Functional impairment and hospital readmission in medicare seniors

JAMA Internal Medicine

Volumn 175, Issue 4, 2015, Pages 559-565

  Greysen, S Ryan ^a   Cenzer, Irena Stijacic ^a,b   Auerbach, Andrew D ^a   Covinsky, Kenneth E ^a,b,c  

^a UNIVERSITY OF CALIFORNIA   (United States)

^b SAN FRANCISCO VETERANS AFFAIRS MEDICAL CENTER   (United States)

^c JAMA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AGED; ARTICLE; COHORT ANALYSIS; DAILY LIFE ACTIVITY; FEMALE; FUNCTIONAL ASSESSMENT; FUNCTIONAL DISEASE; HEART FAILURE; HEART INFARCTION; HOSPITAL READMISSION; HOSPITALIZATION; HUMAN; LONGITUDINAL STUDY; MAJOR CLINICAL STUDY; MALE; MEDICARE; OUTCOME ASSESSMENT; PNEUMONIA; PRIORITY JOURNAL; RISK ASSESSMENT; AGE; COMORBIDITY; ECONOMICS; INCOME; MYOCARDIAL INFARCTION; RISK FACTOR; SEX DIFFERENCE; STATISTICAL MODEL; STATISTICS AND NUMERICAL DATA; UNITED STATES; VERY ELDERLY;

ACTIVITIES OF DAILY LIVING; AGE FACTORS; AGED; AGED, 80 AND OVER; COHORT STUDIES; COMORBIDITY; FEMALE; HEART FAILURE; HUMANS; INCOME; LOGISTIC MODELS; MALE; MEDICARE; MYOCARDIAL INFARCTION; PATIENT READMISSION; PNEUMONIA; RISK ASSESSMENT; RISK FACTORS; SEX FACTORS; UNITED STATES;

EID: 84928172121     PISSN: 21686106     EISSN: 21686114     Source Type: Journal    
DOI: 10.1001/jamainternmed.2014.7756     Document Type: Article

References (41)

1. Jencks SF, Williams MV, Coleman EA. Rehospitalizations among patients in the Medicare fee-for-service program. N Engl J Med. 2009;360(14):1418-1428.
2. Centers for Medicare & Medicaid Services (CMS), HHS. Medicare program; hospital inpatient value-based purchasing program: final rule. Fed Regist. 2011;76(88):26490-26547.
3. National Quality Forum. National Quality Forum (NQF) endorses all-cause unplanned readmissions measures. http://www.qualityforum.org/News-And-Resources/Press-Releases/2012/NQF-Endorses-All-Cause-Unplanned-Readmissions-Measures.aspx. Accessed December 22, 2014.
4. National Committee for Quality Assurance. Proposed new measure for HEDIS 2011: plan all-cause readmissions. http://www.ncqa.org/portals/0/Publications/2012%20BI-NCQA%20ReAdMi%20-Pub.pdf. Accessed December 22, 2014.
5. Joynt KE, Jha AK. Thirty-day readmissions - truth and consequences. N Engl J Med. 2012;366(15):1366-1369.
6. Kangovi S, Grande D. Hospital readmissions - not just a measure of quality. JAMA. 2011;306(16):1796-1797.
7. Kansagara D, Englander H, Salanitro A, et al. Risk prediction models for hospital readmission: a systematic review. JAMA. 2011;306(15):1688-1698.
8. Singh S, Lin YL, Kuo YF, Nattinger AB, Goodwin JS. Variation in the risk of readmission among hospitals: the relative contribution of patient, hospital and inpatient provider characteristics. J Gen Intern Med. 2014;29(4):572-578.
9. Medicare and Medicaid statistics supplement: 2013 edition - chapter 2, table 2.1: Medicare enrollment: hospital insurance and/or supplementary medical insurance programs for total, fee-for-service and managed care enrollees as of July 1, 2012: selected calendar years 1966-2012. http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/MedicareMedicaidStatSupp/Downloads/2013-Section2.pdf#Table2.1. Accessed April 24, 2014.
10. Ferrucci L, Guralnik JM, Pahor M, Corti MC, Havlik RJ. Hospital diagnoses, Medicare charges, and nursing home admissions in the year when older persons become severely disabled. JAMA. 1997;277(9):728-734.
11. Rozzini R, Sabatini T, Cassinadri A, et al. Relationship between functional loss before hospital admission and mortality in elderly persons with medical illness. J Gerontol A Biol Sci Med Sci. 2005;60(9):1180-1183.
12. Covinsky KE, Palmer RM, Counsell SR, Pine ZM, Walter LC, Chren MM. Functional status before hospitalization in acutely ill older adults: validity and clinical importance of retrospective reports. J Am Geriatr Soc. 2000;48(2):164-169.
13. Xu H, Covinsky KE, Stallard E, Thomas J III, Sands LP. Insufficient help for activity of daily living disabilities and risk of all-cause hospitalization. J Am Geriatr Soc. 2012;60(5):927-933.
14. Barnes DE, Mehta KM, Boscardin WJ, et al. Prediction of recovery, dependence or death in elders who become disabled during hospitalization. J Gen Intern Med. 2013;28(2):261-268.
15. Covinsky KE, Palmer RM, Fortinsky RH, et al. Loss of independence in activities of daily living in older adults hospitalized with medical illnesses: increased vulnerability with age. J Am Geriatr Soc. 2003;51(4):451-458.
16. Depalma G, Xu H, Covinsky KE, et al. Hospital readmission among older adults who return home with unmet need for ADL disability. Gerontologist. 2013;53(3):454-461.
17. Hoyer EH, Needham DM, Miller J, Deutschendorf A, Friedman M, Brotman DJ. Functional status impairment is associated with unplanned readmissions. Arch Phys Med Rehabil. 2013;94(10):1951-1958.
18. Hoyer EH, Needham DM, Atanelov L, Knox B, Friedman M, Brotman DJ. Association of impaired functional status at hospital discharge and subsequent rehospitalization. J Hosp Med. 2014;9(5):277-282.
19. Krumholz HM. Post-hospital syndrome - an acquired, transient condition of generalized risk. N Engl J Med. 2013;368(2):100-102.
20. Krumholz HM, Lin Z, Drye EE, et al. An administrative claims measure suitable for profiling hospital performance based on 30-day all-cause readmission rates among patients with acute myocardial infarction. Circ Cardiovasc Qual Outcomes. 2011;4(2):243-252.
21. Lindenauer PK, Normand SL, Drye EE, et al. Development, validation, and results of a measure of 30-day readmission following hospitalization for pneumonia. J Hosp Med. 2011;6(3):142-150.
22. Juster FT, Suzman R. An overview of the Health and Retirement Study. J Hum Resour. 1995;30(suppl):S7-S56. doi:10.2307/146277.
23. University of Michigan. About the Health and Retirement Study. http://hrsonline.isr.umich.edu/. Accessed December 22, 2014.
24. The Health and Retirement Study: sample sizes and response rates. http://hrsonline.isr.umich.edu/sitedocs/sampleresponse.pdf. Accessed October 14, 2014.
25. The Health and Retirement Study: sample evolution: 1992-1998. http://hrsonline.isr.umich.edu/sitedocs/surveydesign.pdf. Accessed October 14, 2014.
26. Katz S, Ford AB, Moskowitz RW, Jackson BA, Jaffe MW. Studies of illness in the aged: the index of ADL: a standarized measure of biological and psychosocial function. JAMA. 1963;185(12):914-919.
27. Fried LP, Guralnik JM. Disability in older adults: evidence regarding significance, etiology, and risk. J Am Geriatr Soc. 1997;45(1):92-100.
28. Covinsky KE, Hilton J, Lindquist K, Dudley RA. Development and validation of an index to predict activity of daily living dependence in community-dwelling elders. Med Care. 2006;44(2):149-157.
29. Lawton MP, Moss M, Fulcomer M, Kleban MH. A research and service oriented multilevel assessment instrument. J Gerontol. 1982;37(1):91-99.
30. Hirsch CH, Sommers L, Olsen A, Mullen L, Winograd CH. The natural history of functional morbidity in hospitalized older patients. J Am Geriatr Soc. 1990;38(12):1296-1303.
31. Rau J. Armed with bigger fines, Medicare to punish 2,225 hospitals for excess readmissions. www.kaiserhealthnews.org/stories/2013/august/02/readmission-penalties-medicare-hospitals-year-two.aspx. Published August 2, 2013. Accessed May 29, 2014.
32. MedPAC. Report to the Congress, Medicare and the health care delivery system: chapter 4: refining the Hospital Readmissions Reduction Program. Published June 2013. http://www.medpac.gov/documents/reports/jun13-ch04.pdf?sfvrsn=0. Accessed October 23, 2014.
33. Doran KM, Ragins KT, Iacomacci AL, Cunningham A, Jubanyik KJ, Jenq GY. The revolving hospital door: hospital readmissions among patients who are homeless. Med Care. 2013;51(9):767-773.
34. Calvillo-King L, Arnold D, Eubank KJ, et al. Impact of social factors on risk of readmission or mortality in pneumonia and heart failure: systematic review. J Gen Intern Med. 2013;28(2):269-282.
35. Arbaje AI, Wolff JL, Yu Q, Powe NR, Anderson GF, Boult C. Postdischarge environmental and socioeconomic factors and the likelihood of early hospital readmission among community-dwelling Medicare beneficiaries. Gerontologist. 2008;48(4):495-504.
36. Coleman EA, Parry C, Chalmers S, Min SJ. The care transitions intervention: results of a randomized controlled trial. Arch Intern Med. 2006;166(17):1822-1828.
37. Naylor MD, Brooten D, Campbell R, et al. Comprehensive discharge planning and home follow-up of hospitalized elders: a randomized clinical trial. JAMA. 1999;281(7):613-620.
38. Clauser SB, Bierman AS. Significance of functional status data for payment and quality. Health Care Financ Rev. 2003;24(3):1-12.
39. Summary of feedback from the Technical Expert Panel on the Development of Cross-Setting Functional Status Quality Measures. http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/LTCH-Quality-Reporting/Downloads/Summary-of-Feedback-from-TEP-on-the-Development-of-Cross-Setting-Functional-Status-Quality-.pdf. Accessed May 23, 2014.
40. Fortinsky RH, Covinsky KE, Palmer RM, Landefeld CS. Effects of functional status changes before and during hospitalization on nursing home admission of older adults. J Gerontol A Biol Sci Med Sci. 1999;54(10):M521-M526.
41. Gerhardt G, Yemane A, Hickman P, et al. Data shows reduction in Medicare hospital readmission rates during 2012. http://www.cms.gov/mmrr/Downloads/MMRR2013-003-02-b01.pdf. Accessed May 23, 2014.