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

Journal Article (Journal Article)

OBJECTIVE: To determine the sociodemographic and clinical characteristics as well as health services use associated with successful community discharge. DATA SOURCE: Inpatient Rehabilitation Facility-Patient Assessment Instrument and Medicare Provider Analysis and Review files. STUDY DESIGN: 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. PRINCIPAL FINDINGS: 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. CONCLUSIONS: 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

  • August 2018

Published In

Volume / Issue

  • 53 / 4

Start / End Page

  • 2470 - 2482

PubMed ID

  • 29134630

Pubmed Central ID

  • PMC6052014

Electronic International Standard Serial Number (EISSN)

  • 1475-6773

Digital Object Identifier (DOI)

  • 10.1111/1475-6773.12796

Language

  • eng

Conference Location

  • United States