Table 2:
Adjusted estimates for each dementia-focused care tool, by dementia-status
| Dementia Tool | Outcome | Dementia Patients | Non-Dementia Patients | Interaction | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| +Tool | −Tool | Diff | p-value | +Tool | −Tool | Diff | p-value | DiD | 95% CI | p-value | ||
| Dementia Care Unit Used For Short-Stay Residents | Part B Total Cost ($) | 27859 | 29189 | −1330 | 0.13 | 28779 | 29400 | −620 | 0.44 | −710 | (−1662, 243) | 0.14 |
| Readmission Rate (90d) | 32.3% | 34.5% | −2.2% | 0.04 | 34.6% | 35.1% | −0.6% | 0.47 | −1.7% | (−3.6%, 0.3%) | 0.09 | |
| Mortality Rate (90d) | 18.4% | 18.1% | 0.3% | 0.73 | 19.0% | 18.4% | 0.6% | 0.39 | −0.3% | (−1.8%, 1.2%) | 0.70 | |
| Healthy Day at Home (90d) | 75.2 | 74.5 | 0.8 | 0.37 | 73.8 | 74.5 | −0.7 | 0.31 | 1.5 | (0.4, 2.6) | 0.01 | |
| ED visit Rate (90d) | 27.3% | 26.8% | 0.6% | 0.65 | 28.3% | 25.9% | 2.4% | 0.02 | −1.8% | (−3.6%, 0.0%) | 0.05 | |
| Subsequent SNF Admission | 28.6% | 32.1% | −3.5% | 0.001 | 26.9% | 27.3% | −0.4% | 0.56 | −3.1% | (−4.9%,1.2%) | 0.001 | |
| Cumulative SNF Length of Stay | 33.6 | 31.1 | 2.5 | 0.08 | 28.2 | 27.8 | 0.4 | 0.77 | 2.1 | (1.0, 3.3) | 0.0003 | |
| Cognitive Deficiency Training | Part B Total Cost ($) | 29042 | 27892 | 1150 | 0.27 | 29225 | 29530 | −304 | 0.74 | 1454 | (269, 2639) | 0.02 |
| Readmission Rate (90d) | 34.3% | 32.1% | 2.2% | 0.09 | 35.1% | 34.3% | 0.8% | 0.36 | 1.4% | (−1.0%,3.8%) | 0.27 | |
| Mortality Rate (90d) | 18.3% | 17.0% | 1.3% | 0.23 | 18.6% | 18.1% | 0.4% | 0.59 | 0.9% | (−1.0%, 2.8%) | 0.37 | |
| Healthy Day at Home (90d) | 74.6 | 74.2 | 0.4 | 0.69 | 74.3 | 74.5 | −0.2 | 0.85 | 0.6 | (−0.8, 2.0) | 0.43 | |
| ED visit Rate (90d) | 27.0% | 26.6% | 0.4% | 0.79 | 26.5% | 25.3% | 1.3% | 0.28 | −0.9% | (−3.1%, 1.4%) | 0.44 | |
| Subsequent SNF Admission | 31.5% | 30.9% | 0.6% | 0.66 | 27.4% | 25.8% | 1.6% | 0.07 | −1.0% | (−3.3%, 1.3%) | 0.38 | |
| Cumulative SNF Length of Stay | 31.6 | 31.7 | −0.2 | 0.92 | 27.8 | 28.6 | −0.9 | 0.58 | 0.7 | (−0.7, 2.1) | 0.35 | |
| Dementia Occupational Therapy | Part B Total Cost ($) | 29190 | 28446 | 744 | 0.30 | 29276 | 29245 | 31 | 0.96 | 713 | (−58, 1484) | 0.07 |
| Readmission Rate (90d) | 34.1% | 34.0% | 0.1% | 0.91 | 34.6% | 35.8% | −1.2% | 0.05 | 1.3% | (−0.2%, 2.9%) | 0.09 | |
| Mortality Rate (90d) | 18.2% | 18.0% | 0.2% | 0.79 | 18.5% | 18.5% | 0.1% | 0.90 | 0.1% | (−1.1%, 1.4%) | 0.84 | |
| Healthy Day at Home (90d) | 74.7 | 74.4 | 0.3 | 0.65 | 74.4 | 74.3 | 0.1 | 0.87 | 0.2 | (−0.7, 1.1) | 0.65 | |
| ED visit Rate (90d) | 27.0% | 26.8% | 0.3% | 0.77 | 26.1% | 26.9% | −0.8% | 0.32 | 1.1% | (−0.3%, 2.6%) | 0.13 | |
| Subsequent SNF Admission | 31.9% | 30.6% | 1.3% | 0.12 | 27.3% | 27.1% | 0.3% | 0.65 | 1.0% | (−0.5%, 2.5%) | 0.18 | |
| Cumulative SNF Length of Stay | 31.8 | 31.2 | 0.5 | 0.65 | 27.8 | 28.1 | −0.4 | 0.73 | 0.9 | (0.0, 1.8) | 0.06 | |
Notes: ED is emergency department; SNF is skilled nursing facility; Diff measures the difference in outcomes between patients receiving care in facilities with and without each tool; 95% CI is 95% Confidence Interval. DiD is difference-in-differences.