Geographic and Facility Variation in Inpatient Stroke Rehabilitation: Multilevel Analysis of Functional Status

Archives of Physical Medicine and Rehabilitation

Volumn 96, Issue 7, 2015, Pages 1248-1254

  Reistetter, Timothy A ^a   Kuo, Yong Fang ^b   Karmarkar, Amol M ^a   Eschbach, Karl ^b   Teppala, Srinivas ^a   Freeman, Jean L ^b   Ottenbacher, Kenneth J ^a  

^a UNIVERSITY OF TEXAS MEDICAL BRANCH   (United States)

^b University of Texas Medical Branch School of Medicine   (United States)

Author keywords

Health policy; Health services; Outcome assessment (health care); Quality indicators, health care; Rehabilitation

Indexed keywords

AGED; ARTICLE; CEREBROVASCULAR ACCIDENT; COGNITION; COGNITIVE REHABILITATION; COHORT ANALYSIS; FEMALE; FUNCTIONAL STATUS; HEALTH CARE FACILITY; HUMAN; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MEDICAL RECORD REVIEW; MOTOR PERFORMANCE; MULTILEVEL ANALYSIS; OUTCOME ASSESSMENT; PATIENT ASSESSMENT; REHABILITATION CARE; STROKE PATIENT; CONVALESCENCE; DAILY LIFE ACTIVITY; HOSPITAL PATIENT; INSURANCE; MEDICARE; ORGANIZATION AND MANAGEMENT; REHABILITATION CENTER; RETROSPECTIVE STUDY; STATISTICS AND NUMERICAL DATA; STROKE; UNITED STATES; VERY ELDERLY;

ACTIVITIES OF DAILY LIVING; AGED; AGED, 80 AND OVER; COGNITION; FEMALE; HUMANS; INPATIENTS; INSURANCE CLAIM REVIEW; LENGTH OF STAY; MALE; MEDICARE; MULTILEVEL ANALYSIS; RECOVERY OF FUNCTION; REHABILITATION CENTERS; RETROSPECTIVE STUDIES; STROKE; UNITED STATES;

EID: 84937518715     PISSN: 00039993     EISSN: 1532821X     Source Type: Journal    
DOI: 10.1016/j.apmr.2015.02.020     Document Type: Article

References (49)

1. J.P. Newhouse, and A.M. Garber Geographic variation in Medicare services N Engl J Med 368 2013 1465 1468
2. D.E. Wennberg Variation in the delivery of health care: the stakes are high Ann Intern Med 128 1998 866 868
3. Y. Zhang, S.H. Baik, A.M. Fendrick, and K. Baicker Comparing local and regional variation in health care spending N Engl J Med 367 2012 1724 1731
4. Dartmouth Atlas Group The Dartmouth Atlas of health care 1996 American Hospital Publishing Chicago
5. Dartmouth Atlas Group The quality of medical care in the United States: a report of the Medicare program: the Dartmouth Atlas of healthcare 1999 1999 Health Forum Chicago
6. E.S. Fisher, D.E. Wennberg, T.A. Stukel, D.J. Gottlieb, F.L. Lucas, and E.L. Pinder The implications of regional variations in Medicare spending. Part 1: the content, quality, and accessibility of care Ann Intern Med 138 2003 273 287
7. M. Mercuri, and A. Gafni Medical practice variations: what the literature tells us (or does not) about what are warranted and unwarranted variations J Eval Clin Pract 17 2011 671 677
8. J.E. Wennberg Unwarranted variations in healthcare delivery: implications for academic medical centres BMJ 325 2002 961 964
9. D.E. Wennberg, F.L. Lucas, J.D. Birkmeyer, C.E. Bredenberg, and E.S. Fisher Variation in carotid endarterectomy mortality in the Medicare population: trial hospitals, volume, and patient characteristics JAMA 279 1998 1278 1281
10. W.S. Laycock, A.E. Siewers, C.M. Birkmeyer, D.E. Wennberg, and J.D. Birkmeyer Variation in the use of laparoscopic cholecystectomy for elderly patients with acute cholecystitis Arch Surg 135 2000 457 462
11. S.S. Bederman, C.D. Rosen, N.N. Bhatia, P.D. Kiester, and R. Gupta Drivers of surgery for the degenerative hip, knee, and spine: a systematic review Clin Orthop Relat Res 470 2012 1090 1105
12. S.D. Cassard, H.A. Quigley, E.W. Gower, D.S. Friedman, P.Y. Ramulu, and H.D. Jampel Regional variations and trends in the prevalence of diagnosed glaucoma in the Medicare population Ophthalmology 119 2012 1342 1351
13. R.L. Kane, W.C. Lin, and L.A. Blewett Geographic variation in the use of post-acute care Health Serv Res 37 2002 667 682
14. Fisher E, Bell JE, Tomak I, Esty A, Goodman D. Trends in regional variation in hip knee and shoulder replacement: a Dartmouth Atlas surgery report. 2010. Available at: http://www.dartmouthatlas.org/downloads/reports/Joint-Replacement-0410.pdf. Accessed March 24, 2015.
15. J.D. FitzGerald, W.J. Boscardin, and S.L. Ettner Changes in regional variation of Medicare home health care utilization and service mix for patients undergoing major orthopedic procedures in response to changes in reimbursement policy Health Serv Res 44 2009 1232 1252
16. M.B. Buntin, C.H. Colla, P. Deb, N. Sood, and J.J. Escarce Medicare spending and outcomes after postacute care for stroke and hip fracture Med Care 48 2010 776 784
17. J.K. Freburger, G.M. Holmes, L.J. Ku, M.P. Cutchin, K. Heatwole-Shank, and L.J. Edwards Disparities in postacute rehabilitation care for stroke: an analysis of the state inpatient databases Arch Phys Med Rehabil 92 2011 1220 1229
18. 111th Congress. Patient Protection Affordable Care Act PL 111-148. 2014.
19. Institute of Medicine Variation in health care spending: targeting decision making non geography 2013 National Academies Pr Washington (DC)
20. E.S. Fisher, D.E. Wennberg, T.A. Stukel, D.J. Gottlieb, F.L. Lucas, and E.L. Pinder The implications of regional variations in Medicare spending. Part 2: health outcomes and satisfaction with care Ann Intern Med 138 2003 288 298
21. T. Rosenthal Geographic variation in health care Annu Rev Med 63 2012 493 509
22. Geographic adjustment in Medicare payment phase II: implications for access, quality, and efficiency 2012 National Academies Pr Washington (DC)
23. S.A. Berkowitz, G. Gerstenblith, R. Herbert, and G. Anderson Improving regional variation using quality of care measures Risk Manag Healthc Policy 2 2009 91 96
24. Straube B. The CMS Quality Roadmap: quality plus efficiency. Health Aff (Millwood) 2005;(Suppl Web Exclusives):W5-555-7.
25. Center for Medicare and Medicaid Services HHS. Medicare program, inpatient rehabilitation facility prospective payment system for federal fiscal year 2015: final rul Fed Regist 79 2014 26307 26354
26. UB Foundation Activities. The inpatient rehabilitation facility-patient assessment instrument (IRF-PAI) Training Manual: effective 4/01/04. Centers for Medicare and Medicaid Services. Available at: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/InpatientRehabFacPPS/downloads/irfpaimanual040104.pdf. Accessed March 23, 2015.
27. A.W. Heinemann, J.M. Linacre, B.D. Wright, B.B. Hamilton, and C. Granger Relationships between impairment and physical disability as measured by the Functional Independence Measure Arch Phys Med Rehabil 74 1993 566 573
28. K.J. Ottenbacher, Y. Hsu, C.V. Granger, and R.C. Fiedler The reliability of the Functional Independence Measure: a quantitative review Arch Phys Med Rehabil 77 1996 1226 1232
29. N. Turhan, A. Atalay, and H. Muderrisoglu Predictors of functional outcome in first-ever ischemic stroke: a special interest to ischemic subtypes, comorbidity and age NeuroRehabilitation 24 2009 321 326
30. G.M. Carter, and M.E. Totten Preliminary analysis for refinement of the tier comorbidities in the inpatient rehabilitation facility prospective payment system 2005 Rand Corp Santa Monica
31. J.E. Graham, C.M. Ripsin, A. Deutsch, and et al. Relationship between diabetes codes that affect Medicare reimbursement (tier comorbidities) and outcomes in stroke rehabilitation Arch Phys Med Rehabil 89 2009 863 869
32. T.A. Reistetter, J.E. Graham, A. Deutsch, S.J. Markello, C.V. Granger, and K.J. Ottenbacher Diabetes comorbidity and age influence rehabilitation outcomes after hip fracture Diabetes Care 34 2011 1375 1377
33. B. Gage, M. Morley, R. Constantine, and et al. Examining relationships in an integrated hosptal system: final report 2008 RTI Washington (DC)
34. H. Goldstein, H. Browne, and J. Rashbash Partitioning variation in multilevel models Understanding Statistics 1 2002 223 231
35. T.A. Reistetter, A.M. Karmarkar, J.E. Graham, and et al. Regional variation in stroke rehabilitation outcomes Arch Phys Med Rehabil 95 2014 29 38
36. T. Snijders, and R. Bosker Multilevel analysis: an introduction to basic and advanced multilevel modeling 1999 Sage Thousand Oaks
37. A. Deutsch, C.V. Granger, A.W. Heinemann, and et al. Poststroke rehabilitation: outcomes and reimbursement of inpatient rehabilitation facilities and subacute rehabilitation programs Stroke 37 2006 1477 1482
38. C.V. Granger, S.J. Markello, J.E. Graham, A. Deutsch, and K.J. Ottenbacher The Uniform Data System for Medical Rehabilitation: report of patients with stroke discharged from comprehensive medical programs in 2000-2007 Am J Phys Med Rehabil 88 2009 961 972
39. J.D. Singer Using SAS PROC MIXED to fit multilevel models, hierarchical models, and individual growth models J Educ Behav Stat 234 1998 323 355
40. H. Hoenig, P.W. Duncan, R.D. Horner, and et al. Structure, process, and outcomes in stroke rehabilitation Med Care 40 2002 1036 1047
41. R.D. Zorowitz Stroke rehabilitation quality indicators: raising the bar in the inpatient rehabilitation facility Top Stroke Rehabil 17 2010 294 304
42. D.C. Strasser, J.A. Falconer, J.S. Herrin, S.E. Bowen, A.B. Stevens, and J. Uomoto Team functioning and patient outcomes in stroke rehabilitation Arch Phys Med Rehabil 86 2005 403 409
43. B.E. Bates, and M.G. Stineman Outcome indicators for stroke: application of an algorithm treatment across the continuum of postacute rehabilitation services Arch Phys Med Rehabil 81 2000 1468 1478
44. D.C. Strasser, J.A. Falconer, A.B. Stevens, and et al. Team training and stroke rehabilitation outcomes: a cluster randomized trial Arch Phys Med Rehabil 89 2014 10 15
45. M.G. Stineman, P.L. Kwong, B.E. Bates, J.E. Kurichi, D.C. Ripley, and D. Xie Development and validation of a discharge planning index for achieving home discharge after hospitalization for acute stroke among those who received rehabilitation services Am J Phys Med Rehabil 93 2014 217 230
46. J.E. Kurichi, D. Xie, B.E. Bates, and et al. Factors associated with home discharge among veterans with stroke Arch Phys Med Rehabil 95 2014 1277 1282
47. H. Hoenig, J. Lee, and M. Stineman Conceptual overview of frameworks for measuring quality in rehabilitation Top Stroke Rehabil 17 2010 239 251
48. C.E. Margo Quality care and practise variation: the roles of practise guidelines and public profiles Surv Ophthalmol 49 2004 359 371
49. K.J. Ottenbacher, A. Karmarkar, J.E. Graham, and et al. Thirty-day hospital readmission following discharge from postacute rehabilitation in fee-for-service Medicare patients JAMA 311 2014 604 614