Home health utilization association with discharge to community for people with dementia (original) (raw)

IntroductionThe objective of this study was to identify home health utilization factors associated with successful discharge to community after home health care for patients with and without Alzheimer's disease and related dementias (ADRD).MethodsThis was a retrospective study of 100% national Medicare home health data files (2016 to 2017). Multilevel logistic regression was used to study the relationship of home health utilization with a modified definition of successful discharge to community (M‐SDC) after home health (no readmission or discharge within 30 days). Significant interactions were identified using backward selection. The associations between domains were examined in a model stratified by ADRD, with and without controlling for mobility, self‐care, and caregiver assistance.ResultsThe cohort consisted of 535,691 patients, 18.0% with ADRD. The overall M‐SDC rate was 92.1%. The likelihood of M‐SDC was increased when physical therapy services were provided, episodes of c...