Development of claims-based measures of unplanned acute care with superior power for assessing the effectiveness of interventions following acute care.

ABSTRACT:

Objective

To develop outcome measures that are more sensitive than current measures for evaluating primary or transitional care after hospitalizations, emergency department (ED) visits, or observation stays.

Data sources

Medicare claims data from January 1, 2015, to October 31, 2017, for 1 261 707 Medicare fee-for-service beneficiaries served by (a) primary care practices participating in Track 1 of the Comprehensive Primary Care Plus (CPC+) initiative, and (b) their matched comparison practices.

Study design

Given the poor statistical power in many studies to detect effects on readmissions, we developed two novel claims-based measures of unplanned acute care (UAC) following an index acute care event. The first measure assesses the proportion of hospitalizations follo

SUBMITTER: Chen AY 

PROVIDER: S-EPMC8143701 | biostudies-literature | 2021 Jun

REPOSITORIES: biostudies-literature