Trends in Transitional Care for Heart Failure Patients with Dementia
Author Information
Author(s): Bayer Thomas, Varma Hiren, Hollmann Peter, Gozalo Pedro
Primary Institution: Brown University
Hypothesis
What are the trends in Transitional Care Management utilization among beneficiaries with dementia after heart failure hospitalization?
Conclusion
Transitional Care Management utilization increased more significantly for patients discharged directly home compared to those discharged to skilled nursing facilities.
Supporting Evidence
- Transitional Care Management after hospital-home discharges increased from 5.3% in 2013 to 15.9% in 2018.
- Transitional Care Management after hospital-SNF-home discharges increased from 4.0% in 2013 to 9.9% in 2018.
- The study used data from the Chronic Conditions Warehouse algorithm for Alzheimer’s Disease and Related Dementias.
Takeaway
The study looked at how many people with dementia got help after being in the hospital for heart problems, finding that more got help when they went straight home than when they went to a nursing home first.
Methodology
The study analyzed hospital discharge data from 2013-2018 and used linear regression to assess trends in Transitional Care Management utilization.
Limitations
The study only included certain types of discharges and may not represent all beneficiaries with dementia.
Participant Demographics
Beneficiaries with dementia who were hospitalized for heart failure.
Statistical Information
P-Value
<.001
Statistical Significance
p<0.001
Digital Object Identifier (DOI)
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