@article{
 title = {Prevalence and patterns of potentially avoidable hospitalizations in the US long-term care setting},
 type = {article},
 year = {2015},
 identifiers = {[object Object]},
 keywords = {long-term care,nursing homes,potentially avoidable hospitalizations},
 month = {12},
 publisher = {. Published by Oxford University Press in association with the International Society for Quality in Health Care; all rights reserved},
 day = {23},
 city = {Northeastern University Center for Health Policy and Healthcare Research, Boston, USA.; Harvard Medical School, Boston, USA.; Northeastern University Center for Health Policy and Healthcare Research, Boston, USA.; Northeastern University Center for Health},
 id = {c4b0ee24-9be9-3b63-bbe0-0ccb0186a056},
 created = {2016-08-20T16:55:46.000Z},
 file_attached = {false},
 profile_id = {217ced55-4c79-38dc-838b-4b5ea8df5597},
 group_id = {408d37d9-5f1b-3398-a9f5-5c1a487116d4},
 last_modified = {2017-03-14T09:54:45.334Z},
 read = {false},
 starred = {false},
 authored = {false},
 confirmed = {true},
 hidden = {false},
 source_type = {JOUR},
 notes = {LR: 20151226; CI: (c) The Author 2015; JID: 9434628; OTO: NOTNLM; aheadofprint},
 folder_uuids = {3f8d7ce1-e3f4-4c64-add9-a1fb30f8c887},
 private_publication = {false},
 abstract = {OBJECTIVE: We examined the magnitude and related costs of potentially avoidable hospitalizations including re-hospitalizations for long-stay residents in nursing homes. DESIGN: We conducted our investigation as a retrospective cohort study where the cohort comprised individuals who were eligible for Medicare and had spent at least 120 uninterrupted days in a nursing home in New York State between 2004 and 2007. To conduct the study, we linked the Minimum Data Set, Medicare Provider Assessment File and Provider of Service File. MEASUREMENTS: We defined a potentially avoidable hospitalization as one where a resident was admitted to a hospital for which the principle diagnosis was 1 of 15 ambulatory care sensitive (ACS) conditions. RESULTS: Although the percentage of total hospitalizations for ACS conditions declined during the study period, 20% or more of annual hospitalizations were for ACS conditions entailing Medicare payments in excess of $450 million. Approximately 40% of the residents who were hospitalized once for an ACS condition were re-hospitalized during the study period for the same or different ACS condition. CONCLUSION: During the study period, potentially avoidable hospitalizations from nursing homes were a common occurrence in New York. A substantial percentage of such hospitalizations involved residents who had been previously hospitalized, in some cases multiple times, for an ACS condition. Although the observed decline in ACS-related hospitalizations suggests improvements in nursing home care, various policy and managerial-level initiatives may be needed to ensure that nursing home residents are not exposed to a substantial risk of avoidable hospitalizations in the future.},
 bibtype = {article},
 author = {McAndrew, R M and Grabowski, D C and Dangi, A and Young, G J},
 journal = {International journal for quality in health care : journal of the International Society for Quality in Health Care / ISQua}
}

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Published by Oxford University Press in association with the International Society for Quality in Health Care; all rights reserved","day":"23","city":"Northeastern University Center for Health Policy and Healthcare Research, Boston, USA.; Harvard Medical School, Boston, USA.; Northeastern University Center for Health Policy and Healthcare Research, Boston, USA.; Northeastern University Center for Health","id":"c4b0ee24-9be9-3b63-bbe0-0ccb0186a056","created":"2016-08-20T16:55:46.000Z","file_attached":false,"profile_id":"217ced55-4c79-38dc-838b-4b5ea8df5597","group_id":"408d37d9-5f1b-3398-a9f5-5c1a487116d4","last_modified":"2017-03-14T09:54:45.334Z","read":false,"starred":false,"authored":false,"confirmed":"true","hidden":false,"source_type":"JOUR","notes":"LR: 20151226; CI: (c) The Author 2015; JID: 9434628; OTO: NOTNLM; aheadofprint","folder_uuids":"3f8d7ce1-e3f4-4c64-add9-a1fb30f8c887","private_publication":false,"abstract":"OBJECTIVE: We examined the magnitude and related costs of potentially avoidable hospitalizations including re-hospitalizations for long-stay residents in nursing homes. DESIGN: We conducted our investigation as a retrospective cohort study where the cohort comprised individuals who were eligible for Medicare and had spent at least 120 uninterrupted days in a nursing home in New York State between 2004 and 2007. To conduct the study, we linked the Minimum Data Set, Medicare Provider Assessment File and Provider of Service File. MEASUREMENTS: We defined a potentially avoidable hospitalization as one where a resident was admitted to a hospital for which the principle diagnosis was 1 of 15 ambulatory care sensitive (ACS) conditions. RESULTS: Although the percentage of total hospitalizations for ACS conditions declined during the study period, 20% or more of annual hospitalizations were for ACS conditions entailing Medicare payments in excess of $450 million. Approximately 40% of the residents who were hospitalized once for an ACS condition were re-hospitalized during the study period for the same or different ACS condition. CONCLUSION: During the study period, potentially avoidable hospitalizations from nursing homes were a common occurrence in New York. A substantial percentage of such hospitalizations involved residents who had been previously hospitalized, in some cases multiple times, for an ACS condition. Although the observed decline in ACS-related hospitalizations suggests improvements in nursing home care, various policy and managerial-level initiatives may be needed to ensure that nursing home residents are not exposed to a substantial risk of avoidable hospitalizations in the future.","bibtype":"article","author":"McAndrew, R M and Grabowski, D C and Dangi, A and Young, G J","journal":"International journal for quality in health care : journal of the International Society for Quality in Health Care / ISQua","bibtex":"@article{\n title = {Prevalence and patterns of potentially avoidable hospitalizations in the US long-term care setting},\n type = {article},\n year = {2015},\n identifiers = {[object Object]},\n keywords = {long-term care,nursing homes,potentially avoidable hospitalizations},\n month = {12},\n publisher = {. Published by Oxford University Press in association with the International Society for Quality in Health Care; all rights reserved},\n day = {23},\n city = {Northeastern University Center for Health Policy and Healthcare Research, Boston, USA.; Harvard Medical School, Boston, USA.; Northeastern University Center for Health Policy and Healthcare Research, Boston, USA.; Northeastern University Center for Health},\n id = {c4b0ee24-9be9-3b63-bbe0-0ccb0186a056},\n created = {2016-08-20T16:55:46.000Z},\n file_attached = {false},\n profile_id = {217ced55-4c79-38dc-838b-4b5ea8df5597},\n group_id = {408d37d9-5f1b-3398-a9f5-5c1a487116d4},\n last_modified = {2017-03-14T09:54:45.334Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n source_type = {JOUR},\n notes = {LR: 20151226; CI: (c) The Author 2015; JID: 9434628; OTO: NOTNLM; aheadofprint},\n folder_uuids = {3f8d7ce1-e3f4-4c64-add9-a1fb30f8c887},\n private_publication = {false},\n abstract = {OBJECTIVE: We examined the magnitude and related costs of potentially avoidable hospitalizations including re-hospitalizations for long-stay residents in nursing homes. DESIGN: We conducted our investigation as a retrospective cohort study where the cohort comprised individuals who were eligible for Medicare and had spent at least 120 uninterrupted days in a nursing home in New York State between 2004 and 2007. To conduct the study, we linked the Minimum Data Set, Medicare Provider Assessment File and Provider of Service File. MEASUREMENTS: We defined a potentially avoidable hospitalization as one where a resident was admitted to a hospital for which the principle diagnosis was 1 of 15 ambulatory care sensitive (ACS) conditions. RESULTS: Although the percentage of total hospitalizations for ACS conditions declined during the study period, 20% or more of annual hospitalizations were for ACS conditions entailing Medicare payments in excess of $450 million. Approximately 40% of the residents who were hospitalized once for an ACS condition were re-hospitalized during the study period for the same or different ACS condition. CONCLUSION: During the study period, potentially avoidable hospitalizations from nursing homes were a common occurrence in New York. A substantial percentage of such hospitalizations involved residents who had been previously hospitalized, in some cases multiple times, for an ACS condition. Although the observed decline in ACS-related hospitalizations suggests improvements in nursing home care, various policy and managerial-level initiatives may be needed to ensure that nursing home residents are not exposed to a substantial risk of avoidable hospitalizations in the future.},\n bibtype = {article},\n author = {McAndrew, R M and Grabowski, D C and Dangi, A and Young, G J},\n journal = {International journal for quality in health care : journal of the International Society for Quality in Health Care / ISQua}\n}","author_short":["McAndrew, R., M.","Grabowski, D., C.","Dangi, A.","Young, G., J."],"bibbaseid":"mcandrew-grabowski-dangi-young-prevalenceandpatternsofpotentiallyavoidablehospitalizationsintheuslongtermcaresetting-2015","role":"author","urls":{},"keyword":["long-term care","nursing homes","potentially avoidable hospitalizations"],"downloads":0},"search_terms":["prevalence","patterns","potentially","avoidable","hospitalizations","long","term","care","setting","mcandrew","grabowski","dangi","young"],"keywords":["long-term care","nursing homes","potentially avoidable hospitalizations"],"authorIDs":[]}