The Impact of Disability and Social Determinants of Health on Condition-Specific Readmissions beyond Medicare Risk Adjustments: A Cohort Study.

ABSTRACT:

Background

Readmission rates after pneumonia, heart failure, and acute myocardial infarction hospitalizations are risk-adjusted for age, gender, and medical comorbidities and used to penalize hospitals.

Objective

To assess the impact of disability and social determinants of health on condition-specific readmissions beyond current risk adjustment.

Design, setting, and participants

Retrospective cohort study of Medicare patients using 1) linked Health and Retirement Study-Medicare claims data (HRS-CMS) and 2) Healthcare Cost and Utilization Project State Inpatient Databases (Florida, Washington) linked with ZIP Code-level measures from the Census American Community Survey (ACS-HCUP). Multilevel logistic regression models assessed the impact of disability and selected so

SUBMITTER: Meddings J 

PROVIDER: S-EPMC5215164 | biostudies-literature | 2017 Jan

REPOSITORIES: biostudies-literature