Nursing Home Revenue Source and Information Availability During the Emergency Department Evaluation of Nursing Home Residents

Timothy F. Platts-Mills, Kevin Biese, Michael LaMantia, Zeke Zamora, Laura N. Patel, Brenda McCall, Fortune Egbulefu, Jan Busby-Whitehead, Charles B. Cairns, John S. Kizer

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Objectives: Lack of access to medical information for nursing home residents during emergency department (ED) evaluation is a barrier to quality care. We hypothesized that the quantity of information available in the ED differs based on the funding source of the resident's nursing home. Design: Cross-sectional observational study. Setting: Single academic ED. Participants: Participants were 128 skilled nursing facility (SNF) residents age 65 or older from 12 SNFs. Measurements: Emergency physicians documented knowledge of 9 essential information items. SNFs were categorized as accepting or not accepting Medicaid. Results: Questionnaires were completed for 128 patients, of whom 95 (74%) were from 1 of 8 Medicaid-funded SNFs and 33 (26%) were from 1 of 4 SNFs not accepting Medicaid. Patients from SNFs accepting Medicaid were younger (79 versus 87, P <.001) and less frequently white (62% versus 97%, P <.001). The mean number of 9 possible information items available was lower for patients from SNFs that accept Medicaid (7.13 versus 8.15, P <.001). Emergency providers also reported lower satisfaction regarding access to information for residents from SNFs that accept Medicaid (P <.05). The association between residence in an SNF that accepts Medicaid and lower ED information scores remained after linear regression with clustering by SNF controlling for age, gender, and race. The most common source of information for residents from both types of SNFs was transfer papers from the SNF. Conclusion: Less information is available to ED providers for patients from SNFs that accept Medicaid than for residents from SNFs that do not accept Medicaid. Further study is needed to examine this information gap.

Original languageEnglish (US)
Pages (from-to)332-336
Number of pages5
JournalJournal of the American Medical Directors Association
Volume13
Issue number4
DOIs
StatePublished - May 2012
Externally publishedYes

Fingerprint

Medicaid
Nursing Homes
Hospital Emergency Service
Skilled Nursing Facilities
Access to Information
Emergencies
Quality of Health Care
Observational Studies
Cluster Analysis
Linear Models
Cross-Sectional Studies
Physicians

Keywords

  • Care transitions
  • Elderly
  • Emergency

ASJC Scopus subject areas

  • Medicine(all)
  • Nursing(all)
  • Health Policy

Cite this

Nursing Home Revenue Source and Information Availability During the Emergency Department Evaluation of Nursing Home Residents. / Platts-Mills, Timothy F.; Biese, Kevin; LaMantia, Michael; Zamora, Zeke; Patel, Laura N.; McCall, Brenda; Egbulefu, Fortune; Busby-Whitehead, Jan; Cairns, Charles B.; Kizer, John S.

In: Journal of the American Medical Directors Association, Vol. 13, No. 4, 05.2012, p. 332-336.

Research output: Contribution to journalArticle

Platts-Mills, TF, Biese, K, LaMantia, M, Zamora, Z, Patel, LN, McCall, B, Egbulefu, F, Busby-Whitehead, J, Cairns, CB & Kizer, JS 2012, 'Nursing Home Revenue Source and Information Availability During the Emergency Department Evaluation of Nursing Home Residents', Journal of the American Medical Directors Association, vol. 13, no. 4, pp. 332-336. https://doi.org/10.1016/j.jamda.2010.12.009
Platts-Mills, Timothy F. ; Biese, Kevin ; LaMantia, Michael ; Zamora, Zeke ; Patel, Laura N. ; McCall, Brenda ; Egbulefu, Fortune ; Busby-Whitehead, Jan ; Cairns, Charles B. ; Kizer, John S. / Nursing Home Revenue Source and Information Availability During the Emergency Department Evaluation of Nursing Home Residents. In: Journal of the American Medical Directors Association. 2012 ; Vol. 13, No. 4. pp. 332-336.
@article{b886e483dfab4cbeae59e5271f5bebad,
title = "Nursing Home Revenue Source and Information Availability During the Emergency Department Evaluation of Nursing Home Residents",
abstract = "Objectives: Lack of access to medical information for nursing home residents during emergency department (ED) evaluation is a barrier to quality care. We hypothesized that the quantity of information available in the ED differs based on the funding source of the resident's nursing home. Design: Cross-sectional observational study. Setting: Single academic ED. Participants: Participants were 128 skilled nursing facility (SNF) residents age 65 or older from 12 SNFs. Measurements: Emergency physicians documented knowledge of 9 essential information items. SNFs were categorized as accepting or not accepting Medicaid. Results: Questionnaires were completed for 128 patients, of whom 95 (74{\%}) were from 1 of 8 Medicaid-funded SNFs and 33 (26{\%}) were from 1 of 4 SNFs not accepting Medicaid. Patients from SNFs accepting Medicaid were younger (79 versus 87, P <.001) and less frequently white (62{\%} versus 97{\%}, P <.001). The mean number of 9 possible information items available was lower for patients from SNFs that accept Medicaid (7.13 versus 8.15, P <.001). Emergency providers also reported lower satisfaction regarding access to information for residents from SNFs that accept Medicaid (P <.05). The association between residence in an SNF that accepts Medicaid and lower ED information scores remained after linear regression with clustering by SNF controlling for age, gender, and race. The most common source of information for residents from both types of SNFs was transfer papers from the SNF. Conclusion: Less information is available to ED providers for patients from SNFs that accept Medicaid than for residents from SNFs that do not accept Medicaid. Further study is needed to examine this information gap.",
keywords = "Care transitions, Elderly, Emergency",
author = "Platts-Mills, {Timothy F.} and Kevin Biese and Michael LaMantia and Zeke Zamora and Patel, {Laura N.} and Brenda McCall and Fortune Egbulefu and Jan Busby-Whitehead and Cairns, {Charles B.} and Kizer, {John S.}",
year = "2012",
month = "5",
doi = "10.1016/j.jamda.2010.12.009",
language = "English (US)",
volume = "13",
pages = "332--336",
journal = "Journal of the American Medical Directors Association",
issn = "1525-8610",
publisher = "Elsevier Inc.",
number = "4",

}

TY - JOUR

T1 - Nursing Home Revenue Source and Information Availability During the Emergency Department Evaluation of Nursing Home Residents

AU - Platts-Mills, Timothy F.

AU - Biese, Kevin

AU - LaMantia, Michael

AU - Zamora, Zeke

AU - Patel, Laura N.

AU - McCall, Brenda

AU - Egbulefu, Fortune

AU - Busby-Whitehead, Jan

AU - Cairns, Charles B.

AU - Kizer, John S.

PY - 2012/5

Y1 - 2012/5

N2 - Objectives: Lack of access to medical information for nursing home residents during emergency department (ED) evaluation is a barrier to quality care. We hypothesized that the quantity of information available in the ED differs based on the funding source of the resident's nursing home. Design: Cross-sectional observational study. Setting: Single academic ED. Participants: Participants were 128 skilled nursing facility (SNF) residents age 65 or older from 12 SNFs. Measurements: Emergency physicians documented knowledge of 9 essential information items. SNFs were categorized as accepting or not accepting Medicaid. Results: Questionnaires were completed for 128 patients, of whom 95 (74%) were from 1 of 8 Medicaid-funded SNFs and 33 (26%) were from 1 of 4 SNFs not accepting Medicaid. Patients from SNFs accepting Medicaid were younger (79 versus 87, P <.001) and less frequently white (62% versus 97%, P <.001). The mean number of 9 possible information items available was lower for patients from SNFs that accept Medicaid (7.13 versus 8.15, P <.001). Emergency providers also reported lower satisfaction regarding access to information for residents from SNFs that accept Medicaid (P <.05). The association between residence in an SNF that accepts Medicaid and lower ED information scores remained after linear regression with clustering by SNF controlling for age, gender, and race. The most common source of information for residents from both types of SNFs was transfer papers from the SNF. Conclusion: Less information is available to ED providers for patients from SNFs that accept Medicaid than for residents from SNFs that do not accept Medicaid. Further study is needed to examine this information gap.

AB - Objectives: Lack of access to medical information for nursing home residents during emergency department (ED) evaluation is a barrier to quality care. We hypothesized that the quantity of information available in the ED differs based on the funding source of the resident's nursing home. Design: Cross-sectional observational study. Setting: Single academic ED. Participants: Participants were 128 skilled nursing facility (SNF) residents age 65 or older from 12 SNFs. Measurements: Emergency physicians documented knowledge of 9 essential information items. SNFs were categorized as accepting or not accepting Medicaid. Results: Questionnaires were completed for 128 patients, of whom 95 (74%) were from 1 of 8 Medicaid-funded SNFs and 33 (26%) were from 1 of 4 SNFs not accepting Medicaid. Patients from SNFs accepting Medicaid were younger (79 versus 87, P <.001) and less frequently white (62% versus 97%, P <.001). The mean number of 9 possible information items available was lower for patients from SNFs that accept Medicaid (7.13 versus 8.15, P <.001). Emergency providers also reported lower satisfaction regarding access to information for residents from SNFs that accept Medicaid (P <.05). The association between residence in an SNF that accepts Medicaid and lower ED information scores remained after linear regression with clustering by SNF controlling for age, gender, and race. The most common source of information for residents from both types of SNFs was transfer papers from the SNF. Conclusion: Less information is available to ED providers for patients from SNFs that accept Medicaid than for residents from SNFs that do not accept Medicaid. Further study is needed to examine this information gap.

KW - Care transitions

KW - Elderly

KW - Emergency

UR - http://www.scopus.com/inward/record.url?scp=84860317330&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84860317330&partnerID=8YFLogxK

U2 - 10.1016/j.jamda.2010.12.009

DO - 10.1016/j.jamda.2010.12.009

M3 - Article

VL - 13

SP - 332

EP - 336

JO - Journal of the American Medical Directors Association

JF - Journal of the American Medical Directors Association

SN - 1525-8610

IS - 4

ER -