Do Residents Participating in Minnesota’s Return to Community Initiative Experience Similar Postdischarge Outcomes to Their Peers

Datos Bibliográficos

ID9104812
AutoresZachary Hass (0000-0002-0743-937X, Schools of Nursing and Industrial Engineering, Regenstrief Center for Healthcare Engineering, autor de correspondencia), Mark Woodhouse (0000-0002-2198-6791, University of Minnesota School of Public Health, Minneapolis, MN), Greg Arling (0000-0001-8563-9433, School of Nursing, Purdue University, West Lafayette, IN)
Año2020
Volumen58
Número4
Páginas399-406
Fecha de publicación2020-04-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaMedical Care (JOURNAL)
Identificadores de la revistaISSN: 0025-7079 • E-ISSN: 1537-1948
EditorialOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0000000000001281
PMID31876662
OpenAlexW2996775878
IdiomaEN
Referencias citadas24

OBJECTIVE: The objective of this study was to evaluate the impact of Minnesota's Return to Community Initiative (RTCI) on postdischarge outcomes for nursing home residents transitioned through the program. DATA SOURCES: Secondary data were from the Minimum Data Set and RTCI staff (January 2015 to December 2016), state Medicaid eligibility files and death records. The sample consisted of 29,201 nursing home discharges in Minnesota occurring in 2015. RESEARCH DESIGN: Cox proportional hazard models were used to compare 1-year postdischarge outcomes of nursing home readmission, mortality, and Medicaid conversion for RTCI assisted community discharges and a propensity-matched sample of unassisted community discharges. RESULTS: The majority (60%) of RTCI assisted discharges remained alive, in the community and not having converted at Medicaid at 1 year after discharge. Time to mortality was significantly lower for the assisted group than the unassisted group, but time to readmission and Medicaid conversion were similar. CONCLUSION: The RTCI assisted residents fared well postdischarge in their time to mortality, nursing home readmission, and Medicaid conversion; they lived longer than a propensity-matched sample of their peers

Confidence interval · Family medicine · Hazard ratio · Health care · Medicaid · Minimum Data Set · Nursing homes · Propensity score matching · Sample (material) · Emergency Medicine · Geriatric Care and Nursing Homes · Heart Failure Treatment and Management · Internal Medicine · Medicine · Nursing · Palliative Care and End-of-Life Issues · Gerontology