Table 1.
Patient characteristics who received acute hospital care at home
| Characteristic, n (%) | AHCaH (n=5,132) |
|---|---|
| Sex | |
| Male | 2,364 (46.1) |
| Female | 2,768 (53.9) |
| Age | |
| 18–64 | 391 (7.6) |
| 65–74 | 1,577 (30.7) |
| 75–84 | 1,959 (38.3) |
| 85+ | 1,205 (23.5) |
| Race and ethnicity | |
| White | 4,371 (85.2) |
| Black | 346 (6.7) |
| Latin@ | 219 (4.3) |
| Asian | 77 (1.5) |
| Other/Unknown | 119 (2.3) |
| Mean household income, $ (SD) | 83,932 (28,241) |
| Geography by RUCA | |
| Metropolitan | 4,807 (93.8) |
| Micropolitan | 235 (4.6) |
| Small Town/Rural/Not Coded | 89 (1.7) |
| Reason for Medicare | |
| Old Age | 4,136 (80.6) |
| Disability | 930 (18.1) |
| ESRD | 45 (0.9) |
| Disability & ESRD | 21 (0.4) |
| Dual-Eligible | 705 (13.8) |
| Census Region | |
| Northeast | 1,610 (31.4) |
| Midwest | 747 (14.6) |
| South | 2,439 (47.5) |
| West | 335 (6.5) |
| HCC Score, mean (SD) | 3.15 (2.06) |
| Case Mix Index, mean (SD) | 1.31 (0.49) |
| Comorbidities | |
| Heart failure | 2,175 (42.5) |
| COPD | 2,219 (43.3) |
| Asthma | 1,306 (25.5) |
| Diabetes | 2,375 (46.4) |
| Cancer | 1,132 (22.1) |
| Stroke/TIA | 977 (19.1) |
| Dementia | 822 (16.1) |
| COVID Diagnosis (Primary) | 564 (11.0) |
HCC Score: Score used by the Centers for Medicare and Medicaid Services as part of a risk-adjustment model that identifies individuals with serious conditions and allows Medicare to project the future annual cost of care. A HCC score of 1.0 indicates average complexity and spending. A higher HCC score represents a patient with more complexity.
Case Mix Index (CMI): Calculated by summing the Medicare Severity-Diagnosis Related Group weight for each discharge and dividing the total by the number of discharges. CMI reflects the diversity, complexity, and resource needs of hospitalized patients. A higher CMI represents more complexity and resource needs.
Abbreviations: AHCaH, acute hospital care at home; COPD, chronic obstruction pulmonary disease; COVID, coronavirus disease; ESRD, end-stage renal disease; HCC, hierarchical condition category; RUCA, rural-urban community area; SD, standard deviation; TIA, transient ischemic attack