Table 2.
Univariate and Multivariate Analyses of Factors Associated with Successful Direct Communication between Inpatient and Outpatient Physicians
| Predictors | Successful handoff (N = 2438) |
Unsuccessful handoff (N = 4197) |
Univariate analysis | Multivariate analysis | ||
|---|---|---|---|---|---|---|
| Odds Ratio for successful handoff (95% CI) |
P value |
Odds Ratio for successful handoff (95% CI) |
P value |
|||
| Mean age | 55.5 | 55.2 | 1.01 (0.98-1.04) per decade |
0.54 | 1.00 (0.96-1.03) per decade |
0.81 |
| Female N (%) | 1289 (52.9) | 2107 (50.2) | 1.11 (1.01-1.23) | 0.04 | 1.09 (0.99-1.21) | 0.08 |
| Length of Stay | 4.07 | 3.71 | 1.02 (1.01-1.03) per day |
0.001 | 1.01 (1.00-1.02) per day |
0.06 |
| White Race¶ N (%) | 1041 (42.7) | 1791 (42.7) | 1.00 (0.90-1.11) | 0.98 | 0.96 (0.87-1.07) | 0.52 |
|
Hospitalist N (%)
(without housestaff) |
501 (20.1) | 516 (12.3) | 1.85 (1.61-2.11) | <0.001 | 1.81 (1.59-2.08) | <0.001 |
| Payor N (%) | ||||||
| -Medicaid | 590 (24.2) | 1225 (29.2) | 1.0 (referent) | 1.0 (referent) | ||
| -Medicare | 958 (39.3) | 1531(36.5) | 1.30 (1.14-1.48) | <0.001 | 1.35 (1.16-1.56) | <0.001 |
| -Private | 804(33.0) | 1291 (30.8) | 1.29 (1.13-1.48) | <0.001 | 1.35 (1.18-1.56) | <0.001 |
| -Other | 86 (3.5) | 150 (3.6) | 1.19 (0.89-1.58) | 0.23 | 1.29 (0.97-1.73) | 0.08 |
|
Expected 30-day
readmit rate (%) * |
17.0 | 16.0 | 1.21 (1.14-1.31) per 10% |
<0.001 | 1.18 (1.10-1.28) per 10% |
<0.001 |
¶
Almost all non-white patients were “Black”
*
Expected 30-day readmission rate was defined as the observed 30-day same-hospital readmission rate for all patients with a given APRDRG and severity of illness score for patients in the University HealthSystem Consortium database (calculated based on calendar year 2010 data).