Emma Sims-Hilditch is best known for creating relaxed, elegant interiors that are ideal for the values and lifestyles of a new generation. The environments she makes offer an insight into the considered house of the future—simple, beautiful, and practical, advancing a new style of living that is transforming not only the lives of homeowners but also communities. Sims-Hilditch gives advice on the best ways to decorate and organize a home. She embraces traditional materials translated for contemporary interior stone walls, comforting color palettes, stylish and sturdy fabrics, and antiques mixed with contemporary designs. 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.

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. 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. Minowa, Y., & Ohara, K. (1999). Jichitai no koureisya muke jyutaku kaizen hojoseido no jittai (Japanese: Recent conditions of municipal home modificaiton programs). Rounen syakai gaku, 21, 171.

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Takahashi, G., Suzuki, M., Noguchi, Y., & Oya, T. (2001). Kaigohoken seido ka ni okeru toukyouto shi-ku-tyou-son no koureisya juutaku kaisyuu jigyou no gennjou to kadai (Japanese: Situation and problems of home modification programs for the elderly under the Long-term Care Insurance System in municipalities in Tokyo). Fukushi no machi dukuri kenkyu kai, 23–26. As a library, NLM provides access to scientific literature. Inclusion in an NLM database does not imply endorsement of, or agreement with, The primary analyses for this study relied on data from 2005 to 2018 Medicare Cost Reports, a public data source maintained by the Centers for Medicare and Medicaid Services (CMS). All Medicare‐certified providers, including skilled nursing facilities, hospices, hospitals, and HHAs, are required to submit a cost report annually. Freestanding home health agency information was extracted from Medicare Home Health Agency Cost Reports; information regarding hospital‐based HHAs and skilled nursing facility‐based HHAs was extracted from Medicare hospital and skilled nursing facilities cost reports.

Additionally, the proportions of HHAs with performance in the national bottom decile were higher for nonchain agencies than those for chain‐owned agencies. One explanation for this is that chains could better maintain floors of quality, compared to nonchain HHAs. Our consulting team answers your commercial questions with data and insights generated by our research experts, industry knowledge and 1,200 on-the-ground analysts in 100 developed, emerging and frontier markets. Percent of Medicare enrollees served by chain home health agencies, by state, for the years 2005 and 2018. Panel A. Percent of Medicare enrollees in chain home health agencies, by state, in 2005. Panel B. Percent of Medicare enrollees in chain home health agencies, by state, in 2018. Source: Authors’ analysis of data from Medicare cost reports, 2005‐2018 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. Yutakana jyu kannkyo wo kanngaeru-kai. (1994). Zukai Nihon no jyutaku ga wakaru hon (Japanese: Understand Japanese houses with illustrations). Tokyo: PHP Kenkyu jo.Our study found that for‐profit nonchain HHAs performed relatively worse on self‐reported process and outcome measures but better on claims‐based outcome measures. One explanation for this difference is that multi‐agency chains can develop standardized care practices and more easily share resources. Standardization of protocols and practices makes it easier for specific tasks to be completed. For example, a study by Kamimura et al found that corporate standardization was associated with fewer deficiencies in chain‐owned nursing homes. 21 Suzuki, A. (1993). Koureisya no jiritsu seikatsu kara mita jyukankyou no nichibei hikaku to jyutaku kaizen no kadai (Japanese: A Comparative study of housing conditions between Japan and the U.S. from a perspective of home modifications for the elderly). In Japan Collage of Social Work, (Ed.), Netakiri roujin no nitibei hikaku kenkyu (Japanese: Comparative studies of the Bed-ridden elderly between Japan and the U.S.). 179–207, Tokyo: Japan College of Social Work. 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.