title: Hospitalizations in the Program of All-Inclusive Care for the Elderly.
abstract: OBJECTIVE
  To measure the rates of hospitalization, readmission, and potentially avoidable hospitalization (PAH) in the Program of All-Inclusive Care for the Elderly (PACE).
  
  
  METHODS
  Retrospective study.
  PACE enrollees.
  
  
  METHODS
  Hospitalization and PAH rates were measured per 1,000 person-years. Readmission was defined as any return to the hospital within 30 days of prior hospital discharge. PAHs were defined as hospitalizations for conditions that previously established criteria have identified as possibly preventable or manageable without hospitalization.
  
  
  RESULTS
  Rate of hospitalization was 539/1,000, vs 962/1,000 for dually eligible aged or disabled waiver (ADW) enrollees. Thirty-day readmission was 19.3%, compared with 22.9% for the national population of dually eligible older enrollees. PAH rate was 100/1,000, compared with 250/1,000 for dually eligible ADW enrollees. Considerable variation was observed between sites.
  
  
  CONCLUSIONS
  PACE enrollees experienced lower rates of hospitalization, readmission, and PAH than similar populations. Variations in hospitalization rates between PACE sites suggest opportunities for quality improvement.
authors.affiliation: Department of Public Health Sciences, School of Medicine and Dentistry, University of Rochester, Rochester, New York.
authors.forename: Micah
authors.initials: M
authors.lastname: Segelman
authors.forename: Jill
authors.initials: J
authors.lastname: Szydlowski
authors.forename: Bruce
authors.initials: B
authors.lastname: Kinosian
authors.forename: Matthew
authors.initials: M
authors.lastname: McNabney
authors.forename: Donna B
authors.initials: DB
authors.lastname: Raziano
authors.forename: Catherine
authors.initials: C
authors.lastname: Eng
authors.forename: Christine
authors.initials: C
authors.lastname: van Reenen
authors.forename: Helena
authors.initials: H
authors.lastname: Temkin-Greener
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003153:Community Health Services / Q000191:economics*; D005260:Female; D016330:Frail Elderly; D006299:Health Services for the Aged / Q000191:economics*; D006760:Hospitalization / Q000191:economics* / Q000639:trends; D006801:Humans; D008134:Long-Term Care / Q000191:economics*; D008297:Male; D008329:Managed Care Programs / Q000191:economics*; D008484:Medicaid / Q000191:economics; D006278:Medicare / Q000191:economics; D012189:Retrospective Studies; D014481:United States
keywords: PACE; dual eligible beneficiaries; home- and community-based services; long-term services and supports; potentially avoidable hospitalizations