VNS Health Research Study Shows Benefits of Skilled Home Health Care for COVID-19 Patients
Study Title: Surviving COVID-19 After Hospital Discharge: Symptoms, Functional and Adverse Outcomes of Home Health Recipients
Published in the Annals of Internal Medicine – November 23, 2020
The Center for Home Care Policy and Research at VNS Health has published a new research study about the recovery of Covid-19 patients in home health care, which included 1409 home health care recipients, received from 64 hospitals, and cared for by VNS Health.
The study shows statistically significant improvements in clinical and functional status for COVID-19 patients who received skilled home health care services following discharge from the hospital. Given that only 11% of COVID-19 survivors nationwide were discharged from hospital settings with skilled home health services (CMS, June 2020), the study further suggests that home health care may be underutilized in the recovery of hospitalized COVID-19 patients—and could be a safe haven as the pandemic continues to surge.
The full study can be found here in the Annals of Internal Medicine – Surviving COVID-19 After Hospital Discharge: Symptoms, Functional and Adverse Outcomes of Home Health Recipients
Center for Home Care Policy and Research at VNS Health examines the long-term effects for transgender and nonbinary people after gender-affirming surgery
Gender Affirmation, Quality of Life, and Access to Care: A Mixed-Method Longitudinal Investigation
The GAP Study is the first study of its kind to examine the long-term psychosocial development, quality of life and well-being for a diverse group of transgender and nonbinary (TGNB) people after gender-affirming surgeries. It is a longitudinal, mixed methods study that will use qualitative, in-depth interviews alongside surveys. The study will look closely at the different support networks that are needed for people’s psychosocial wellbeing and quality of life after gender-affirming surgeries. The study will examine areas of psychosocial wellbeing, such as gender and sexuality identity, intimacy and relationships, social and community support, employment and financial well-being and a sense of purpose in life. The findings will provide much-needed knowledge and evidence to improve care and support services for TGNB people after surgery.
The GAP Study is a collaborative research initiative between VNS Health and Columbia University School of Nursing. Along with the research team, there is an advisory group comprised of experts in gender-affirming primary and specialty care who provide input and guidance throughout the study.
The full description of the study can be found here.
Check out VNS Health’s Gender Affirmation Program here.
This project is currently looking for interviewers. View job description here.
Miriam Ryvicker, PhD – Principal Investigator (co-PI)
Kathy Bowles, PhD, RN, FAAN, FACMI
Shannon Whittington, RN MSN CCM
Yolanda Barrón-Vayá, MS
Sridevi Sridharan, MS
Sonia J. Cheruvillil, MPH
Columbia University School of Nursing
Walter Bockting, PhD – Principal Investigator (co-PI)
Kasey Jackman, PhD, RN, PMHNP-BC
Maureen George, PhD, RN, AE-C, FAAN
Active Projects & Performance Summaries
2023 Active Projects
Synopsis of Center’s Performance Year to Date
Recently awarded federally-funded grants
Click the study titles below for additional details on these projects.
- NIA K03: (Weill Cornell Prime, VNS Health Subawardee): Developing and pilot testing culturally based educational videos for Puerto Rican and African American home hospice caregivers
- AHRQ R01: (Columbia University Prime, VNS Health Subawardee): Disparities in Infection in Home Health and Patients/Caregivers’ Perceptions (Dis-Infection in HHC)
- NINR R01: (Weill Cornell Prime, VNS Health Subawardee): A Pragmatic Randomized Control Trial of Nurse-Delivered Brief Meaning Centered Psychotherapy for Homebound Palliative Care Patients
- NINR R01: (VNS Health Prime, University of Pennsylvania & Columbia University Subawardees): Gender Affirmation, Quality of Life, and Access to Care: A Mixed-Method Longitudinal Investigation
- NIH R01: I-TRANSFER: (University of Pennsylvania Prime, VNS Health Subawardee) Improving transitions and outcomes of sepsis survivors
- NINR R21: (Icahn School of Medicine at Mount Sinai Prime, VNS Health Subawardee) Improving Ethical Care for Patients who are Incapacitated with No Evident Advance Directives or Surrogates (INEADS)
- AHRQ R01 Supplement: (Johns Hopkins University prime, VNS Health Subawardee) Evaluating home healthcare agency and home healthcare professional responsiveness to safety threats during older adults’ care transitions in the era of COVID-19
- AHRQ R01: (VNS Health Prime, University of Pennsylvania & Columbia University Subawardees): Homecare-CONCERN: Building risk models for preventable hospitalizations and emergency department visits in homecare
- NIA R21: (VNS Health Prime, Columbia University Subawardee): Nurses’ documentation of patient diagnoses, symptoms and interventions for home care patients with Alzheimer’s Disease and related dementias: A natural language processing study
An Overview: The Center’s research interests and activities
The research we do at the Center for Home Care Policy & Research falls into the three subject areas described below. Links are provided to descriptions of current and past projects falling into these categories.
Improving the quality, cost-effectiveness, and outcomes of home care services
These projects aim to measure and improve home care quality and outcomes through initiatives and studies on: evidence-based practice; patient outcomes; the home health care workforce and work environment; the relationship between formal and informal caregiving; and appropriate quality indicator measures for home care.
Analyzing and informing public policies that affect home-based care
The goal of these projects is to foster equitable and cost-effective policies for home- and community-based care by analyzing, understanding, and disseminating information on post-acute and long-term care policies and how they influence access to and the use, costs, and outcomes of care.
Supporting communities that promote successful aging in place
In this area, the goal is to help communities collect, interpret, and use consumer-derived and other types of data to inform planning and action in the following areas: increasing awareness about and prioritizing aging issues; designing and implementing plans to support the health, well-being, and independence of all older residents; and allocating community resources more effectively.
Past Research Projects
For a comprehensive list of past projects completed by the Center for Home Care Policy & Research, see our master project list.