Successful Community Discharge Following Postacute Rehabilitation for Medicare Beneficiaries: Analysis of a Patient-Centered Quality Measure.

Published

Journal Article

To determine the sociodemographic and clinical characteristics as well as health services use associated with successful community discharge.Inpatient Rehabilitation Facility-Patient Assessment Instrument and Medicare Provider Analysis and Review files.We retrospectively examined 167,664 Medicare beneficiaries discharged from inpatient rehabilitation facilities (IRFs) in 2013 to determine the sociodemographic and clinical characteristics as well as health services use associated with successful community discharge.In the multivariable model, sociodemographic (younger age, no disability, social support), clinical (higher motor and cognitive functional status at admission), and health services use (fewer acute care days and longer IRF days) variables were associated with successful community discharge.Remaining in the community is an important patient-centered outcome that could complement other postacute rehabilitation quality measures.

Full Text

Duke Authors

Cited Authors

  • Cary, MP; Prvu Bettger, J; Jarvis, JM; Ottenbacher, KJ; Graham, JE

Published Date

  • November 13, 2017

Published In

PubMed ID

  • 29134630

Pubmed Central ID

  • 29134630

Electronic International Standard Serial Number (EISSN)

  • 1475-6773

International Standard Serial Number (ISSN)

  • 0017-9124

Digital Object Identifier (DOI)

  • 10.1111/1475-6773.12796

Language

  • eng