Table 1.
Characteristics of Patients Referred for Care Coordination Services According to Receipt or Non-Receipt of Intervention
| Characteristics | PAL-referred (N = 16,993) |
TG-referred (N = 8635) |
||
|---|---|---|---|---|
| Received (n = 10,597) |
Not received (n = 6396) |
Received (n = 5560) |
Not received (n = 3075) |
|
| Age | 53.0 (16.5) | 50.2 (16.0) | 57.5 (16.1) | 55.2 (16.0) |
| Male | 4866 (45.9%) | 3217 (50.3%) | 2800 (50.4%) | 1625 (52.8%) |
| Race | ||||
| White | 6242 (58.9%) | 3069 (48.0%) | 2794 (50.3%) | 1515 (49.3%) |
| Black | 3476 (32.8%) | 2822 (44.1%) | 2349 (42.2%) | 1409 (45.8%) |
| Other | 879 (8.3%) | 505 (7.9%) | 417 (7.5%) | 151 (4.9%) |
| Payer | ||||
| Medicare | 3365 (31.8%) | 1795 (28.1%) | 2501 (45.0%) | 1329 (43.2%) |
| Medicaid | 1808 (17.1%) | 2078 (32.5%) | 1568 (28.2%) | 1080 (35.1%) |
| Other | 5424 (51.2%) | 2523 (39.4%) | 1491 (26.8%) | 666 (21.7%) |
| Unit type | ||||
| Medicine | 6111 (57.7%) | 4574 (71.5%) | 3403 (61.2%) | 2238 (72.8%) |
| Neurosciences | 3159 (29.8%) | 1350 (21.1%) | 426 (7.7%) | 182 (5.9%) |
| Surgical sciences | 854 (8.1%) | 282 (4.4%) | 1532 (27.6%) | 592 (19.3%) |
| Other | 473 (4.5%) | 190 (3.0%) | 199 (3.6%) | 63 (2.0%) |
| Seven Zip* | 2176 (20.5%) | 2004 (31.3%) | 2270 (40.8%) | 1438 (46.8%) |
| AHRQ Comorbidity Index | 2.6 (1.5) | 2.9 (1.6) | 3.2 (1.8) | 3.6 (2.0) |
| Length of stay | 3.3 (3.2) | 3.4 (3.4) | 5.8 (5.8) | 5.9 (6.7) |
| HSCRC APR-DRG/SOI expected readmission rate | 14.8 (8.2) | 15.9 (8.3) | 18.2 (7.8) | 19.3 (7.7) |
| Facility | ||||
| JHH | 9007 (85.0%) | 5206 (81.4%) | 3749 (67.4%) | 1853 (60.3%) |
| JHBMC | 1590 (15.0%) | 1190 (18.6%) | 1811 (32.6%) | 1222 (39.7%) |
Binary and categorical data are presented as number (%), and continuous variables are represented as mean (standard deviation). Proportions may not add to 100% due to rounding
Abbreviations: AHRQ, Agency for Healthcare Research and Quality; HSCRC, Health Services Cost Review Commission; APR-DRG, All-Patient–Refined Diagnosis-Related Group; JHH, Johns Hopkins Hospital; JHBMC, Johns Hopkins Bayview Medical Center; SOI, severity of illness
*Refers to the ZIP Codes in close proximity to the project hospitals with a high proportion of indigent residents