title: Linking home care interventions and hospitalization outcomes for frail and non-frail elderly patients.
abstract: Structured clinical data generated using standardized terminologies such as the Omaha System are available for evaluating healthcare quality and patient outcomes. New intervention management grouping approaches are needed to deal with large, complex clinical intervention data sets. We evaluated 56 intervention groups derived using four data management approaches with a data set of 165,700 interventions from 14 home care agencies to determine which approaches and interventions predicted hospitalizations among frail (n = 386) and non-frail (n = 1,364) elders. Hospitalization predictors differed for frail and non-frail elders. Low frequencies in some intervention groups were positively associated with hospitalization outcomes, suggesting that there may be a mismatch between the level of care that is needed and the level of care that is provided.
authors.affiliation: University of Minnesota School of Nursing, Minneapolis, Minnesota, USA.
authors.forename: Karen A
authors.initials: KA
authors.lastname: Monsen
authors.forename: Bonnie L
authors.initials: BL
authors.lastname: Westra
authors.forename: S Cristina
authors.initials: SC
authors.lastname: Oancea
authors.forename: Fang
authors.initials: F
authors.lastname: Yu
authors.forename: Madeleine J
authors.initials: MJ
authors.lastname: Kerr
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D016330:Frail Elderly; D006699:Home Care Services / Q000592:standards*; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D010043:Outcome and Process Assessment, Health Care / Q000379:methods; D012372:ROC Curve; D012189:Retrospective Studies