TABLE 2.
Segmented Regression of Process Measures: Documented Family Interaction and Discharge After 2 pm
| Documented Family Interaction (N=2496) | Discharge After 2 pm (N=3619) | |||
|---|---|---|---|---|
| Characteristic | OR (95% CI) | P | OR (95% CI) | P |
| Intervention group | ||||
| Pre | — | — | ||
| Post | 1.28 (0.82–2.01) | 0.3 | 0.68 (0.53–0.87) | 0.003 |
| Time* | 1.18 (1.12–1.24) | <0.001 | 1.02 (1.00–1.05) | 0.091 |
| Time after* | 0.81 (0.76–0.86) | <0.001 | 1.01 (0.98–1.05) | 0.5 |
| Age | 0.99 (0.98–1.00) | 0.010 | 1.00 (0.99–1.00) | 0.2 |
| Gender | ||||
| Female | — | — | ||
| Male | 0.83 (0.67–1.04) | 0.11 | 0.94 (0.82–1.08) | 0.4 |
| Ethnicity and race | ||||
| White non-Hispanic | — | — | ||
| White Hispanic | 0.78 (0.40–1.50) | 0.5 | 1.17 (0.73–1.87) | 0.5 |
| American Indian or AK Native | 1.10 (0.50–2.45) | 0.8 | 1.21 (0.79–1.85) | 0.4 |
| Black or African-American | 0.37 (0.17–0.83) | 0.015 | 1.15 (0.72–1.84) | 0.6 |
| Pacific Islander | 1.61 (0.32–8.17) | 0.6 | 1.14 (0.59–2.22) | 0.7 |
| Other/unknown | 1.19 (0.79–1.81) | 0.4 | 1.00 (0.78–1.27) | >0.9 |
| Insurance | ||||
| Commercial | — | — | ||
| Medicaid | 0.72 (0.52–1.01) | 0.056 | 1.15 (0.95–1.40) | 0.2 |
| Medicare | 0.89 (0.65–1.21) | 0.5 | 1.00 (0.83–1.21) | >0.9 |
| Other | 0.74 (0.38–1.45) | 0.4 | 1.24 (0.80–1.90) | 0.3 |
| Workers comp | 1.38 (0.72–2.65) | 0.3 | 1.02 (0.61–1.70) | >0.9 |
| Planned admission | 0.56 (0.43–0.73) | <0.001 | 0.63 (0.52–0.76) | <0.001 |
| COVID positive | 2.21 (1.05–4.65) | 0.037 | 1.32 (0.95–1.83) | 0.10 |
| LACE total acuity score | 1.10 (1.05–1.14) | <0.001 | 1.03 (1.00–1.05) | 0.034 |
| Hospital unit | ||||
| Surgical A | — | — | ||
| Surgical B | 0.08 (0.06–0.11) | <0.001 | 1.44 (1.19–1.73) | <0.001 |
| Medicine A | 0.16 (0.09–0.30) | <0.001 | 0.89 (0.64–1.25) | 0.5 |
| Medicine B | 1.18 (0.66–2.10) | 0.6 | 0.71 (0.54–0.93) | 0.013 |
| Medicine C | 0.50 (0.25–1.02) | 0.057 | 0.73 (0.54–0.98) | 0.039 |
| Discharge destination | ||||
| Home | — | — | ||
| Home health | 1.10 (0.82–1.48) | 0.5 | 1.78 (1.48–2.15) | <0.001 |
| Skilled nursing | 0.88 (0.56–1.37) | 0.6 | 1.57 (1.18–2.09) | 0.002 |
| Long-term acute care | 2.53 (0.67–9.60) | 0.2 | 6.38 (1.42–28.6) | 0.016 |
| Other | 2.18 (0.96–4.95) | 0.063 | 1.27 (0.67–2.41) | 0.5 |
*
The trend in practice over time (ie, slope) before intervention; time after, the difference in slope between the preimplementation and postimplementation slopes.
LACE indicates LACE Index Scoring Tool for Risk Assessment of Death and Readmission; OR, odds ratio.