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Risk adjusting outcome measures for post-acute care
Brant E Fries1, John N Morris, Pablo Aliaga
1Institute of Gerontology and School of Public Health, University of Michigan, and Ann Arbor VA Medical Center, Ann Arbor, MI 48109-2007, USA. bfries@umich.edu
Summary
Different risk adjusters are necessary for home care outcome measures in post-acute care. Selecting appropriate risk adjusters is crucial for special home care populations to ensure accurate outcome assessments.
Area of Science:
- Health Services Research
- Gerontology
- Rehabilitation Medicine
Background:
- Home care services are vital for post-acute care clients.
- Standardized outcome measures and risk adjusters are essential for evaluating care quality.
- Existing risk adjusters may not adequately reflect the unique needs of post-acute home care populations.
Purpose of the Study:
- To determine if distinct risk adjusters are required for home care outcome measures specific to post-acute care clients.
- To compare risk adjusters used for post-acute home care populations with those used for the general population.
Main Methods:
- Utilized multiple logistic regression analysis.
- Tested multiple risk adjusters meeting clinical and policy criteria.
- Analyzed a sample of 4403 post-acute home care clients from Michigan.
Main Results:
- Two of the six outcome measures demonstrated significantly different risk adjusters for the post-acute care population compared to the general population.
- Identified specific outcome measures requiring tailored risk adjustment in home care settings.
Conclusions:
- Risk adjusters for home care outcome measures may need to be population-specific, particularly for post-acute care clients.
- Careful selection of outcome measures and risk adjusters is imperative for special home care populations to ensure accurate and relevant assessments.