Assessing the impact of Minnesota's return to community initiative for newly admitted nursing home residents

Zachary Hass, Mark Woodhouse, David C. Grabowski, Gregory Arling

Research output: Contribution to journalArticle

Abstract

Objective: To evaluate Minnesota's Return to Community Initiative's (RTCI) impact on community discharges from nursing homes. Data Sources: Secondary data were from the Minimum Data Set and RTCI staff (April 2014 – December 2016). The sample consisted of 18 444 non-Medicaid nursing home admissions in Minnesota remaining for at least 45 days, with high predicted probability of community discharge. Study Design: The RTCI facilitates community discharge for non-Medicaid nursing home residents by assisting with discharge planning, transitioning to the community, and postdischarge follow-up. A key evaluation question is how many of those transitions were directly attributable to the program. Return to Community Initiative was implemented statewide without a control group. Program impact was measured using regression discontinuity, a quasi-experimental design approach that leverages the programs targeting model. Principal Findings: Return to Community Initiative increased community discharge rates by an estimated 11 percent (P < 0.05) for the targeted population. The program effect was robust to time and increased with level of facility participation in RTCI. Conclusions: The RTCI had a modest yet significant impact on the community discharge rates for its targeted population. Findings have been applied in strengthening the RTCI's targeting approach and transitioning process.

Original languageEnglish (US)
JournalHealth Services Research
DOIs
StatePublished - Jan 1 2019
Externally publishedYes

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Nursing Homes
Patient Discharge
Information Storage and Retrieval
Population
Research Design

Keywords

  • nursing home to community transitions
  • program evaluation
  • regression discontinuity

ASJC Scopus subject areas

  • Health Policy

Cite this

Assessing the impact of Minnesota's return to community initiative for newly admitted nursing home residents. / Hass, Zachary; Woodhouse, Mark; Grabowski, David C.; Arling, Gregory.

In: Health Services Research, 01.01.2019.

Research output: Contribution to journalArticle

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