Literature DB >> 29134630

Successful Community Discharge Following Postacute Rehabilitation for Medicare Beneficiaries: Analysis of a Patient-Centered Quality Measure.

Michael P Cary1, Janet Prvu Bettger2, Jessica M Jarvis3, Kenneth J Ottenbacher4, James E Graham4.   

Abstract

OBJECTIVE: To determine the sociodemographic and clinical characteristics as well as health services use associated with successful community discharge. DATA SOURCE: Inpatient Rehabilitation Facility-Patient Assessment Instrument and Medicare Provider Analysis and Review files. STUDY
DESIGN: We retrospectively examined 167,664 Medicare beneficiaries discharged from inpatient rehabilitation facilities (IRFs) in 2013 to determine the sociodemographic and clinical characteristics as well as health services use associated with successful community discharge. PRINCIPAL
FINDINGS: In the multivariable model, sociodemographic (younger age, no disability, social support), clinical (higher motor and cognitive functional status at admission), and health services use (fewer acute care days and longer IRF days) variables were associated with successful community discharge.
CONCLUSIONS: Remaining in the community is an important patient-centered outcome that could complement other postacute rehabilitation quality measures. © Health Research and Educational Trust.

Entities:  

Keywords:  Medicare, rehabilitation services, health services research; health policy; patient outcomes

Mesh：

Year:  2017        PMID： 29134630      PMCID： PMC6052014          DOI： 10.1111/1475-6773.12796

Source DB:  PubMed          Journal:  Health Serv Res        ISSN： 0017-9124            Impact factor:   3.402


  18 in total

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3.  Facility and Geographic Variation in Rates of Successful Community Discharge After Inpatient Rehabilitation Among Medicare Fee-for-Service Beneficiaries.

Authors:  Addie Middleton; James E Graham; Janet Prvu Bettger; Allen Haas; Kenneth J Ottenbacher
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