The association between long-term care setting and potentially preventable hospitalizations among older dual eligibles

Health Services Research

Volumn 49, Issue 3, 2014, Pages 778-797

  Wysocki, Andrea ^a   Kane, Robert L ^b   Golberstein, Ezra ^b   Dowd, Bryan ^b   Lum, Terry ^c   Shippee, Tetyana ^c  

^a BROWN UNIVERSITY   (United States)

^b UNIVERSITY OF MINNESOTA   (United States)

^c UNIVERSITY OF HONG KONG   (Hong Kong)

Author keywords

acute inpatient care; home care nursing homes; Long term care; Medicaid; Medicare

Indexed keywords

AGED; AMBULATORY CARE; ARTICLE; CONTROLLED STUDY; DYING; FEMALE; HEALTH SERVICE; HOME AND COMMUNITY BASED SERVICE; HOSPITAL CARE; HOSPITALIZATION; HUMAN; LONG TERM CARE; MALE; MEDICAID; MEDICAL CARE; MEDICARE; NURSING HOME; NURSING HOME PATIENT; POTENTIALLY PREVENTABLE HOSPITALIZATION; PROPENSITY SCORE; REIMBURSEMENT;

ACUTE INPATIENT CARE; HOME CARE/NURSING HOMES; LONG-TERM CARE; MEDICAID; MEDICARE;

AGED; AGED, 80 AND OVER; COMMUNITY HEALTH SERVICES; DUAL MEDICAID MEDICARE ELIGIBILITY; FEMALE; HOME CARE SERVICES; HOSPITALIZATION; HUMANS; LONG-TERM CARE; MALE; MEDICAID; NURSING HOMES; UNITED STATES;

EID: 84901018573     PISSN: 00179124     EISSN: 14756773     Source Type: Journal    
DOI: 10.1111/1475-6773.12168     Document Type: Article

References (33)

1. Becker, M. A., T. L. Boaz, R. Andel, A. M. Gum, and, A. S. Papadopoulos,. 2010. " Predictors of Preventable Nursing Home Hospitalizations: The Role of Mental Disorders and Dementia." American Journal of Geriatric Psychiatry 18 (6): 475-82.
2. Berwick, D. M., 2011. " Launching Accountable Care Organizations-The Proposed Rule for the Medicare Shared Savings Program." The New England Journal of Medicine 364 (16): e32.
3. Carter, M. W., 2003. " Factors Associated with Ambulatory Care-Sensitive Hospitalizations among Nursing Home Residents." Journal of Aging and Health 15 (2): 295-331.
4. Carter, M. W., and, F. W. Porell,. 2005. " Vulnerable Populations at Risk of Potentially Avoidable Hospitalizations: The Case of Nursing Home Residents with Alzheimer's Disease." American Journal of Alzheimer's Disease and Other Dementias 20 (6): 349-58.
5. Castle, N. G., and, V. Mor,. 1996. " Hospitalization of Nursing Home Residents: A Review of the Literature, 1980-1995." Medical Care Research and Review 53 (2): 123-48.
6. Centers for Medicare and Medicaid Services. 2012. " Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents " [accessed on July 3, 2012]. Available at http://innovation.cms.gov/initiatives/ rahnfr/
7. Creditor, M. C., 1993. " Hazards of Hospitalization of the Elderly." Annals of Internal Medicine 118 (3): 219-23.
8. Culler, S. D., M. L. Parchman, and, M. Przybylski,. 1998. " Factors Related to Potentially Preventable Hospitalizations among the Elderly." Medical Care 36 (6): 804-817.
9. Grabowski, D. C., A. J. O'Malley, and, N. R. Barhydt,. 2007. " The Costs and Potential Savings Associated with Nursing Home Hospitalizations." Health Affairs 26 (6): 1753-61.
10. Grabowski, D. C., K. A. Stewart, S. M. Broderick, and, L. A. Coots,. 2008. " Predictors of Nursing Home Hospitalization." Medical Care Research and Review 65 (1): 3-39.
11. Harahan, M., R. I. Stone, and, P. Shah,. 2009. Examining Competencies for the Long-Term Care Workforce: A Status Report and Next Steps. U.S. Department of Health and Human Services, Assistant Secretary for Planning and Evaluation, Office of Disability, Aging and Long-Term Care Policy: Washington, DC.
12. Institute of Medicine. 2008. Retooling for an Aging America: Building the Health Care Workforce. Washington, DC: The National Academies Press.
13. Intrator, O., J. Zinn, and, V. Mor,. 2004. " Nursing Home Characteristics and Potentially Preventable Hospitalizations of Long-Stay Residents." Journal of the American Geriatrics Society 52 (10): 1730-6.
14. Intrator, O., D. C. Grabowski, J. Zinn, M. Schleinitz, F. Zhanlian, S. Miller, and, V. Mor,. 2007. " Hospitalization of Nursing Home Residents: The Effects of States' Medicaid Payment and Bed-Hold Policies." Health Services Research 42 (4): 1651-71.
15. Kaiser Family Foundation's Kaiser Commission on Medicaid and the Uninsured. 2011. Report #2186-08. " Medicaid and Long-Term Care Services and Supports " [accessed on May 22, 2012]. Available at http://kaiserfamilyfoundation.files.wordpress.com/2013/01/2186-09.pdf
16. Kane, R. L., P. Homyak, B. Bershadsky, S. Flood, and, H. Zhang,. 2004. " Patterns of Utilization for the Minnesota Senior Health Options Program." Journal of the American Geriatrics Society 52 (12): 2039-44.
17. Kane, R. L., P. Homyak, B. Bershadsky, and, S. Flood,. 2006a. " The Effects of a Variant of the Program for All-Inclusive Care of the Elderly on Hospital Utilization and Outcomes." Journal of the American Geriatrics Society 54 (2): 276-83.
18. Kane, R. L., P. Homyak, B. Bershadsky, and, S. Flood,. 2006b. " Variations on a Theme Called PACE." Journals of Gerontology Series A-Biological Sciences & Medical Sciences 61 (7): 689-93.
19. Kitchener, M., H. Carrillo, and, C. Harrington,. 2003. " Medicaid Community-Based Programs: A Longitudinal Analysis of State Variation in Expenditures and Utilization." Inquiry 40 (4): 375-89.
20. Konetzka, R. T., S. L. Karon, and, D. E. Potter,. 2012. " Users of Medicaid Home and Community-Based Services are Especially Vulnerable to Costly Avoidable Hospital Admissions." Health Affairs 31 (6): 1167-75.
21. Konetzka, R. T., W. Spector, and, M. R. Limcangco,. 2008. " Reducing Hospitalizations from Long-Term Care Settings." Medical Care Research and Review 65 (1): 40-66.
22. Ng, T., C. Harrington, and, M. Kitchener,. 2010. " Medicare and Medicaid in Long-Term Care." Health Affairs 29 (1): 22-8.
23. O'Malley Watts, M., M. Musumeci, and, E. Reaves,. 2013. " How Is the Affordable Care Act Leading to Changes in Medicaid Long-Term Services and Supports (LTSS) Today? State Adoption of Six LTSS Options." Kaiser Family Foundation's Kaiser Commission on Medicaid and the Uninsured. Report #8079-02 [accessed on May 8, 2013]. Available at http://kaiserfamilyfoundation.files. wordpress.com/2013/04/8079-02.pdf
24. Ouslander, J. G., and, R. A. Berenson,. 2011. " Reducing Unnecessary Hospitalizations of Nursing Home Residents." New England Journal of Medicine 365 (13): 1165-7.
25. Ouslander, J. G., and, K. Maslow,. 2012. " Geriatrics and the Triple Aim: Defining Preventable Hospitalizations in the Long-Term Care Population." Journal of the American Geriatrics Society 60 (12): 2313-18.
26. Ouslander, J. G., D. Osterweil, and, J. Morley,. 1997. Medical Care in the Nursing Home, 2nd Edition. New York: McGraw-Hill.
27. Ouslander, J. G., A. D. Weinberg, and, V. Phillips,. 2000. " Inappropriate Hospitalization of Nursing Facility Residents: A Symptom of a Sick System of Care for Frail Older People." Journal of the American Geriatrics Society 48 (2): 230-1.
28. Ouslander, J. G., G. Lamb, M. Perloe, J. H. Givens, L. Kluge, T. Rutland, A. Atherly, and, D. Saliba,. 2010. " Potentially Avoidable Hospitalizations of Nursing Home Residents: Frequency, Causes, and Costs." Journal of the American Geriatrics Society 58 (4): 627-35.
29. Ouslander, J. G., G. Lamb, R. Tappen, L. Herndon, S. Diaz, B. A. Roos, D. C. Grabowski, and, A. Bonner,. 2011. " Interventions to Reduce Hospitalizations from Nursing Homes: Evaluation of the INTERACT II Collaborative Quality Improvement Project." Journal of the American Geriatrics Society 59 (4): 745-53.
30. Perry, M., J. Cummings, G. Jacobson, T. Neuman, and, J. Cubanski,. 2010. " To Hospitalize or Not to Hospitalize? Medical Care for Long-Term Care Facility Residents." Kaiser Family Foundation [accessed on June 14, 2012]. Available at http://kaiserfamilyfoundation.files.wordpress.com/2013/01/8110.pdf
31. Stone, R., and, M. F. Harahan,. 2010. " Improving the Long-Term Care Workforce Serving Older Adults." Health Affairs 29 (1): 109-15.
32. Walsh, E. G., M. Freiman, S. Haber, A. Bragg, J. Ouslander, and, J. M. Wiener,. 2010. Cost Drivers for Dually Eligible Beneficiaries: Potentially Avoidable Hospitalizations from Nursing Facility, Skilled Nursing Facility, and Home and Community-Based Waiver Programs. Centers for Medicare & Medicaid Services, Office of Policy: Washington, DC.
33. Walsh, E. G., J. M. Wiener, S. Haber, A. Bragg, M. Freiman, and, J. G. Ouslander,. 2012. " Potentially Avoidable Hospitalizations of Dually Eligible Medicare and Medicaid Beneficiaries from Nursing Facility and Home-and Community-Based Services Waiver Programs." Journal of the American Geriatrics Society 60 (5): 821-29.