Zachary Hass 1 , Mark Woodhouse 2 , Robert Kane 2 , Greg Arling 1 Show Affiliations »
Abstract
OBJECTIVE: To build and test a model that predicts community discharge probabilities for Medicaid-eligible nursing home (NH) residents who remain in the nursing home at 90 days after admission and, thus, would be candidates for the Money Follows the Person (MFP) program. DATA SOURCE: The Minimum Data Set, Medicaid Management Information Systems, and Minnesota Vital Statistics file. DATA: Cohort of 33, 590 nursing home stays that qualified for Medicaid by the 90th day of their stay from 383 Minnesota nursing homes from July 2011 to June 2013. STUDY DESIGN: Mixed effects logistic regression model to predict community discharge. PRINCIPAL FINDINGS: The scoring system had a high level of accuracy in predicting community discharge for both the fitting and validation cohorts. Subpopulations with severe mental illness or intellectual disability were well represented across the entire score range. CONCLUSIONS: Findings are being applied in the Minnesota's MFP initiative (Moving Home Minnesota) to target Medicaid-eligible NH residents for transitioning to the community. This approach could be applied to MFP in other states. © Health Research and Educational Trust.
OBJECTIVE: To build and test a model that predicts community discharge probabilities for Medicaid-eligible nursing home (NH) residents who remain in the nursing home at 90 days after admission and, thus, would be candidates for the Money Follows the Person (MFP) program. DATA SOURCE: The Minimum Data Set, Medicaid Management Information Systems, and Minnesota Vital Statistics file. DATA: Cohort of 33, 590 nursing home stays that qualified for Medicaid by the 90th day of their stay from 383 Minnesota nursing homes from July 2011 to June 2013. STUDY DESIGN: Mixed effects logistic regression model to predict community discharge. PRINCIPAL FINDINGS: The scoring system had a high level of accuracy in predicting community discharge for both the fitting and validation cohorts. Subpopulations with severe mental illness or intellectual disability were well represented across the entire score range. CONCLUSIONS: Findings are being applied in the Minnesota's MFP initiative (Moving Home Minnesota) to target Medicaid-eligible NH residents for transitioning to the community. This approach could be applied to MFP in other states. © Health Research and Educational Trust.
Entities: Disease
Species
Keywords:
Medicaid; Modeling; long-term care; multi-level; quality improvement
Mesh： See more »
Year: 2017
PMID： 29047118 PMCID： PMC6056596 DOI： 10.1111/1475-6773.12795
Source DB: PubMed Journal: Health Serv Res ISSN： 0017-9124 Impact factor: 3.402