TABLE 3.
Six Months Post Identification: Utilization, Charges, Super-Utilizer Group Stability and Mortality by Latent Class
| Overall | Class 1: Alcohol/Homeless (N=243) | Class 2: MH/SUD, Homeless (N=218) | Medical, Class 3: Medical (N=374) | Class 4: MH/Drug Use, Homeless (N=189) | Class 5: Medical (lower with some MH/SUD) (N=491) | p-value | |
|---|---|---|---|---|---|---|---|
| Utilization and Charges | |||||||
| Utilization | |||||||
| DH Primary Care Visits [Mean (SD)] | 2.5 (2.9) | 1.3 (2.4) | 3.6 (3.3) | 3.1 (2.9) | 2.4 (3.2) | 2.2 (2.5) | < .0001 |
| DH Admissions [Mean (SD)] | 1.8 (4.3) | 1.5 (1.7) | 1.9 (3.4) | 3.1 (6.8) | 0.9 (1.4) | 1.4 (3.7) | < .0001 |
| DH Emergency Department Admissions [Mean (SD)] | 1.8 (3.9) | 4.0 (6.6) | 2.3 (3.9) | 0.6 (1.0) | 2.5 (4.1) | 1.0 (2.7) | < .0001 |
| Patients with an external non-DH admission [# (%)] | 89 (5.9) | 22 (9.1%) | 20 (9.2%) | 20 (5.3%) | 9 (4.8%) | 18 (3.7%) | 0.0084 |
| Of Patients with non-DH admission, Admissions [Mean (SD)] | 1.6 (1.1) | 1.6 (1.1) | 1.9 (1.6) | 1.3 (0.6) | 2.0 (1.7) | 1.2 (0.6) | 0.2147 |
| Charges | |||||||
| Total Charges [Mean (SD)] | $67,319 ($97,395) | 75,115 (99,757) | 80,669 (89,226) | 79,317 (117,569) | 49,809 (84,446) | 54,161 (83,253) | < .0001 |
| Super-Utilizer Group Stability | |||||||
| # (%) Continuous | 1,074(70.1) | 169 (69.6) | 160 (73.4) | 256 (68.5) | 131 (69.3) | 358 (72.9) | 0.533 |
| # (%) Out and in | 72(4.8) | 17 (7.0) | 11 (5.1) | 21 (5.6) | 9 (4.8) | 14 (2.9) | 0.122 |
| # (%) Out | 369(24.4) | 57 (23.5) | 47 (21.6) | 97 (25.9) | 49 (25.9) | 119 (24.2) | 0.774 |
| # Months met SU criteria (Mean, SD) | 5.2(1.6) | 5.2 (1.5) | 5.3 (1.5) | 5.0 (1.7) | 5.3 (1.3) | 5.2 (1.6) | 0.108 |
| Mortality | |||||||
| Mortality 6 months post-index admission (#,%) | 121(8.0) | 7 (2.9) | 23 (10.6) | 35 (9.4) | 9 (4.8) | 47 (9.6) | 0.003 |