Predicting Nursing Home Care Outcomes with Frailty Index
Author Information
Author(s): Shi Sandra, Oh Gahee, Park Chan Mi, McCarthy Ellen, Kim Dae Hyun
Primary Institution: Harvard Medical School/Hebrew SeniorLife
Hypothesis
How claims-based frailty index (CFI) predicts post-acute skilled nursing facility (SNF) care outcomes is unknown.
Conclusion
Increasing frailty is associated with greater home time loss and higher healthcare costs after skilled nursing facility admission.
Supporting Evidence
- The mean difference of home time loss for severe frailty compared with non-frailty was -39.2 days by CFI.
- The mean healthcare cost increase for severe frailty compared with non-frailty was $21,583 by CFI.
- Pearson correlation between CFI and costs was higher than CGA-FI.
Takeaway
The more frail someone is, the less time they spend at home and the more money they spend on healthcare after going to a nursing facility.
Methodology
The study used survey data linked to Medicare claims to calculate frailty indices and examined their effects on home time and healthcare costs after SNF admission.
Participant Demographics
Medicare beneficiaries, representing 2.7 million beneficiaries nationally.
Statistical Information
Confidence Interval
95% CI
Digital Object Identifier (DOI)
Want to read the original?
Access the complete publication on the publisher's website