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Full-Text Articles in Medicine and Health Sciences
Predictors Of Hospitalization Among Newly Admitted Skilled Nursing Facility Residents: Rethinking The Role Of Functional Decline, Sun J. Kim, Joo H. Lee, Shunichi Nakagawa, Elizabeth Bukowy, Ankoor Biswas, Boram Han, Yeilim Cho, Hyun Phil Shin, Ji Won Yoo
Predictors Of Hospitalization Among Newly Admitted Skilled Nursing Facility Residents: Rethinking The Role Of Functional Decline, Sun J. Kim, Joo H. Lee, Shunichi Nakagawa, Elizabeth Bukowy, Ankoor Biswas, Boram Han, Yeilim Cho, Hyun Phil Shin, Ji Won Yoo
Journal of Patient-Centered Research and Reviews
Purpose: Hospital transfer from a skilled nursing facility (SNF) is costly, and many are potentially preventable. This study examines: 1) whether functional decline is a predictor of hospital transfer, and 2) the magnitude of relationships between predictors (functional impairment and chronic medical illness) and hospital transfer from SNFs.
Methods: We used Minimum Data Set (MDS) Version 2.0 in the state of Michigan between 2007 and 2009. In total, 196,662 new SNF admissions were observed. Multilevel generalized estimating equations and regression models were performed for each functional and clinical domain while adjusting for demographic variables and change in activities of daily …
Health Service Use And Expenditure Patterns Of Dual Eligibles In Michigan, Cristian Meghea, William Corser, Qi Zhu
Health Service Use And Expenditure Patterns Of Dual Eligibles In Michigan, Cristian Meghea, William Corser, Qi Zhu
Michigan Journal of Public Health
Objective: The objective is to provide a statewide population-based comparison of Michigan beneficiaries dually eligible for Medicare and Medicaid (duals) to Medicare-only beneficiaries, including the public health expenditures by service type, and to focus on the LTC service use patterns of elderly duals receiving care in various settings. Data Sources: Data sources were linked 2005 and 2006 individual Medicaid and Medicare claims from all Michigan duals. Methods: CMS provided Medicare claims and beneficiary data. Michigan Department of Community Health provided Medicaid claims data. Design: We compared characteristics and health expenditures across various categories of beneficiaries and LTC care settings. Principal …