TABLE 2.
Association between HCBS generosity (breadth and intensity) and likelihood of community discharge
| Variables | Likelihood of community discharge |
|---|---|
| HCBS breadth | 0.661*** |
| (0.239) | |
| HCBS intensity | 0.0195 |
| (0.0846) | |
| Age | −0.233*** |
| (0.0149) | |
| Male | −4.618*** |
| (0.233) | |
| Race, black | 5.351*** |
| (0.339) | |
| Race, other | 5.790*** |
| (0.343) | |
| Marital status, divorced | −1.110*** |
| (0.345) | |
| Marital status, never married | −2.410*** |
| (0.360) | |
| Marital status, other | −3.373*** |
| (0.715) | |
| Marital status, separated | −0.838 |
| (0.757) | |
| Marital status, widowed | −1.177*** |
| (0.290) | |
| Reason for original Medicare entitlement: Disability | 1.781*** |
| (0.253) | |
| Reason for original Medicare entitlement: ESRD | −8.711*** |
| (1.749) | |
| Reason for original Medicare entitlement: Disability and ESRD | −11.03*** |
| (1.828) | |
| ADL | −1.302*** |
| (0.0269) | |
| CFS: mildly impaired | −9.545*** |
| (0.274) | |
| CFS: moderately impaired | −16.28*** |
| (0.328) | |
| CFS: severely impaired | −18.62*** |
| (0.516) | |
| CFS: missing | −25.43*** |
| (0.714) | |
| Surgical stay | 6.232*** |
| (0.392) | |
| Length of hospital stay | −0.503*** |
| (0.0322) | |
| DRG weights | −0.520*** |
| (0.112) | |
| ICU | 0.533** |
| (0.242) | |
| Hospitalization in prior year | −0.352*** |
| (0.0720) | |
| Anemia | −2.267*** |
| (0.216) | |
| Heart failure | −2.322*** |
| (0.244) | |
| Hypertension | 0.813*** |
| (0.253) | |
| ESRD | 0.890*** |
| (0.263) | |
| ADRD | −6.054 |
| (4.437) | |
| Asthma/COPD | −7.109*** |
| (0.272) | |
| Pneumonia | 1.531*** |
| (0.239) | |
| Hip fracture | 0.197 |
| (0.317) | |
| Other fracture | −1.554*** |
| (0.422) | |
| Malnutrition | −0.0378 |
| (0.355) | |
| Anxiety | −5.500*** |
| (0.534) | |
| Bipolar disorder | −1.394*** |
| (0.250) | |
| Psychotic disorder | −0.374 |
| (0.631) | |
| Schizophrenia | −5.002*** |
| (0.500) | |
| Incontinence | −3.861*** |
| (0.629) | |
| Hemiplegia | −8.219*** |
| (0.254) | |
| Seizure disorder/epilepsy | −2.021*** |
| (0.510) | |
| Shortness of breath with exertion | 2.822*** |
| (0.458) | |
| Shortness of breath when sitting | −0.880*** |
| (0.332) | |
| Shortness of breath when lying | −7.085*** |
| (0.487) | |
| Swallow problem | −2.247*** |
| (0.421) | |
| Weight loss | −2.656*** |
| (0.403) | |
| Surgical wound | −1.618*** |
| (0.251) | |
| # of days having injection | 3.201*** |
| (0.358) | |
| # of days insulin injection | 0.509*** |
| (0.0488) | |
| Insulin injection | −3.736*** |
| (0.367) | |
| Year: 2011 (ref:2010) | 1.288*** |
| (0.358) | |
| Year: 2012 (ref:2010) | 3.188*** |
| (0.373) | |
| Year: 2013 (ref:2010) | 3.970*** |
| (0.454) | |
| Constant | 103.4*** |
| (1.860) | |
| Observations | 224 229 |
| R‐squared | 0.136 |
| Number of SNFs | 11 684 |
Note: Estimates reflect percentage point increases/decreases. Robust SEs in parentheses. Eleven states (AZ, DE, HI, KY, MN, NJ, NM, NY, TN, TX, and UT) were excluded from this analysis.
Abbreviations: ADL, activities of daily living; ADRD, Alzheimer's disease and related dementia; CFS, cognitive function scale; COPD, chronic obstructive pulmonary disease; DRG, diagnosis‐related groups; ESRD, end‐stage renal disease; HCBS, home‐ and community‐based services; ICU, intensive care unit; SNF, skilled nursing facility.
***
P < 0.01;
**
P < 0.05.