Table 1.
Sample Characteristics of Assisted Living Medicare Beneficiary Residents with A Discharge from Short-Stay Hospitalization
| Characteristics | Home (N=29563, 28.3%) |
HHC (N=17634, 16.9%) |
SNF (N=42145, 40.3%) |
Total (N=89,342) |
|---|---|---|---|---|
| Outcomes | ||||
| Having 30-day ED visit1 | 4.6% | 4.7% | 2.9% | 3.8% |
| Having 60-day ED visits1 | 7.2% | 7.3% | 5.2% | 6.3% |
| Having 30-day readmission | 15.0% | 17.3% | 14.3% | 15.1% |
| Having 60-day readmission | 22.0% | 24.7% | 22.1% | 22.6% |
| Having 30-day LTC admission | 0.7% | 0.5% | 8.1% | 4.1% |
| Having 60-day LTC admission | 1.0% | 0.7% | 9.2% | 4.8% |
| Having 30-day mortality | 2.3% | 3.0% | 6.0% | 4.2% |
| Having 60-day mortality | 4.1% | 5.7% | 10.1% | 7.2% |
| Age - Mean (SD) | 79.9 (12.7) | 83.7 (10.3) | 84.6 (9.8) | 82.8 (11.1) |
| Pct. <65 | 11.1% | 4.9% | 4.1% | 6.6% |
| 65–74 | 19.1% | 13.9% | 11.9% | 14.7% |
| 75–84 | 24.8% | 24.5% | 24.0% | 24.4% |
| 85–94 | 38.6% | 46.5% | 48.5% | 44.8% |
| 95 and over | 6.5% | 10.1% | 11.5% | 9.6% |
| Gender - Female | 60.4% | 65.4% | 67.4% | 64.7% |
| Race | ||||
| Non-Hispanic White | 85.7% | 90.4% | 91.0% | 89.1% |
| Non-Hispanic Black | 6.8% | 4.1% | 4.3% | 5.1% |
| Hispanic | 4.4% | 3.1% | 2.6% | 3.3% |
| Asian/Pacific Islander | 1.9% | 1.4% | 1.2% | 1.4% |
| Other | 1.2% | 1.0% | 0.9% | 1.0% |
| Dual eligibility | 23.3% | 16.9% | 21.8% | 21.3% |
| Index admission Length of Stay, Mean (SD) | 3.9 (5.2) | 4.4 (4.2) | 6.0 (5.4) | 5.0 (5.2) |
| Index Admission LOS >= 3 days | 55.1% | 68.3% | 92.6% | 75.4% |
| DRG weights, Mean (SD) | 1.3 (0.9) | 1.4 (0.9) | 1.6 (1.1) | 1.5 (1.0) |
| DRG type | ||||
| Medical | 84.9% | 84.1% | 73.1% | 79.2% |
| Surgical | 14.4% | 14.4% | 25.9% | 19.8% |
| Missing | 0.8% | 1.5% | 1.0% | 1.0% |
| Medicare Advantage enrollees | 31.3% | 32.5% | 29.8% | 30.8% |
| Number of Chronic Conditions (Medicare fee-for-service only)2 | ||||
| Mean (SD) | 13.0 (7.57) | 13.3 (7.32) | 13.7 (7.08) | 13.4 (7.30) |
| <=10 | 15.1% | 11.2% | 11.2% | 12.5% |
| 11–19 | 37.5% | 38.9% | 41.3% | 39.6% |
| >=20 | 16.2% | 17.5% | 17.7% | 17.1% |
| Alzheimer’s Disease and Related Dementias2 | 26.0% | 29.7% | 35.9% | 31.4% |
| Acute Myocardial Infarction2 | 6.5% | 7.5% | 6.9% | 6.9% |
| Atrial Fibrillation2 | 21.7% | 25.5% | 24.2% | 23.6% |
| Chronic Kidney Disease2 | 38.0% | 40.5% | 41.1% | 39.9% |
| Chronic Obstructive Pulmonary Disease2 | 31.9% | 33.2% | 32.6% | 32.5% |
| Heart Failure2 | 35.1% | 39.1% | 39.0% | 37.8% |
| Diabetes2 | 33.4% | 34.1% | 34.5% | 34.0% |
| Ischemic Heart Disease2 | 47.4% | 49.6% | 50.8% | 49.4% |
| Osteoporosis2 | 24.8% | 29.3% | 32.4% | 29.3% |
| Rheumatoid Arthritis/Osteoarthritis2 | 52.7% | 55.7% | 58.7% | 56.1% |
| Asthma2 | 17.4% | 17.3% | 16.0% | 16.7% |
| Hypertension2 | 62.8% | 63.7% | 66.7% | 64.8% |
| Sensory - Deafness and Hearing Impairment2 | 18.5% | 20.7% | 21.7% | 20.5% |
| Mobility Impairments2 | 7.3% | 9.0% | 9.5% | 8.6% |
| Multiple Sclerosis and Transverse Myelitis2 | 1.0% | 1.1% | 1.0% | 1.0% |
| Obesity2 | 21.4% | 20.2% | 19.8% | 20.4% |
| Sensory - Blindness and Visual Impairment2 | 2.8% | 3.5% | 3.4% | 3.2% |
| Cancer2,3 | 14.7% | 16.1% | 15.9% | 15.5% |
| Anxiety/Depression2 | 45.8% | 46.3% | 49.2% | 47.5% |
| Mental Illness4 | 17.6% | 14.2% | 17.0% | 16.7% |
| Hip/Pelvic Fracture in 20182 | 1.6% | 2.5% | 10.2% | 5.9% |
| Stroke/Transient Ischemic Attack in 20182 | 9.3% | 10.6% | 12.3% | 11.0% |
| Pressure Ulcers and Chronic Ulcers in 20182 | 10.3% | 15.3% | 18.5% | 15.1% |
| Drug Use Disorder2 | 8.7% | 6.7% | 6.5% | 7.3% |
Notes:
1.
The information about ED visits was only available for Medicare Fee-For-Service beneficiaries;
2.
The information about chronic conditions and specific diagnoses was only available for Medicare Fee-For-Service beneficiaries;
3.
Cancer includes breast cancer, colorectal cancer, endometrial cancer, lung cancer, and prostate cancer;
4.
Mental illness includes bipolar disorder, personality disorders, schizophrenia, schizophrenia and other psychotic disorders;
HHC = home health care; SNF = skilled nursing facility