admit pediatric patients. Among those that did not admit pediatric cases, 30.4 percent were in counties that had a children's hospital. One-quarter of EDs had access 24 hours and 7 days a week to a board-certified pediatric emergency medicine attending physician. Only 5.5 percent had all recommended pediatric supplies, but one-half had greater than 85 percent of recommended supplies. Most hospitals without pediatric trauma service (90.7 percent) or pediatric intensive care units (97.5 percent) transferred critical pediatric patients to hospitals with these services. EDs in hospitals with specialized inpatient facilities for children were more likely to meet the AAP and ACEP guidelines for pediatric ED services, expertise, and supplies."by Kimberly R. Middleton and Catharine W. Burt.Caption title."February 28, 2006."Also available via the World Wide Web

Summary health statistics for U.S. children: National health interview survey, 2009

"December 2010.""By Barbara Bloom, Robin A. Cohen, and Gulnur Freeman, Division of Health Interview Statistics"-- P. 1.Also available via the World Wide Web as an Acrobat .pdf file (1.38 MB, 88 p.).538 Mode of access: World Wide Web as an Acrobat .pdf file (1.38 MB, 88 p.).Includes bibliographical references

Plan and operation of the HANES I augmentation survey of adults 25-74 years: United States, 1974-1975

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