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Abstract

Accordant Health Services specializes in Crohn's disease management for health plans and employer groups across the United States. The claims database was used to ascertain patterns of care that might reveal opportunities to improve clinical interventions. One component of the research involved identifying primary drivers for home health utilization. Many Crohn's patients require complex and costly home health services for ostomy care and home infusion services. More in-depth analysis of this cohort reveals additional characteristics such as comorbidities and other traits that increase risk factors and impede adherence to complex treatment regimens. By sharing these findings with the home health community, it is the hope that insight into potential needs specific to the Crohn's population that require home health services will be provided. This information may be used to improve clinical outcomes and reduce the likelihood of hospitalizations for this high-risk population.

Keywords

home care services Crohn's disease home infusion therapy ostomy comorbidity

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References

Ashford, D. , Imhoff, B. , Angulo, F. , & the FoodNet Working Group. ( 2001). Over a half-million persons may have Crohn's disease in the United States. Retrieved June 13, 2008, from http://www.cdc.gov/enterics/publications/24_ashford_2001.pdf

Centers for Disease Control and Prevention. ( 2007). Inflammatory bowel disease (IBD). Retrieved June 13, 2008, from http://www.cdc.gov/nccdphp/dach/ibd.htm

Crohn's & Colitis Foundation of America. ( 2008). About Crohn's disease. Retrieved June 4, 2008, from http://www.ccfa.org/info/about/crohns

Milstein, B. , Jones, A. , Homer, J. , Murphy, D. , Essien, J. , & Seville, D. (2007). Charting plausible futures for diabetes prevalence in the United States: A role for system dynamics simulation modeling. Retrieved June 23, 2008, from http://www.cdc.gov/pcd/issues/2007/jul/06_0070.htm

Neyer, J. , Greenlund, K. , Denny, C. , Keenan, N. , Labarthe, D. , Croft, J. , et al. (2007). Prevalence of heart disease-United States, 2005. Morbidity and Mortality Weekly Report, 56(06), 113-118.

Pavli, P. (2007). Smoking and Crohn's disease. Retrieved June 13, 2008, from http://www.acca.net.au/index.php?option=com_content&task=view&id=24&Itemid=47

Rhodes, L. , Moorman, J. , Redd, S. , Mannino, D. , & Division of Environmental Hazards and Health Effects, National Center for Environmental Health, Centers for Disease Control and Prevention. (2003). Self-reported asthma prevalence and control among adults-United States, 2001. Morbidity and Mortality Weekly Report, 52(17), 381-384.

Home Health Utilization in Persons with Crohn's Disease

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