Table A1. Demographic and Health Characteristics of Medicare Beneficiaries With Significant Cognitive Impairment Receiving Certified Home Health Agency Services in Assisted Living and Other Home Settings (2014).
| Beneficiaries receiving CHHA services in AL (N = 49,300) |
Beneficiaries receiving CHHA services in other home settings (N = 108,216) |
Total (N = 157,516) |
|
|---|---|---|---|
| Characteristics | n (%)/M (SD) | n (%)/M (SD) | n (%)/M (SD) |
| Age | |||
| 65-69 | 1,596 (3.2) | 5,860 (5.4) | 7,456 (4.7) |
| 70-74 | 2,698 (5.5) | 9,595 (8.9) | 12,293 (7.8) |
| 75-79 | 4,962 (10.1) | 15,487 (14.3) | 20,449 (13.0) |
| 80-84 | 9,329 (18.9) | 22,948 (21.2) | 32,277 (20.5) |
| 85+ | 30,715 (62.3) | 54,326 (50.2) | 85,041 (54.0) |
| Sex | |||
| Female | 34,978 (70.9) | 69,246 (64.0) | 104,224 (66.2) |
| Male | 14,322 (29.1) | 38,970 (36.0) | 53,292 (33.8) |
| Racea | |||
| White | 45,296 (91.9) | 77,414 (71.5) | 122,710 (77.9) |
| Black | 1,783 (3.6) | 17,197 (15.9) | 18,980 (12.0) |
| Hispanic | 1,293 (2.6) | 8,956 (8.3) | 10,249 (6.5) |
| Asian/Pacific Islander | 600 (1.2) | 3,343 (3.1) | 3,943 (2.5) |
| Native American | 95 (0.2) | 349 (0.3) | 444 (0.3) |
| Other/unknown | 164 (0.3) | 710 (0.7) | 874 (0.6) |
| Cognitive, behavioral, and psychiatric impairments | |||
| Memory deficit | 44,278 (89.8) | 85,857 (79.3) | 130,135 (82.6) |
| Impaired decision | 40,157 (81.5) | 80,255 (74.2) | 120,412 (76.4) |
| Verbal disruption | 6,622 (13.4) | 10,222 (9.4) | 16,844 (10.7) |
| Physical aggression | 5,488 (11.1) | 7,566 (7.0) | 13,054 (8.3) |
| Socially inappropriate | 4,154 (8.4) | 6,209 (5.7) | 10,363 (6.6) |
| Delusional | 4,197 (8.5) | 8,433 (7.8) | 12,630 (8.0) |
| None of the above | 1,259 (2.6) | 8,505 (7.9) | 9,764 (6.2) |
| ADL impairments | |||
| Grooming | 48,858 (99.1) | 106,625 (98.5) | 155,483 (98.7) |
| Dressing upper | 49,009 (99.4) | 106,991 (98.9) | 156,000 (99.0) |
| Dressing lower | 49,075 (99.5) | 107,234 (99.1) | 156,309 (99.2) |
| Bathing | 49,266 (99.9) | 108,000 (99.8) | 157,266 (99.8) |
| Toileting transfer | 48,485 (98.3) | 105,565 (97.6) | 154,050 (97.8) |
| Toileting hygiene | 47,969 (97.3) | 104,437 (96.5) | 152,406 (96.8) |
| Transferring | 48,020 (97.4) | 105,642 (97.6) | 153,662 (97.6) |
| Ambulation/locomotion | 48,654 (98.7) | 106,979 (98.9) | 155,633 (98.8) |
| Feeding | 45,780 (92.9) | 100,692 (93.0) | 146,472 (93.0) |
| Discharged during the past 14 days | |||
| Skilled nursing facility | 6,240 (12.7) | 19,151 (17.7) | 25,391 (16.1) |
| Short-stay acute hospital | 9,141 (18.5) | 36,726 (33.9) | 45,867 (29.1) |
| Other | 2,399 (4.9) | 7,746 (7.2) | 10,145 (6.4) |
| No inpatient discharge | 32,177 (65.3) | 47,411 (43.8) | 79,588 (50.5) |
| Insurance | |||
| Full duals | 8,701 (17.7) | 28,187 (26.1) | 36,888 (23.4) |
| Partial duals | 335 (0.7) | 4,170 (3.9) | 4,505 (2.9) |
| Provider characteristics ownership type | |||
| For-profit | 34,572 (70.1) | 59,297 (54.8) | 93,869 (59.6) |
| Nonprofit | 13,508 (27.4) | 45,554 (42.1) | 59,062 (37.5) |
| Government | 1,201 (2.4) | 3,344 (3.1) | 4,545 (2.9) |
| Rurality | |||
| Urban | 43,908 (89.1) | 90,464 (83.6) | 134,372 (85.3) |
| Rural | 4,366 (8.9) | 14,572 (13.5) | 18,938 (12.0) |
| Super rural | 1,026 (2.1) | 3,179 (2.9) | 4,205 (2.7) |
| Total number of episodes | 2,088.6 (3,443.3) | 3,036.0 (6,745.7) | 2,739.3 (5,929.7) |
| Number of dual eligible beneficiaries | 350.4 (952.6) | 652.9 (2,043.9) | 558.5 (1,782.3) |
| Average age of beneficiaries | 79.1 (3.2) | 77.4 (2.7) | 77.9 (3.0) |
| Number of years certified | 23.1 (13.7) | 27.1 (14.4) | 25.9 (14.3) |
Source. Outcome and Assessment Information Set C and Medicare Master Beneficiary Summary File, 2010-2014.
Note. Differences between settings tested using chi-square analyses and are statistically significant at p < .001. Numbers represent person-years. CHHA = certified home health agency; AL = assisted living.
a
RTI algorithm.