2014/01/13 by Micah Segelman, Jill Szydlowski, Bruce Kinosian +7 · 66 citations
Medicine · #Chronic Disease Management Strategies #Emergency medicine #Environmental health #Frailty in Older Adults #Heart Failure Treatment and Management #Internal medicine #Medicine #Pace #Pediatrics #Population #Retrospective cohort study #Waiver
paper · pdf · doi:10.1111/jgs.12637
published in Journal of the American Geriatrics Society 62(2), 320-324 (Wiley)
openalex publication_date 2014/01/13 · openalex created_date 2025/10/10 · openalex updated_date 2026/08/01
OBJECTIVES: To measure the rates of hospitalization, readmission, and potentially avoidable hospitalization (PAH) in the Program of All-Inclusive Care for the Elderly (PACE). DESIGN: Retrospective study. SETTING PACE PARTICIPANTS: PACE enrollees. MEASUREMENTS: Hospitalization and PAH rates were measured per 1,000 person-years. Readmission was defined as any return to the hospital within 30 days of prior hospital discharge. PAHs were defined as hospitalizations for conditions that previously established criteria have identified as possibly preventable or manageable without hospitalization. RESULTS: Rate of hospitalization was 539/1,000, vs 962/1,000 for dually eligible aged or disabled waiver (ADW) enrollees. Thirty-day readmission was 19.3%, compared with 22.9% for the national population of dually eligible older enrollees. PAH rate was 100/1,000, compared with 250/1,000 for dually eligible ADW enrollees. Considerable variation was observed between sites. CONCLUSION: PACE enrollees experienced lower rates of hospitalization, readmission, and PAH than similar populations. Variations in hospitalization rates between PACE sites suggest opportunities for quality improvement.