ArticleJournal of the American Medical Directors Association2014
Sensitivity and specificity of the Minimum Data Set 3.0 discharge data relative to Medicare claims.
Article in Journal of the American Medical Directors Association, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
17 citing papers in PubMed.
- Nursing Home Characteristics Associated With Implementation of an Advance Care Planning Video Intervention.Journal of the American Medical Directors Association · 2019Trial
- Article
- Post-Acute Care Outcomes and Functional Status Changes of Adults with New Cancer Discharged to Skilled Nursing Facilities.Journal of the American Medical Directors Association · 2022Article
- Association Between the Patient Driven Payment Model and Therapy Utilization and Patient Outcomes in US Skilled Nursing Facilities.JAMA health forum · 2022Article
- The Quality of Nursing Homes That Serve Patients With Human Immunodeficiency Virus.Journal of the American Geriatrics Society · 2019Article
- Disparities in Nursing Home Use and Quality Among African American, Hispanic, and White Medicare Residents With Alzheimer's Disease and Related Dementias.Journal of aging and health · 2019Article
- Racial Disparities in Readmission Rates among Patients Discharged to Skilled Nursing Facilities.Journal of the American Geriatrics Society · 2019Article
- Development and Validation of the Nursing Home Minimum Data Set 3.0 Mortality Risk Score (MRS3).The journals of gerontology. Series A, Biological sciences and medical sciences · 2019Article
- New Opportunities for Cancer Health Services Research: Linking the SEER-Medicare Data to the Nursing Home Minimum Data Set.Medical care · 2018Article
- The Effects of Medicare Advantage Contract Concentration on Patients' Nursing Home Outcomes.Health services research · 2018Article
- Who are they? Patients with heart failure in American skilled nursing facilities.Journal of cardiology · 2018Article
- Anticholinergic Prescribing in Medicare Part D Beneficiaries Residing in Nursing Homes: Results from a Retrospective Cross-Sectional Analysis of Medicare Data.Drugs & aging · 2017Article
- Pharmacotherapy Use in Older Patients With Heart Failure and Reduced Ejection Fraction After a Skilled Nursing Facility Stay.Journal of cardiac failure · 2017Article
- Delirium During Postacute Nursing Home Admission and Risk for Adverse Outcomes.Journal of the American Geriatrics Society · 2017Article
- Is a Skilled Nursing Facility's Rehospitalization Rate a Valid Quality Measure?Health services research · 2016Article
- Disparities in 30-Day Rehospitalization Rates Among Medicare Skilled Nursing Facility Residents by Race and Site of Care.Medical care · 2015Article
- Preferred Provider Relationships Between Medicare Advantage Plans and Skilled Nursing Facilities Reduce Switching Out of Plans: An Observational Analysis.Inquiry : a journal of medical care organization, provision and financingObservational
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveThe objective of this study was to determine whether the Minimum Data Set (MDS) 3.0 discharge record accurately identifies hospitalizations and deaths of nursing home residents.
designWe merged date of death from Medicare enrollment data and hospital inpatient claims with MDS discharge records to check whether the same information can be verified from both the sources. We examined the association of 30-day rehospitalization rates from nursing homes calculated only from MDS and only from claims. We also examined how correspondence between these 2 data sources varies across nursing homes. SETTINGS: All fee-for-service (FFS) Medicare beneficiaries admitted for Medicare-paid (with prospective payment system) skilled nursing facility (SNF) care in 2011.
resultsSome 94% of hospitalization events in Medicare claims can be identified using MDS discharge records and 87% of hospitalization events detected in MDS data can be verified by Medicare hospital claims. Death can be identified almost perfectly from MDS discharge records. More than 99% of the variation in nursing home-level 30-day rehospitalization rate calculated using claims data can be explained by the same rates calculated using MDS. Nursing home structural characteristics explain only 5% of the variation in nursing home-level sensitivity and 3% of the variation in nursing home-level specificity.
conclusionThe new MDS 3.0 discharge record matches Medicare enrollment and hospitalization claims events with a high degree of accuracy, meaning that hospitalization rates calculated based on MDS offer a good proxy for the "gold standard" Medicare data.
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