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

Michael P. Cary; Janet Prvu Bettger; Jessica M. Jarvis; Kenneth J. Ottenbacher; James E. Graham

doi:10.1111/1475-6773.12796

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

Michael P. Cary, Janet Prvu Bettger, Jessica M. Jarvis, Kenneth J. Ottenbacher, James E. Graham

Research output: Contribution to journal › Article › peer-review

14 Scopus citations

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.

Original language	English (US)
Pages (from-to)	2470-2482
Number of pages	13
Journal	Health Services Research
Volume	53
Issue number	4
DOIs	https://doi.org/10.1111/1475-6773.12796
State	Published - Aug 2018

Keywords

Medicare, rehabilitation services, health services research
health policy
patient outcomes

ASJC Scopus subject areas

Health Policy

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10.1111/1475-6773.12796

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title = "Successful Community Discharge Following Postacute Rehabilitation for Medicare Beneficiaries: Analysis of a Patient-Centered Quality Measure",

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.",

keywords = "Medicare, rehabilitation services, health services research, health policy, patient outcomes",

author = "Cary, {Michael P.} and {Prvu Bettger}, Janet and Jarvis, {Jessica M.} and Ottenbacher, {Kenneth J.} and Graham, {James E.}",

note = "Funding Information: Joint Acknowledgment/Disclosure Statement: This work was funded in part by the National Institutes of Health (R24HS022134, P2C-HD065702, R01-HD069443) and the National Institute on Disability, Independent Living and Rehabilitation Research (90IF0071). Research reported in this publication was also supported by the National Center for Advancing Translational Sciences of the National Institutes of Health under Award Number 5KL2TR001115. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. Disclosures: None. Publisher Copyright: {\textcopyright} Health Research and Educational Trust",

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doi = "10.1111/1475-6773.12796",

language = "English (US)",

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AU - Prvu Bettger, Janet

AU - Jarvis, Jessica M.

AU - Ottenbacher, Kenneth J.

AU - Graham, James E.

N1 - Funding Information: Joint Acknowledgment/Disclosure Statement: This work was funded in part by the National Institutes of Health (R24HS022134, P2C-HD065702, R01-HD069443) and the National Institute on Disability, Independent Living and Rehabilitation Research (90IF0071). Research reported in this publication was also supported by the National Center for Advancing Translational Sciences of the National Institutes of Health under Award Number 5KL2TR001115. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. Disclosures: None. Publisher Copyright: © Health Research and Educational Trust

PY - 2018/8

Y1 - 2018/8

N2 - 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.

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

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