Report to Congress : study of home respiratory therapy PDF
Preview Report to Congress : study of home respiratory therapy
^ Centers for .Medicare & Medicaid Services ^^^ R&D Projects Database PDF TRACKING FORM TrackingJobNumber 147 Printed: 5/29/2002 Document Title StudyofHome RespiratoryTherapy Author Anonymous DocumentDate 19-Mar-86 DocumentDescription: Reportto Congress Project Specifics SRNumber ProjectNumber ProjectTitle Awardee Project Officer Principle Investigator Funding Level StartDate EndDate ProjectDescription: Initiated (CMS): sgalloway Date: 29-May-02 Accepted (IQ): Date: |j 1 r, [I Released (IQ): Date: Received (Sub): Date: j j ij Finished (Sub): Date: QC'd (IQ): Date: 1 Returned (IQ): Date: pproved (CMS): Date: 1 [j ' version 1.0 REPORT TO CONGRESS STUDY OF HOME RESPIRATORY THERAPY Department of Health and Human Services Health Care Financing Administration Office of Research and Demonstrations CONTENTS Page EXECUTIVE SUMMARY i INTRODUCTION 1. 1 A. Background B. Objectives of the Study C. Data Sources D. Definition of Terms E. Description of Medicare Home Respiratory Therapy Coverage F. Summary 2. THE NEED FOR RESPIRATORY THERAPISTS' SERVICES 12 A. Medical Diagnoses Associated with a Need for Respiratory Therapy B. Home Respiratory Therapy C. Providers of Home Respiratory Care D. Conditions Requiring Care Delivered by Respiratory Therapists E. Aspects of the Current System which Influence the Need for Home Respiratory Care F. Summary 3. THE RELATIONSHIP BETWEEN RESPIRATORY THERAPY AND HEALTH 25 OUTCOMES A. Assessment of Four Categories of Respiratory Therapy Services 1. Oxygen Therapy 2. Aerosol Therapy 3. Mechanical Ventilation 4. Chest Physical Therapy B. Summary 4. COST EFFECTIVENESS OF HOME RESPIRATORY THERAPY 31 A. Studies of Home Respiratory Care B. Summary 5. AN EVALUATION OF THE CURRENT SYSTEM FOR PROVIDING 37 RESPIRATORY CARE A. Hospital Respiratory Therapy Services B. Physician Supervision C. Durable Medical Equipment Suppliers D. Provision of Home Respiratory Therapy by Nurses E. Summary 6. ARGUMENTS IN FAVOR OF AND AGAINST RETAINING CURRENT MEDICARE COVERAGE OF HOME RESPIRATORY THERAPY CARE A. Adequacy of Present System B. Effects on Costs C. Effects on Quality D. Summary RECOMMENDATION 7. GLOSSARY APPENDICES
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