Targeting residents for transitions from nursing home to community.
OBJECTIVE
To analyze nursing home utilization patterns in order to identify potential targeting criteria for transitioning residents back to the community.


METHODS
Secondary data from minimum data set (MDS) assessments for an annual cohort of first-time admissions (N=24,648) to all Minnesota nursing homes (N=394) from July 2005 to June 2006.


METHODS
We conducted a longitudinal analysis from admission to 365 days. Major MDS variables were discharge status; resident's preference and support for community discharge; gender, age, and marital status; pay source; major diagnoses; cognitive impairment or dementia; activities of daily living; and continence.


RESULTS
At 90 days the majority of residents showed a preference or support for community discharge (64 percent). Many had health and functional conditions predictive of community discharge (40 percent) or low-care requirements (20 percent). A supportive facility context, for example, emphasis on postacute care and consumer choice, increased transition rates.


CONCLUSIONS
A community discharge intervention could be targeted to residents at 90 days after nursing home admission when short-stay residents are at risk of becoming long-stay residents.
Arling
Greg
G
Indiana University Center for Aging Research, Regenstrief Institute, Health Information and Translational Sciences Building, 410 West 10th Street, Suite 2000, Indianapolis, IN 46202-3012, USA. garling@iupui.edu
Kane
Robert L
RL
Cooke
Valerie
V
Lewis
Teresa
T
D000203:Activities of Daily Living; D000359:Aftercare; D000368:Aged / Q000502:physiology / Q000523:psychology / Q000706:statistics & numerical data; D003153:Community Health Services; D003266:Continuity of Patient Care; D015577:Geriatric Assessment; D006302:Health Services Research; D006299:Health Services for the Aged; D006801:Humans; D008134:Long-Term Care; D008137:Longitudinal Studies; D017533:Marital Status; D008910:Minnesota; D020380:Needs Assessment / Q000458:organization & administration*; D009735:Nursing Homes / Q000706:statistics & numerical data*; D010351:Patient Discharge; D057240:Patient Preference / Q000523:psychology / Q000706:statistics & numerical data; D012944:Social Support; D013997:Time Factors
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