Do Residents Participating in Minnesota's Return to Community Initiative Experience Similar Postdischarge Outcomes to Their Peers?

Zachary Hass, Mark Woodhouse, Greg Arling

Research output: Contribution to journalArticle

Abstract

Objective: The objective of this study was to evaluate the impact of Minnesota's Return to Community Initiative (RTCI) on postdischarge outcomes for nursing home residents transitioned through the program. Data Sources: Secondary data were from the Minimum Data Set and RTCI staff (January 2015-December 2016), state Medicaid eligibility files and death records. The sample consisted of 29,201 nursing home discharges in Minnesota occurring in 2015. Research Design: Cox proportional hazard models were used to compare 1-year postdischarge outcomes of nursing home readmission, mortality, and Medicaid conversion for RTCI assisted community discharges and a propensity-matched sample of unassisted community discharges. Results: The majority (60%) of RTCI assisted discharges remained alive, in the community and not having converted at Medicaid at 1 year after discharge. Time to mortality was significantly lower for the assisted group than the unassisted group, but time to readmission and Medicaid conversion were similar. Conclusion: The RTCI assisted residents fared well postdischarge in their time to mortality, nursing home readmission, and Medicaid conversion; they lived longer than a propensity-matched sample of their peers.

Original languageEnglish (US)
JournalMedical care
DOIs
StateAccepted/In press - Jan 1 2019
Externally publishedYes

Keywords

  • nursing home transitions
  • outcomes
  • program evaluation
  • propensity matched sample

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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