JAMDA
Volume 12, Issue 1 , Pages 38-43 , January 2011

Validation of the Minimum Data Set in Identifying Hospitalization Events and Payment Source

  • Shubing Cai, PhD

      Affiliations

    • Center for Gerontology and Health Care Research, The Warren Alpert Medical School, Brown University, Providence, RI
    • Corresponding Author InformationAddress correspondence to Shubing Cai, PhD, Center for Gerontology and Health Care Research The Warren Alpert Medical School, Brown University, 121 S. Main Street, Box G-S121 (6), Providence, RI 02912.
    • ,
  • Dana B. Mukamel, PhD

      Affiliations

    • Department of Medicine, Health Policy Research Institute, University of California, Irvine, Irvine CA
    • ,
  • Peter Veazie, PhD

      Affiliations

    • Department of Community and Preventive Medicine, University of Rochester School of Medicine, Rochester, NY
    • ,
  • Helena Temkin-Greener, PhD

      Affiliations

    • Department of Community and Preventive Medicine, University of Rochester School of Medicine, Rochester, NY

References 

  1. Centers for Medicare and Medicaid Services. The MDS 2.0. Available at: http://www.cms.hhs.gov/NursingHomeQualityInits/01_overview.asp. Accessed December 28, 2009.
  2. Hawes C, Morris JN, Phillips CD, et al. Development of the nursing home Resident Assessment Instrument in the USA. Age Ageing. 1997;26:19–25
  3. Mor V, Angelelli J, Jones R, et al. Inter-rater reliability of nursing home quality indicators in the US. BMC Health Serv Res. 2003;3:20
  4. Morris J, Moore T, Jones R, et al. Validation of Long-term and Post-acute Quality Indicators. Baltimore, MD: Centers for Medicare and Medicaid Services; 2003;
  5. Carter MW. Variations in hospitalization rates among nursing home residents: The role of discretionary hospitalizations. Health Serv Res. 2003;38:1177–1206
  6. Intrator O, Schleinitz M, Grabowski DC, et al. Maintaining continuity of care for nursing home residents: Effect of states' Medicaid bed-hold policies and reimbursement rates. Health Serv Res. 2009;44:33–55
  7. Grabowski DC, Gruber J, Angelelli J. Nursing home quality as a common good. The Review of Economics and Statistics. 2008;90:754–764
  8. Konetzka RT, Spector W, Shaffer T. Effects of nursing home ownership type and resident payer source on hospitalization for suspected pneumonia. Med Care. 2004;42:1001–1008
  9. Troyer JL. Examining differences in death rates for Medicaid and non-Medicaid nursing home residents. Med Care. 2004;42:985–991
  10. Research Data Assisstance Center (ResDac). Available at: http://www.resdac.umn.edu/Available_CMS_Data.asp. Accessed December 28, 2009.
  11. Research Data Assisstance Center (ResDac). Medicare Data File Description. Available at: http://www.resdac.umn.edu/Medicare/data_file_descriptions.asp#rif. Accessed December 28, 2008.
  12. Research Data Assisstance Center (ResDac). The Medicaid Analytic Extract (MAX) File Description. Available at: http://www.resdac.umn.edu/Medicaid/data_documentation.asp. Accessed December 28, 2008.
  13. Mor V, Zinn J, Angelelli J, et al. Driven to tiers: Socioeconomic and racial disparities in the quality of nursing home care. Milbank Q. 2004;82:227–256
  14. Grabowski DC, O'Malley AJ, Barhydt NR. The costs and potential savings associated with nursing home hospitalizations. Health Aff (Millwood). 2007;26:1753–1761
  15. Kruse RL, Mehr DR, Boles KE, et al. Does hospitalization impact survival after lower respiratory infection in nursing home residents?. Med Care. 2004;42:860–870
  16. Loeb M, Carusone SC, Goeree R, et al. Effect of a clinical pathway to reduce hospitalizations in nursing home residents with pneumonia: A randomized controlled trial. JAMA. 2006;295:2503–2510
  17. Ouslander JG, Weinberg AD, Phillips V. Inappropriate hospitalization of nursing facility residents: A symptom of a sick system of care for frail older people. J Am Geriatr Soc. 2000;48:230–231
  18. Binder EF, Kruse RL, Sherman AK, et al. Predictors of short-term functional decline in survivors of nursing home-acquired lower respiratory tract infection. J Gerontol A Biol Sci Med Sci. 2003;58:60–67

 We gratefully acknowledge financial support from the National Institute on Aging, Grant R01 AG23077.

PII: S1525-8610(10)00058-7

doi: 10.1016/j.jamda.2010.02.001

JAMDA
Volume 12, Issue 1 , Pages 38-43 , January 2011

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