TY - JOUR
T1 - Hospitalizations in the program of all-inclusive care for the elderly
AU - Segelman, Micah
AU - Szydlowski, Jill
AU - Kinosian, Bruce
AU - McNabney, Matthew
AU - Raziano, Donna B.
AU - Eng, Catherine
AU - Van Reenen, Christine
AU - Temkin-Greener, Helena
N1 - Copyright:
Copyright 2014 Elsevier B.V., All rights reserved.
PY - 2014/2
Y1 - 2014/2
N2 - Objectives To measure the rates of hospitalization, readmission, and potentially avoidable hospitalization (PAH) in the Program of All-Inclusive Care for the Elderly (PACE). Design Retrospective study. Setting PACE. Participants PACE enrollees. Measurements Hospitalization and PAH rates were measured per 1,000 person-years. Readmission was defined as any return to the hospital within 30 days of prior hospital discharge. PAHs were defined as hospitalizations for conditions that previously established criteria have identified as possibly preventable or manageable without hospitalization. Results Rate of hospitalization was 539/1,000, vs 962/1,000 for dually eligible aged or disabled waiver (ADW) enrollees. Thirty-day readmission was 19.3%, compared with 22.9% for the national population of dually eligible older enrollees. PAH rate was 100/1,000, compared with 250/1,000 for dually eligible ADW enrollees. Considerable variation was observed between sites. Conclusion PACE enrollees experienced lower rates of hospitalization, readmission, and PAH than similar populations. Variations in hospitalization rates between PACE sites suggest opportunities for quality improvement.
AB - Objectives To measure the rates of hospitalization, readmission, and potentially avoidable hospitalization (PAH) in the Program of All-Inclusive Care for the Elderly (PACE). Design Retrospective study. Setting PACE. Participants PACE enrollees. Measurements Hospitalization and PAH rates were measured per 1,000 person-years. Readmission was defined as any return to the hospital within 30 days of prior hospital discharge. PAHs were defined as hospitalizations for conditions that previously established criteria have identified as possibly preventable or manageable without hospitalization. Results Rate of hospitalization was 539/1,000, vs 962/1,000 for dually eligible aged or disabled waiver (ADW) enrollees. Thirty-day readmission was 19.3%, compared with 22.9% for the national population of dually eligible older enrollees. PAH rate was 100/1,000, compared with 250/1,000 for dually eligible ADW enrollees. Considerable variation was observed between sites. Conclusion PACE enrollees experienced lower rates of hospitalization, readmission, and PAH than similar populations. Variations in hospitalization rates between PACE sites suggest opportunities for quality improvement.
KW - PACE
KW - dual eligible beneficiaries
KW - home- and community-based services
KW - long-term services and supports
KW - potentially avoidable hospitalizations
UR - http://www.scopus.com/inward/record.url?scp=84894069163&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84894069163&partnerID=8YFLogxK
U2 - 10.1111/jgs.12637
DO - 10.1111/jgs.12637
M3 - Article
C2 - 24417503
AN - SCOPUS:84894069163
SN - 0002-8614
VL - 62
SP - 320
EP - 324
JO - Journal of the American Geriatrics Society
JF - Journal of the American Geriatrics Society
IS - 2
ER -