Associations Between Preoperative Physical Therapy and Post-Acute Care Utilization Patterns and Cost in Total Joint Replacement

2014 ◽  
Vol 96 (19) ◽  
pp. e165 ◽  
Author(s):  
Richard Snow ◽  
Jaymes Granata ◽  
Anirudh V.S. Ruhil ◽  
Karen Vogel ◽  
Michael McShane ◽  
...  
Keyword(s):  
Physical Therapy ◽  
Acute Care ◽  
Joint Replacement ◽  
Total Joint Replacement ◽  
Care Utilization ◽  
Utilization Patterns ◽  
Acute Care Utilization ◽  
Post Acute Care

Pediatric stroke: clinical characteristics, acute care utilization patterns, and mortality

2010 ◽  
Vol 27 (4) ◽  
pp. 565-573 ◽  
Author(s):  
Kimberly D. Statler ◽  
Li Dong ◽  
Denise M. Nielsen ◽  
Susan L. Bratton
Keyword(s):  
Acute Care ◽  
Clinical Characteristics ◽  
Care Utilization ◽  
Pediatric Stroke ◽  
Utilization Patterns ◽  
Acute Care Utilization

Post-Acute Care Utilization and Episode of Care Payments Following Common Elective Operations

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Anne P Ehlers ◽  
Ryan Howard ◽  
Yen-ling Lai ◽  
Jennifer F. Waljee ◽  
Lia D. Delaney ◽  
...  
Keyword(s):  
Acute Care ◽  
Care Utilization ◽  
Episode Of Care ◽  
Acute Care Utilization ◽  
Post Acute Care

scholarly journals Racial Differences in Post-Acute Utilization After Hip Fracture in Medicare Beneficiaries With ADRD

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 59-59
Author(s):  
Indrakshi Roy ◽  
Amol Karmarkar ◽  
Amit Kumar ◽  
Meghan Warren ◽  
Patricia Pohl ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Racial Differences ◽  
Acute Care ◽  
Multinomial Logistic Regression ◽  
Ethnic Disparities ◽  
Inpatient Rehabilitation ◽  
Care Utilization ◽  
Racial Groups ◽  
Acute Care Utilization ◽  
Post Acute Care

Abstract BACKGROUND: The incidence of hip fracture in patients with Alzheimer’s disease and related dementias (ADRD) is 2.7 times higher than it is in those without ADRD. Care complexity, including extensive post-acute rehabilitation, increases substantially in patients with ADRD after hip fracture. However, there are no standardized post-acute care utilization models for patients with ADRD after hip fracture. Additionally, there is a lack of knowledge on how post-acute utilization varies by race/ethnicity, in this population. OBJECTIVES: To investigate racial differences in post-acute care utilization following hip fracture related hospitalization in patients with ADRD. METHODS: A secondary analysis was conducted on 120,179 older adults with ADRD with incident hip fracture, using 100% Medicare data (2016-2017). The primary outcome was post-acute discharge dispositions (skilled nursing facility [SNF], inpatient rehabilitation facility [IRF], and Home Health Care [HHC]) across various racial groups. Multinomial logistic regression examined the association between race and post-acute discharge dispositions after accounting for patient-level covariates. RESULTS: Compared to non-Hispanic Whites, minority racial groups have significantly lower odds of being discharged to SNF, IRF, or HHC, as compared to home. Adjusted odds ratio for Hispanics discharged to SNF was 0.28 (CI=0.24-0.31), to IRF was 0.46 (CI=0.39-0.52) and HHC was 0.64 (95% CI =0.54-0.75), as compared to home. CONCLUSION: ADRD patients have higher risk of hip fracture. Findings from this study will provide insight on how to reduce racial and ethnic disparities in post-acute care utilization in vulnerable populations and improve quality of care and health outcomes.

The Effect of Hospital Safety Net Status on the Association Between Bundled Payment Participation and Changes in Medical Episode Outcomes

2021 ◽  
Author(s):  
Joshua M Liao ◽  
Paula Chatterjee ◽  
Erkuan Wang ◽  
John Connolly ◽  
Jingsan Zhu ◽  
...  
Keyword(s):  
Acute Care ◽  
Low Income ◽  
Safety Net ◽  
Care Utilization ◽  
Difference In Differences ◽  
Bundled Payment ◽  
Hospital Safety ◽  
Percentage Points ◽  
Acute Care Utilization ◽  
Post Acute Care

BACKGROUND: Under Medicare’s Bundled Payments for Care Improvement (BPCI) program, hospitals have maintained quality and achieved savings for medical conditions. However, safety net hospitals may perform differently owing to financial constraints and organizational challenges. OBJECTIVE: To evaluate whether hospital safety net status affected the association between bundled payment participation and medical episode outcomes. DESIGN, SETTING, AND PARTICIPANTS: This observational difference-in-differences analysis was conducted in safety net and non–safety net hospitals participating in BPCI for medical episodes (BPCI hospitals) using data from 2011-2016 Medicare fee-for-service beneficiaries hospitalized for acute myocardial infarction, pneumonia, congestive heart failure, and chronic obstructive pulmonary disease. EXPOSURE(S): Hospital BPCI participation and safety net status. MAIN OUTCOME(S) AND MEASURE(S): The primary outcome was postdischarge spending. Secondary outcomes included quality and post–acute care utilization measures. RESULTS: Our sample consisted of 803 safety net and 2263 non–safety net hospitals. Safety net hospitals were larger and located in areas with more low-income individuals than non–safety net hospitals. Among BPCI hospitals, safety net status was not associated with differential postdischarge spending (adjusted difference-in-differences [aDID], $40; 95% CI, –$254 to $335; P = .79) or quality (mortality, readmissions). However, BPCI safety net hospitals had differentially greater discharge to institutional post–acute care (aDID, 1.06 percentage points; 95% CI, 0.37-1.76; P = .003) and lower discharge home with home health (aDID, –1.15 percentage points; 95% CI, –1.73 to –0.58; P < .001) than BPCI non–safety net hospitals. CONCLUSIONS: Under medical condition bundles, safety net hospitals perform differently from other hospitals in terms of post–acute care utilization, but not spending. Policymakers could support safety net hospitals and consider safety net status when evaluating bundled payment programs.

COPD comorbidity profiles and two-year trajectory of acute and post-acute care utilization

CHEST Journal ◽  
2021 ◽  
Author(s):  
Ernest Shen ◽  
Janet S. Lee ◽  
Richard A. Mularski ◽  
Phillip Crawford ◽  
Alan S. Go ◽  
...  
Keyword(s):  
Acute Care ◽  
Care Utilization ◽  
Acute Care Utilization ◽  
Post Acute Care

Co-Calibrated Admission Functional Score and Subsequent Post-Acute Care Utilization for Medicare Beneficiaries

2018 ◽  
Vol 99 (10) ◽  
pp. e65
Author(s):  
Chih-Ying (Cynthia) Li ◽  
Amol Karmarkar ◽  
Allen Haas ◽  
Yong-Fang Kuo ◽  
Kenneth Ottenbacher
Keyword(s):  
Acute Care ◽  
Care Utilization ◽  
Functional Score ◽  
Medicare Beneficiaries ◽  
Acute Care Utilization ◽  
Post Acute Care

Using Rehabilitation Services Areas (RSAs) to Characterize Post-Acute-Care Utilization in Stroke

2020 ◽  
Vol 74 (4_Supplement_1) ◽  
pp. 7411510284p1
Author(s):  
Chih-Ying Li ◽  
Julianna Dean ◽  
Annalisa Na ◽  
Allen Haas ◽  
Kimberly Hreha ◽  
...  
Keyword(s):  
Acute Care ◽  
Care Utilization ◽  
Rehabilitation Services ◽  
Acute Care Utilization ◽  
Post Acute Care
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