Risk adjusting outcome measures for post-acute care.
This article examines whether different risk adjusters are needed for home care outcome measures for post-acute care clients. Multiple risk adjusters that met clinical and policy criteria were tested using multiple logistic regression on a sample of 4403 post-acute home care clients from Michigan. Two of the 6 outcome measures had substantially different risk adjusters for the post-acute care population versus the general population. Care should be taken to select outcome measures and risk adjusters for special home care populations.
Fries
Brant E
BE
Institute of Gerontology and School of Public Health, University of Michigan, and Ann Arbor VA Medical Center, Ann Arbor, MI 48109-2007, USA. bfries@umich.edu
Morris
John N
JN
Aliaga
Pablo
P
Jones
Richard
R
D000203:Activities of Daily Living; D000368:Aged; D003072:Cognition Disorders / Q000451:nursing; D006302:Health Services Research; D006699:Home Care Services / Q000592:standards*; D006801:Humans; D016015:Logistic Models; D008824:Michigan; D010043:Outcome and Process Assessment, Health Care / Q000706:statistics & numerical data*; D003668:Pressure Ulcer / Q000451:nursing; D019984:Quality Indicators, Health Care; D020379:Risk Adjustment / Q000379:methods* / Q000706:statistics & numerical data; D019467:Subacute Care / Q000592:standards*