The Impact of Rurality on 30-Day Preventable Readmission, Illness Severity, and Risk of Mortality for Heart Failure Medicare Home Health Beneficiaries

The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association
Hsueh-Fen ChenSumihiro Suzuki

Abstract

To examine the impact of rurality on 30-day preventable readmission, and the illness severity and risk of mortality for 30-day preventable readmissions. We analyzed heart failure Medicare beneficiaries who received home health services for postacute care after hospital discharge in 2009. The study was a cross-sectional design with the unit of analysis as the home health episode for postacute care. Data sources included the following: Medicare Beneficiary Summary File, Medicare Provider Analysis Review, Outcome Assessment Information Set, Home Health Agency Research Identifiable File, and Area Health Resources File. The dependent variables were 30-day preventable readmission, and the extreme/major level of illness severity and of risk of mortality for a 30-day preventable readmission. The key independent variable was rurality defined as remote rural, adjacent rural, and micropolitan areas, with urban areas in the reference group. Home health beneficiaries in remote rural areas had 27% lower 30-day preventable readmission than those in urban areas. Home health beneficiaries in adjacent rural areas were 33% less likely to have high illness severity at readmission due to a preventable condition than those in urban areas. Geographic...Continue Reading

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Dec 19, 2018·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Carrie Henning-SmithIra Moscovice
Aug 12, 2017·Medical Care·Carrie Henning-SmithIra Moscovice
May 22, 2019·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Amanda MontalbanoKavita Parikh
May 18, 2019·Home Health Care Services Quarterly·Irene Bick, Dawn Dowding
May 7, 2019·Home Healthcare Now·Zainab Toteh OsakweJingjing Shang
Feb 4, 2021·Journal of the American Heart Association·Sheila M ManemannVéronique L Roger
Mar 28, 2021·Journal of the American Geriatrics Society·Julia G BurgdorfJennifer L Wolff

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