Table 1.
Data Sources
|
Variable Type
(QHOM Concept) |
Variable | Variable Definition | Variable Source |
|---|---|---|---|
| Independent (Intervention) |
Presence of Front-Loaded Skilled Nursing Visits |
5 or more skilled nursing visits in the first 14 days of the home health episode |
HH Agency Standard Analytic File (HHSAF) |
| Dependent (Outcome) |
30-day Hospital Readmission | The occurrence of a hospital readmission within 30-days of a hospital discharge for CMS-reimbursed patients receiving HH services |
Medicare Provider and Analysis Review File (MedPAR) |
| Covariates (Client) |
Female, White, Hispanic, severity of illness, living alone, guarded rehabilitation prognosis, pressure ulcer, stasis ulcer, dyspnea, urinary incontinence, lacking an informal caregiver, needing assistance with bathing, ambulation, eating or taking medications |
Hospitalization risk factors |
Outcome Assessment Information Set (OASIS) |
| Covariates (Client) |
Diagnosis of DM, Depression, ischemic heart disease, HIV/AIDS, renal failure, HF, COPD; cardiomypathy, dysrythmia, CAD, Alzheimer’s disease, personality/anxiety disorders, osteoporosis, MI; presence of 4 or more diagnoses |
Hospitalization risk factors |
HH Agency Standard Analytic File (HHSAF) |
| Covariate (System) |
Seen by a for-profit home health agency |
Hospitalization risk factor | Provider of Services File |