Table 3.
Hospice Risk-Adjustment Logistic Models: Dependent Variable: Decedent Enrolled in Hospice
Variables | Model estimated on admission assessmenta | Model estimated on annual assessmenta | Model estimated on other full-information assessmenta,b | Model estimated on quarterly with imputed information assessmenta |
---|---|---|---|---|
Demographics: | ||||
Female | 0.148 | 0.188 | 0.147 | 0.159 |
Age in Years | 0.076*** | 0.055*** | −0.016*** | −0.057*** |
Age Squared | −0.096×10−2 | −0.033×10−2 | 0.033×10−2*** | 0.077×10−2*** |
Age Cubed | 0.041×10−4*** | 0.001×10−4*** | 0.021×10−4*** | −0.035×10−4*** |
Length of Stay in Years | 0.080** | −0.019*** | 0.121 | 0.037 |
Length of Stay Squared | −0.017 | −0.283×10−2*** | −0.018 | −0.008 |
African American | −0.077 | NS | NS | −0.184c |
Asian or Native American | −0.425 | −0.440 | −0.470 | −0.522c |
Hispanic | NS | NS | 0.258 | NSc |
No Schooling | −0.146 | −0.292** | −0.197 | −0.109c |
8th Grade or Less | −0.063 | −0.164 | −0.172 | −0.066c |
Bachelor Degree or Higher | 0.017 | NS | NS | NSc |
Not Married | NS | −0.132 | −0.015 | −0.111c |
Diseases: | ||||
Sum of ADLs (Range 0–64) | 0.667×10−2 | 0.030 | 0.012 | 0.022 |
Number of Diagnoses (Range 0–43) | −0.068 | −0.024* | −0.083 | NA |
Congestive Heart Failure | −0.104 | −0.114 | −0.060 | −0.111c |
Dementia | 0.099 | 0.188 | 0.118 | 0.088c |
Emphysema or COPD | −0.047 | NS | NS | −0.063c |
Cancer | 0.700 | 0.385 | 0.321 | 0.444c |
Hip Fracture in Last 180 Days | −0.162 | NS | NS | −0.058* |
End-Stage Disease | 1.547 | 2.585 | 1.462 | 2.246 |
Swallowing Problem | −0.098 | 0.178 | −0.029** | NSc |
Weight Loss | 0.115 | 0.417 | 0.075 | 0.391 |
Weight Gain | −0.099 | NS | −0.063 | −0.059 |
Pressure Ulcer: at Least Stage 3 | −0.040** | 0.484 | NS | 0.309 |
HIV | NS | NS | NS | 0.654* |
Treatments: | ||||
Chemotherapy | −0.225 | NS | NS | −0.568 |
Dialysis | −0.433 | −0.400 | −0.521 | NS |
Oxygen Therapy | 0.02 | 0.211 | NS | 0.172 |
Radiation | −0.113** | NS | −0.169* | NS |
Suctioning | −0.340 | NS | −0.341 | −0.243 |
Tracheostomy Care | −0.365 | −0.683 | −0.182* | −0.241 |
Ventilator/Respirator | −0.594 | −1.060 | −0.635 | −1.113 |
Constant | −3.783 | −4.081 | −0.994 | −0.300 |
N | 403,405 | 77,217 | 262,788 | 357,846 |
C statistic | 0.67 | 0.66 | 0.66 | 0.66 |
Note: Variables included in the initial analysis but excluded from the final model (jointly not significantly different from zero at the 0.2 level): renal failure, hip fracture interacted with dementia.
All variables are significant at the 0.001 level unless otherwise noted as follows:
Significant at the 0.05 level.
Significant at the 0.01 level.
Jointly significant at the 0.10 level.
Other assessments include significant change of status and significant correction to prior full assessments.
Variable was imputed from a prior full-information observation.
NA: In the quarterly assessments, these variables were not recorded and not inputed.
NS: Not significant at the 0.05 level.