On the detection of nursing home use in medicare claims

Health Services and Outcomes Research Methodology

Volumn 4, Issue 3, 2003, Pages 187-196

  Iwashyna, Theodore J ^a   Christakis, Nicholas A ^b  

^a HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA   (United States)

^b HARVARD MEDICAL SCHOOL   (United States)

Author keywords

Elderly; Longitudinal studies; Longterm care; Medicare claims; Nursing home

Indexed keywords

ACCURACY; AGED; ARTICLE; CONTROLLED STUDY; DEMOGRAPHY; FEMALE; GERONTOLOGY; HEALTH CARE UTILIZATION; HEALTH SERVICES RESEARCH; HEALTH SURVEY; HUMAN; INSURANCE; MAJOR CLINICAL STUDY; MALE; MEDICAL RECORD; MEDICARE; NURSING HOME; PRIORITY JOURNAL; SENSITIVITY AND SPECIFICITY; VALIDATION PROCESS;

EID: 4344703568     PISSN: 13873741     EISSN: None     Source Type: Journal    
DOI: 10.1023/B:HSOR.0000031403.33749.c0     Document Type: Article

References (28)

1. Adler, G.S., "A profile of the medicare current beneficiary survey," Health Care Financing Review 15(4), 153-163, 1994.
2. Anonymous, "Information about the online survey certification and reporting (OSCAR) file," in Cowles Research Group, 2001, http://www.longtermcareinfo.com/crg/oscar.htm.
3. Chin, M.H. and Goldman, L., "Correlates of early hospital readmission or death in patients with congestive heart failure," The American Journal of Cardiology 79(12), 1640-1644, 1997.
4. Christakis, N.A. and Escarce, J.J., "Survival of medicare patients following enrollment in hospice programs," New England Journal of Medicine 335, 172-178, 1996.
5. Cohen, S.B., "Sample design of the 1997 medical expenditure panel survey household component," MEPS Methodology Report 11, 1-28, 2000.
6. DesHarnais, S.I., McMahon, L.F. Jr., Wroblewski, R.T., and Hogan, A.J., "Measuring hospital performance: The development and validation of risk-adjusted indexes of mortality, readmissions, and complications," Medical Care 28(12), 1127-1141, 1990.
7. Dey, A.N., "Characteristics of elderly nursing home residents: Data from the 1995 national nursing home survey," Advanced Data from Vital and Health Statistics 289, 1997.
8. Eppig, F. and Chulis, G.S., "Matching MCBS and medicare data: The best of both worlds," Health Care Financing Review 18(3), 211-229, 1997.
9. Fisher, E.S., Barton, J.A., Malenka, D.J., Barrett, J., and Bubolzl, T.A., "Overcoming potential pitfalls in the medicare data for epidemiologic research," American Journal of Public Health 80, 533-546, 1990.
10. Fisher, E.S., Whaley, F.S., Krushat, M., Malenka, D.J., Fleming, C., Baron, J.A., et al., "The accuracy of medicare's hospital claims data: Progress has been made, but problems remain," American Journal of Public Health 82, 243-248, 1992.
11. Hatten, J., "Medicare's common denominator: The covered population," Health Care Financing Review Fall, 53-64, 1980.
12. Intrator, O., Mor, V., Hines, M.A., Lancaster, A., Laliberte, L., and Freiberger, W., "The effects of medicare catastrophic coverage act on payor source changes among nursing home residents," Inquiry 33(1 , 42-52, 1996.
13. Kovar, M.G., Fitti, J.E., and Chyba, M.M., "The longitudinal study on aging: 1984-90," Vital and Health Statistics 1(28), 1992.
14. Krumholz, H.M., Parent, E.M., Tu, N., Vaccarino, V., Wang, Y., Radford, M.J., et al., "Readmission after hospitalization for congestive heart failure among medicare beneficiaries," Archives of Internal Medicine 157, 99-104, 1997.
15. Lauderdale, D.S., Furner, S.E., Miles, T.P., and Golderberg, J., "Epidemiologic uses of medicare data," Epidemiologic Reviews 15, 319-327, 1993.
16. Lauderdale, D.S. and Goldberg, J. "The expanded racial and ethnic codes in the medicare data files: Their completeness of coverage and accuracy," American Journal of Public Health 86(5), 712-716, 1996.
17. Lauderdale, D.S., Jacobsen, S.J., Furner S.E., Levy, P.S., Brody, J.A., and Goldberg, J., "Hip fracture incidence among elderly Asian-American populations," American Journal of Epidemiology 146(6 ), 502-529, 1997.
18. Librero, J., Peiro, S., and Ordinana, R., "Chronic comorbidity and outcomes of hospital care: Length of stay, mortality, and readmission at 30 and 365 days," Journal of Clinical Epidemiology 52(3), 171-179, 1999.
19. Miller, S.C., Gozalo, P., and Mor, V., "Hospice enrollment and hospitalization of dying nursing home patients," American Journal of Medicine 111(1), 38-44, 2001.
20. Pear, R., "Medicare agency changes name in an effort to emphasize service," New York Times 2001, June 15, 2001, Section 26.
21. Porter, D.E.B., "Design and methods of the 1996 medical expenditure panel survey nursing home component," MEPS Methodology Report 3, 1998.
22. Romano, P.S. and Mark, D.H., Bias in the coding of hospital discharge data and its Implications for quality assessment," Medical Care 32(1), 81-90, 1994.
23. Rosenblatt, R.A., Wright, G.E., Baldwin, L.-M., Chan, L., Clitherow, P., Chen, F.M., et al., "The effect of the doctor-patient relationship on emergency department use among the elderly," American Journal of Public Health 90(1), 97-102, 2000.
24. Rothman, K.J. and Greenland, S., Modern epidemiology, 2nd ed. Lippincott, Williams & Wilkins, Philadelphia, 1998.
25. Selvin, S., Practical biostatistical methods, Duxbury Press, Belmont, CA, 1995.
26. Spector, W.D., Potter, D.E.B., and De La Mare Ja. Future Directions for Residential Long-Term Care Health Services Research. Expert Meeting Summary, October 2000. http://www.ahrq.gov/research/futureltc/ summary1.htm. Bethesda, MD: AHRQ Publication No. 01-0007; 1999.
27. Strahan, G.W., "An overview of nursing homes and their current residents: Data from the 1995 national nursing home survey," Advanced Data from Vital and Health Statistics 280, 1-11, 1997.
28. Virnig, B.A., Kind, S., McBean, M., and Fisher, E.S., "Geographic variation in hospice hse prior to death," Journal of the American Geriatrics Society 48(9), 1117-1125, 2000.