| Overall (N = 12,787) | Payment + Clinical Model Facilities (n = 5555) | All-cause Transfer (n = 2290) | Potentially Avoidable Hospitalization (n = 487) | ||
---|---|---|---|---|---|---|
% | % | % | P | % | P | |
Resident-Quarters by Time Period | ||||||
 April–June 2017 | 21.0 | 20.8 | 20.0 | 0.269 | 18.3 | 0.672 |
 July–September 2017 | 20.4 | 20.3 | 19.4 |  | 21.4 |  |
 October–December 2017 | 20.3 | 20.2 | 21.3 |  | 20.5 |  |
 January–March 2018 | 19.4 | 19.5 | 20.3 |  | 19.7 |  |
 April–June 2018 | 19.0 | 19.2 | 19.0 |  | 20.1 |  |
Age | ||||||
 ≤ 64 years | 9.9 | 9.1 | 15.9 | < 0.001 | 15.4 | < 0.001 |
 65–74 years | 16.6 | 14.8 | 19.1 |  | 20.3 |  |
 75–84 years | 28.7 | 28.0 | 29.7 |  | 33.3 |  |
 85–94 years | 35.8 | 38.2 | 29.5 |  | 26.9 |  |
 ≥ 95 years | 9.0 | 10.0 | 5.7 |  | 4.1 |  |
Gender | ||||||
 Male | 30.8 | 29.1 | 37.0 | < 0.001 | 37.4 | 0.001 |
 Female | 69.2 | 70.9 | 63.0 |  | 62.6 |  |
Race/ethnicity | ||||||
 White | 84.8 | 93.7 | 82.6 | 0.001 | 81.1 | 0.067 |
 Black | 13.7 | 5.2 | 16.1 |  | 17.3 |  |
 Other | 1.5 | 1.1 | 1.3 |  | 1.6 |  |
Medicare-Medicaid Dual Eligibility | ||||||
 Medicare Eligible Only | 24.9 | 28.0 | 29.6 | < 0.001 | 33.5 | < 0.001 |
 Dual Eligible | 75.1 | 72.0 | 70.4 |  | 66.5 |  |
Cognitive Functioning Scale (CFS) | ||||||
 CFS 1 | 30.9 | 32.2 | 39.0 | < 0.001 | 40.7 | < 0.001 |
 CFS 2 | 22.9 | 24.3 | 24.5 |  | 25.5 |  |
 CFS 3 | 38.9 | 37.7 | 30.7 |  | 30.8 |  |
 CFS 4 | 7.3 | 5.8 | 5.9 |  | 3.1 |  |
Changes in Health, End-stage disease and Symptoms and Signs (CHESS) | ||||||
 0 | 35.2 | 41.6 | 28.8 | < 0.001 | 23.6 | < 0.001 |
 1 | 34.7 | 33.7 | 34.3 |  | 34.5 |  |
 2 | 22.7 | 19.2 | 26.1 |  | 29.9 |  |
 3 | 6.4 | 4.7 | 9.1 |  | 10.7 |  |
 4 | 1.0 | 0.8 | 1.8 |  | 2.3 |  |
Activities of Daily Living (ADLs) | ||||||
 1st Quartile (≤ 17) | 29.6 | 36.8 | 27.6 | 0.010 | 28.1 | 0.479 |
 2nd Quartile (18–19) | 25.1 | 26.4 | 26.4 |  | 27.5 |  |
 3rd Quartile (20–21) | 32.7 | 25.9 | 31.9 |  | 30.8 |  |
 4th Quartile (22–28) | 12.6 | 10.9 | 14.1 |  | 13.6 |  |
Presence of Chronic Conditions | ||||||
 Acute Myocardial Infarction | 9.2 | 8.4 | 12.6 | < 0.001 | 16.2 | < 0.001 |
 Alzheimer’s Disease / Dementia | 81.3 | 80.1 | 75.2 | < 0.001 | 77.6 | 0.035 |
 Chronic Kidney Disease | 57.9 | 56.4 | 68.0 | < 0.001 | 71.5 | < 0.001 |
 Chronic Obstructive Pulmonary Disease | 42.1 | 42.5 | 52.0 | < 0.001 | 57.3 | < 0.001 |
 Congestive Heart Failure | 56.7 | 58.0 | 63.3 | < 0.001 | 68.6 | < 0.001 |
 Diabetes | 50.1 | 49.9 | 56.2 | < 0.001 | 61.4 | < 0.001 |
 Ischemic Heart Disease | 62.9 | 63.1 | 66.6 | < 0.001 | 73.1 | < 0.001 |
 Depression | 74.5 | 73.0 | 76.1 | 0.050 | 78.4 | 0.042 |
 Osteoporosis | 38.0 | 38.8 | 32.7 | < 0.001 | 30.6 | 0.001 |
 Stroke / Transient Ischemic Attack | 36.3 | 36.0 | 38.6 | 0.012 | 41.1 | 0.026 |
 Hypertension | 89.3 | 89.0 | 88.2 | 0.046 | 87.5 | 0.176 |
 Never Married | 13.1 | 12.7 | 14.6 | < 0.001 | 14.8 | 0.014 |
 Married | 20.8 | 21.0 | 21.5 |  | 23.8 |  |
 Widowed | 44.5 | 48.8 | 40.5 |  | 37.4 |  |
 Not Married | 21.6 | 17.5 | 23.4 |  | 24.0 |  |