The Evolution of Home: English Interiors for a New Era

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Rows of late Victorian homes included a mixture of features, including towers, Gothic-shaped windows, plus terracotta details, patterned roof tiles, and a recessed door with stained glass panels. However, the home health market and home health agency performance have never been examined at the intersection of chain and profit status, which can provide important organizational and managerial insights on the HHA sector. Conversely, nonchain HHAs, on average, performed better on claims‐based outcome measures compared to chain‐owned HHAs. Chain‐owned HHAs (both for‐profit and nonprofit) had a higher percentage of patients who had to be admitted to the hospital, compared to for‐profit nonchain HHAs after risk adjustment. However, nonprofit nonchain agencies and government‐owned agencies performed the worst on this measure. For‐profit chain‐owned HHAs had the highest risk‐adjusted Medicare spending per eposide of care, 3% above the national median level. In contrast, the spending of all other HHA categories was all 3%‐4% below the national median level.

We conducted several analyses to investigate the home health market. We first examined overall trends in the number of HHAs and the number of Medicare enrollees served by HHAs by ownership type and chain status from 2005 to 2018. When provided partial year entries for a given agency‐year, we re‐weighted partial year observations to make annual estimations. We excluded agencies with missing entries. How often the home health team taught patients (or their family caregivers) about their drugs (Percentage)How often patients receiving home health care needed urgent, unplanned care in the ER without being admitted (percentage)

In terms of enrollment, Medicare enrollees and total enrollees per chain more than doubled between 2005 and 2018. At agency level, in both 2005 and 2018, for‐profit chain‐owned HHAs had considerably larger number of Medicare enrollees and total enrollees than for‐profit nonchain HHAs, on average, whereas the nonprofit chain‐owned and nonprofit nonchain HHAs were more similar.Whether the project is an urban townhouse, a seaside cottage, an ancestral residence, or a lakeside retreat, the approach of Sims Hilditch is always the same—a collaboration with clients to make stylish, comfortable homes that offer the perfect settings for everyday life. The book explores how the studio creates rooms where people live healthy and vibrant lives, aware of the changing seasons and embracing the comforts of a slower lifestyle—resulting in a holistic picture of design in the twenty-first century.