Table 1.
Descriptive characteristics of the schizophrenia diagnosed enrollees with ≥1 behavioral health hospitalization in 2005 (N=28,083 enrollees) and county characteristics (N=274).
Patient Characteristic | N | % | ||
---|---|---|---|---|
Female | 13,400 | 47.7 | ||
Race/Ethnicity | ||||
White | 9,222 | 32.8 | ||
Black | 11,954 | 42.6 | ||
Hispanic | 3,525 | 12.6 | ||
Other | 3,382 | 12.0 | ||
Supplemental Security Income months > other Medicaid eligibility months | 25,465 | 90.7 | ||
Substance use disorder | 14,324 | 51.0 | ||
Neurological disordera | 3,451 | 12.3 | ||
Medical illness burden (non-neurological)b | ||||
0 conditions | 14,795 | 52.7 | ||
1 condition | 7,978 | 28.4 | ||
2 conditions | 3,746 | 13.3 | ||
3 conditions | 1,268 | 4.5 | ||
4 conditions | 296 | 1.05 | ||
At least one 30-day readmission | 6,976 | 24.8% | ||
Mean | SD | |||
Age | 40.1 | 11.2 | ||
County characteristics | Mean | SD | Min | Max |
Quality of Care for Enrollees Diagnosed with Schizophrenia | ||||
Continuous antipsychotic medication days supplyc | 0.57 | .10 | .03 | .93 |
At least one behavioral health visit per 2 months | 0.50 | .12 | .05 | .88 |
Behavioral health community follow-up within 7 days post behavioral health hospitalization discharge | 0.70 | .24 | 0 | 1.0 |
Utilization variables that may affect behavioral health readmission | ||||
Behavioral health admission rate | 0.22 | .09 | .01 | .46 |
Average behavioral health hospital length of stay | 9.0 | 4.0 | 1.3 | 42.2 |
Community Treatment Capacityd | ||||
Psychiatrists | 8.8 | 10.1 | 0 | 94.6 |
Primary care physicianse | 63.1 | 33.9 | 6.1 | 344.0 |
Free-standing psychiatric care beds | 18.2 | 27.5 | 0 | 339.5 |
Free-standing alcohol/chemical dependency beds | 2.8 | 8.4 | 0 | 69.2 |
Community mental health centers | 0.26 | .54 | 0 | 3.6 |
Federally qualified health centers | 1.8 | 3.3 | 0 | 31.9 |
Diagnoses include: dementia, Parkinson's disease, anoxic brain damage.
Categories include: cardiovascular, diabetes, chronic pulmonary, hypertension.
No gap in days supply > 30days in year.
Rates per 100,000 census population in county.
Internal medicine, primary care, and family practice physicians.
Patient characteristics derived from claims data, county characteristics derived from claims data and Area Health Resource File.