Table 1.
Study measures.
| Measures | Data Source | |
|---|---|---|
| Primary Outcomes | ||
| Hospitalization rate | Total number of hospitalizations/100 child-years | TDW data supplemented with hospitalization and ER visit data in Caregiver Month 1–5 & Final surveys |
| ER visit rate | Total number of ER visits/100-child years | |
| Days to readmission | Number of days between date of discharge from index and first unplanned hospitalization | |
| Secondary Outcomes | ||
| Caregiver burden | Change in Impact on Family Scale | Part of Caregiver Month 1 & Final survey |
| Satisfaction with home healthcare | Change in Caregiver Assessment of Pediatric Home Health Nursing Quality | Part of Caregiver Month 1–5 & Final survey |
| Intermediate Outcomes | ||
| HHN retention | HHN turnover rate (number of monthly HHN separations/number of HHN assigned) | Questions in Caregiver Month 1–5 & Final survey |
| HHN collaboration | Improvement in rating of “excellent”/“very good” vs. others | Question in Caregiver Month 1–5 & Final survey |
| Covariates – Child-level Characteristics | ||
| Age | Years | Questions in baseline Caregiver survey |
| Household residence | Rural vs. urban | |
| Race/ethnicity | Race/ethnicity categories | |
| Propensity Score – Home health agency Characteristics | ||
| Number of children served, ratio of pediatric clients to total number of clients, number of HHN trained in pediatrics, length of agency's existence | Questions in Home health agency survey (baseline) | |
| Measurement of Dose of Implementation | ||
| Dose Score | Number of HHN and PCP encounters with the intervention team | Encounter logs, Meeting Record Form |
ER: emergency room; HHN: home health nurse; PDN: private-duty nursing; TDW: Transitional Data Warehouse – Wake Forest Health Sciences' electronic tool to query child's healthcare utilization data