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Patient Refusals Roundtable

On December 7, 2016 the Alliance and United Hospital Fund convened a roundtable focused on patient refusals of home health care services. The subsquent discussions, along with studies from roundtable participants, contributed to a final report on the impact of patient refusals on outcomes and rehospitalizations. One study, conducted by Kathryn Bowles, PhD, of the Visiting Nurse Service of New York and the University of Pennsylvania, found that 28 percent of eligible patients in the study refused home health care services; those who refused were more than twice as likely to be rehospitalized. 

 

 

Press Release

Full Report

Thank you to the following Roundtable participants:

  • Joe Baker, Medicare Rights Center
  • Kathryn Bowles, PhD, RN, University of Pennsylvania and Visiting Nurse Service of New York
  • Eric Coleman, MD, MPH, University of Colorado
  • Joanne Cunningham, Home Care Association of New York State
  • Penny Feldman, PhD, Visiting Nurse Service of New York
  • Lynn Friss Feinberg, AARP Public Policy Institute
  • Anne Foerg, LCSW, CaringKind
  • Kathleen U. Holt, MBA, JD, Center for Medicare Advocacy
  • Katherine Major, MSN, RN, Penn Home Care and Hospice Services, University of Pennsylvania Health System
  • Mary Jean McKeveny, MSN, RN, Dominican Sisters Family Health Services
  • Suzanne Mitchell, MD, MS, Boston University School of Medicine, Boston Medical Center Carol Rodat Center for Health Workforce Studies SUNY-Albany
  • Robert Rosati, PhD, VNA Health Group
  • Richard Siegel, LCSW, NYC Health + Hospitals Metropolitan Hospital
  • Judith A. Stein, JD, Center for Medicare Advocacy
  • Christina Whitehouse, PhD, RN, University of Pennsylvania School of Nursing
  • Teresa Lee, JD, MPH, Alliance for Home Health Quality and Innovation
  • Jennifer Schiller, Alliance for Home Health Quality and Innovation 
  • Catherine Arnst, United Hospital Fund
  • Deborah Halper, United Hospital Fund 
  • Carol Levine, United Hospital Fund
  • Nathan Myers, United Hospital Fund 
  • Kristina Ramos-Callan, United Hospital Fund 
  • Sally J. Rogers, United Hospital Fund 
  • James R. Tallon, Jr., United Hospital Fund 
  • Fredda Vladeck, United Hospital Fund