{"database":"biostudies-literature","file_versions":[],"scores":null,"additional":{"submitter":["Downer B"],"funding":["NICHD NIH HHS","NIA NIH HHS"],"pagination":["333-339"],"full_dataset_link":["https://www.ebi.ac.uk/biostudies/studies/S-EPMC10947948"],"repository":["biostudies-literature"],"omics_type":["Unknown"],"volume":["103(4)"],"pubmed_abstract":["Objectives
The aims of the study are to describe the frequency that functional goals are documented on the Minimum Data Set and to identify resident characteristics associated with meeting or exceeding discharge goals.Methods
We selected Medicare fee-for-service beneficiaries admitted to a skilled nursing facility within 3 days of hospital discharge from October 1, 2018, to December 31, 2019 ( N = 1,228,913). The admission Minimum Data Set was used to describe the discharge goal scores for seven self-care and 16 mobility items. We used the eight self-care and mobility items originally included in a publicly reported quality measure to calculate total scores for discharge goals, admission performance, and discharge performance ( n = 371,801).Results
For all self-care items, more than 70% of residents had a goal score of 1-6 points documented on the admission Minimum Data Set. Chair/bed-to-chair transfer had the highest percentage of residents with a score of 1-6 points (77.1%) and walking up/down 12 steps had the lowest (23.2%). Approximately 44% of residents had a discharge performance score that met or exceeded their goal score. Older age, urinary incontinence, and cognitive impairment had the lowest odds of meeting or exceeding discharge goals.Conclusions
Assessing a resident's functional goals is important to providing patient-centered care. This information may help skilled nursing facilities determine whether a resident has made meaningful functional improvements."],"journal":["American journal of physical medicine & rehabilitation"],"pubmed_title":["Achieving Functional Goals During a Skilled Nursing Facility Stay: A National Study of Medicare Beneficiaries."],"pmcid":["PMC10947948"],"funding_grant_id":["K12 HD055929","P30 AG024832","K01 AG058789","K01 HD101589"],"pubmed_authors":["Downer B","Li CY","Wickliff M","Malagaris I","Lee MJ"],"additional_accession":[]},"is_claimable":false,"name":"Achieving Functional Goals During a Skilled Nursing Facility Stay: A National Study of Medicare Beneficiaries.","description":"Objectives
The aims of the study are to describe the frequency that functional goals are documented on the Minimum Data Set and to identify resident characteristics associated with meeting or exceeding discharge goals.Methods
We selected Medicare fee-for-service beneficiaries admitted to a skilled nursing facility within 3 days of hospital discharge from October 1, 2018, to December 31, 2019 ( N = 1,228,913). The admission Minimum Data Set was used to describe the discharge goal scores for seven self-care and 16 mobility items. We used the eight self-care and mobility items originally included in a publicly reported quality measure to calculate total scores for discharge goals, admission performance, and discharge performance ( n = 371,801).Results
For all self-care items, more than 70% of residents had a goal score of 1-6 points documented on the admission Minimum Data Set. Chair/bed-to-chair transfer had the highest percentage of residents with a score of 1-6 points (77.1%) and walking up/down 12 steps had the lowest (23.2%). Approximately 44% of residents had a discharge performance score that met or exceeded their goal score. Older age, urinary incontinence, and cognitive impairment had the lowest odds of meeting or exceeding discharge goals.Conclusions
Assessing a resident's functional goals is important to providing patient-centered care. This information may help skilled nursing facilities determine whether a resident has made meaningful functional improvements.","dates":{"release":"2024-01-01T00:00:00Z","publication":"2024 Apr","modification":"2025-06-28T03:05:13.061Z","creation":"2025-06-28T03:05:13.061Z"},"accession":"S-EPMC10947948","cross_references":{"pubmed":["38112630"],"doi":["10.1097/phm.0000000000002382","10.1097/PHM.0000000000002382"]}}