Table 2. Odds of Receiving Multiple Successive Home Health Episodes, by Patient’s Identified Cognitive Impairment.
(unweighted n=1,214; weighted n=5,856,333)*
| Adjusted Odds Ratio (95% CI) | ||||
|---|---|---|---|---|
| Identified cognitive impairment | 1.45 (1.01-2.09) | |||
| Characteristics measured before home health episode | ||||
| Age | 1.00 (0.98-1.02) | |||
| Female | 1.14 (0.78-1.68) | |||
| Race | [ | White | REF | |
| Non-white | 0.97 (0.58-1.62) | |||
| Medicaid enrolled | 1.18 (0.67-2.09) | |||
| Characteristics measured during home health episode | ||||
| Post-acute | 0.39 (0.24-0.63) | |||
| Clinical severity | [ | Low | REF | |
| Moderate | 1.41 (0.93-2.14) | |||
| High | 2.16 (1.35-3.45) | |||
| Functional impairment | Low/none | REF | ||
| Moderate | 1.03 (0.60-1.75) | |||
| High | 1.19 (0.69-2.05) | |||
| Elevated hospitalization risk | 1.35 (0.84-2.18) | |||
| Wound | 1.04 (0.60-1.80) | |||
| Receives family caregiver assistance | 0.79 (0.39-1.61) | |||
| Home health agency characteristics | ||||
| Non-profit | 0.30 (0.18-0.49) | |||
| Number of FTEs† | 0.99 (0.99-1.00) | |||
| Accredited‡ | 1.13 (0.72-1.77) | |||
| Rural provider | 1.88 (1.28-2.74) | |||
*
Data drawn from linked National Health and Aging Trends Study (NHATS), Outcomes and Assessment Information Set (OASIS), Medicare claims, and Medicare Provider of Services files for 1,214 Medicare beneficiaries receiving home health care between 2011-2016.
†
Full time equivalent employees
‡
Accreditation from The Joint Commission, Accreditation Commission for Health Care, or Community Health Accreditation Partner.