Variations in risk-adjusted outcomes in a managed acute/long-term care program for frail elderly individuals

International Journal for Quality in Health Care

Volumn 16, Issue 4, 2004, Pages 293-301

  Mukamel, Dana B ^a   Peterson, Derick R ^b   Bajorska, Alina ^b   Temkin Greener, Helena ^b   Kunitz, Stephen ^b   Gross, Diane ^b   Williams, T Franklin ^c  

^a UNIVERSITY OF CALIFORNIA   (United States)

^b UNIVERSITY OF ROCHESTER   (United States)

^c UNIVERSITY OF ROCHESTER MEDICAL CENTER   (United States)

Author keywords

Elderly; Long term care; PACE; Quality indicators; Risk adjustment

Indexed keywords

AGED; ARTICLE; COGNITION; COMMUNITY CARE; CONTROLLED STUDY; CORRELATION ANALYSIS; DAILY LIFE ACTIVITY; DEMENTIA; FEMALE; GERIATRIC PATIENT; HEALTH SERVICE; HEALTH STATUS; HUMAN; LONG TERM CARE; MAJOR CLINICAL STUDY; MALE; MANAGED CARE; MEDICAID; MEDICAL RECORD; MEDICAL RESEARCH; MEDICARE; MENTAL HEALTH; MORTALITY; NURSING HOME; OUTCOMES RESEARCH; PERFORMANCE; PREDICTION; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; PROFESSIONAL PRACTICE; RISK ASSESSMENT; RISK FACTOR; SELF EVALUATION; SEX RATIO; SHORT COURSE THERAPY; SOCIOECONOMICS; TREATMENT OUTCOME;

ACTIVITIES OF DAILY LIVING; AGED; AGED, 80 AND OVER; COMPREHENSIVE HEALTH CARE; FEMALE; FRAIL ELDERLY; HEALTH SERVICES FOR THE AGED; HEALTH STATUS INDICATORS; HUMANS; MALE; MEDICAID; MEDICARE; OUTCOME ASSESSMENT (HEALTH CARE); REPRODUCIBILITY OF RESULTS; RETROSPECTIVE STUDIES; RISK ADJUSTMENT; RISK FACTORS;

EID: 4344644735     PISSN: 13534505     EISSN: None     Source Type: Journal    
DOI: 10.1093/intqhc/mzh057     Document Type: Article

References (15)

1. Donabedian A. The quality of care: how can it be assessed? JAMA 1988; 260: 1743-1748.
2. Bodenheimer T. Long-term care for frail elderly people - the On Lok Model. New Engl J Med 1999; 341: 1324-1328.
3. Eng C, Pedulla J, Eleazer GP, McCann R, Fox N. Program of All-inclusive Care for the Elderly (PACE): an innovative model of integrated geriatric care and financing. J Am Geriatr Soc 1997; 45: 223-232.
4. Gross D, Temkin-Greener H, Kunitz S, Mukamel DB. The growing pains of integrated health care for the elderly: lessons from the expansion of PACE. Milbank Mem Fund Q 2004; 28: 257-282.
5. Mukamel DB. Risk adjusted outcome measures and quality of care in nursing homes. Med Care 1997; 35: 367-385.
6. Mukamel DB, Spector WD. Nursing home costs and risk adjusted outcome measures of quality. Med Care 2000; 30: 78-95.
7. Rosen A, Berlowitz DR, Anderson JJ, Ash AS, Kazis L, Moskowitz MA. Functional status outcomes for assessment of quality in long-term care. Int J Qual Health Care 1999; 11: 37-46.
8. Mukamel DB, Dick A, Spector WD. Specification issues in measurement of quality of medical care using risk adjusted outcomes. J Econ Soc Measure 2000; 26: 267-281.
9. Mukamel DB, Temkin-Greener H, Clark M. Stability of disability among PACE enrollees: financial and programmatic implications. Health Care Financ Rev 1998; 19: 83-100.
10. Pfeiffer EA. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc 1975; 23: 433-441.
11. Iezzoni LI. Risk Adjustment for Measuring Health Care Outcomes, 1st edition. Ann Arbor, MI: Health Administration Press, 1994.
12. O'Connor GT, Plume SK, Olmstead EM et al. A regional intervention to improve the hospital mortality associated with coronary artery bypass graft surgery. The Northern New England Cardiovascular Disease Study Group. JAMA 1996; 275: 841-846.
13. Mukamel DB, Brower CA. The influence of risk adjustment methods on conclusions about quality of care in nursing homes based on outcome measures. Gerontologist 1998; 38: 695-703.
14. Rosenthal GE. Weak association between hospital mortality rates for individual diagnoses: implications for profiling hospital quality. Am J Publ Health 1997; 87: 429-433.
15. Gandhi TK, Cook EF, Puopolo AL, Burstin HR, Haas JS, Brennan TA. Inconsistent report cards. assessing the comparability of various measures of the quality of ambulatory care. Med Care 2002; 40: 155-165.