Examining Social Risk Factors in a Pressure Ulcer Quality Measure for Three Post-Acute Care Settings.

Julie Seibert1, Daniel Barch, Amarilys Bernacet

  • 1At RTI International, Research Triangle Park, North Carolina, Julie Seibert, PhD, MPH, is Senior Research Public Health Analyst; Daniel Barch, PhD, is Research Public Health Analyst; Amarilys Bernacet, MPH, is Research Public Health Analyst; Amy Kandilov, PhD, MA, is Senior Research Economist; Jennifer Frank, MPH, is Research Public Health Analyst; Lindsey Free, BA, and Quantesa Roberts, MA, are former Public Health Analysts; Karen Reilly, ScD, is formerly Senior Health Policy Researcher; and Laura Smith, PhD, is Program Director, Quality Measurement and Health Policy Program. At the CMS in Baltimore, Maryland, Tara McMullen, PhD, is a Technical Advisor, and Alan Levitt, MD, is a Medical Officer. At the Office of the Assistant Secretary for Planning and Evaluation in Washington, DC, Stella Mandl, BSN, RN, is the Physician-Focused Payment Model Technical Advisory Committee Staff Director. Acknowledgments: The authors would like to acknowledge Yevgeniya Kaganova, Kent Parks, and Scott Scheffler of RTI for their invaluable assistance with statistical programming. Support for this evaluation came from the CMS, under contract number HHSM-500-2013-13015I. The statements contained in this presentation are solely those of the authors and do not necessarily reflect the views or policies of CMS. The authors have disclosed no other financial relationships related to this article. Submitted August 12, 2019; accepted in revised form September 24, 2019; published online ahead of print January 7, 2020.

Summary

Disparities in pressure ulcer incidence exist across post-acute care settings. Black race, male sex, and older age predict higher risks, though health conditions can reduce racial disparities.

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