Diabetes comorbidity and age influence rehabilitation outcomes after hip fracture.

Objective: To examine the influence of diabetes on length of stay (LOS), functional status, and discharge setting in individuals with hip fracture.

Research Design And Methods: This work included secondary analyses of 79,526 individuals from 915 rehabilitation facilities in the U.S.

The Uniform Data System for Medical Rehabilitation: report of patients with hip fracture discharged from comprehensive medical programs in 2000-2007.

Objective: The aim of this study was to provide benchmarking information for a large national sample of patients receiving inpatient rehabilitation because of a hip fracture.

Design: A secondary data analysis of records from 893 medical rehabilitation facilities located in the United States that contributed information to the Uniform Data System for Medical Rehabilitation from January 2000 through December 2007 was performed. Variables analyzed included demographic information (age, sex, marital status, race/ethnicity, prehospital living setting, and discharge setting), hospitalization information (length of stay, program interruptions, payer, onset date, rehabilitation impairment group, International Classification of Diseases, Ninth Revision, codes for admitting diagnosis, comorbidities), and Functional Status Information (FIM instrument ratings at admission and discharge, FIM efficiency, and FIM gain).

The uniform data system for medical rehabilitation: report of patients with lower limb joint replacement discharged from rehabilitation programs in 2000-2007.

Objective: To provide benchmarking information from a large national sample of patients receiving inpatient rehabilitation after lower limb joint replacement.

Design: Secondary data analysis from 893 medical rehabilitation facilities located in the United States that contributed information to the Uniform Data System for Medical Rehabilitation from January 2000 through December 2007. Variables analyzed included demographic information (age, sex, marital status, race/ethnicity, prehospital living setting, discharge setting), hospitalization information (length of stay, program interruptions, payer, onset date, rehabilitation impairment group, International Classification of Diseases, 9th revision codes for admitting diagnosis, comorbidities), and functional status information (FIM instrument ["FIM"] ratings at admission and discharge, FIM efficiency, FIM gain).

The uniform data system for medical rehabilitation: report of patients with traumatic brain injury discharged from rehabilitation programs in 2000-2007.

Objective: To provide benchmarking information for a large national sample of patients receiving inpatient rehabilitation after traumatic brain injury.

Design: Secondary data analysis from 893 medical rehabilitation facilities located in the United States that contributed information to the Uniform Data System for Medical Rehabilitation from January 2000 through December 2007. Variables analyzed included demographic information (age, sex, marital status, race or ethnicity, prehospital living setting, and discharge setting), hospitalization information (length of stay, program interruptions, payer, onset date, rehabilitation impairment group, Internation Classification of Diseases-9th revision codes for admitting diagnosis, and co-morbidities), and functional status information (FIM instrument [FIM] ratings at admission and discharge, FIM efficiency, FIM gain).

Utility of functional status for classifying community versus institutional discharges after inpatient rehabilitation for stroke.

Objective: To evaluate the ability of patient functional status to differentiate between community and institutional discharges after rehabilitation for stroke.

Design: Retrospective cross-sectional design.

Setting: Inpatient rehabilitation facilities contributing to the Uniform Data System for Medical Rehabilitation.

The uniform data system for medical rehabilitation: report of patients with stroke discharged from comprehensive medical programs in 2000-2007.

Objective: To provide benchmarking information for a large national sample of patients receiving inpatient rehabilitation after a stroke.

Design: Analysis of secondary data from 893 medical rehabilitation facilities located in the United States and contributing information to the Uniform Data System for Medical Rehabilitation from 2000 to 2007.

Results: Variables analyzed included demographic information (age, sex, marital status, race/ethnicity, prehospital living setting, and discharge setting), hospitalization information (length of stay, program interruptions, payer, event onset date, rehabilitation impairment group, International Classification of Diseases-9 codes for the admitting diagnosis, and comorbidities), and functional status information (FIM(R) instrument ["FIM"] ratings at admission and discharge, FIM efficiency, and FIM gain).

Mammography facility characteristics and repeat mammography use among Medicare beneficiaries.

Background: The goal of this study was to examine mammography facility characteristics and explore how such characteristics may impact repeat mammography use.

Methods: Mammography facility characteristics were obtained through a mailed a 21-item survey to Kansas mammography facilities. Medicare mammography claims were used to calculate facility-specific repeat mammography rates.

Variations in diabetes care and the influence of office systems.

Although a variety of office tools have been shown to improve diabetes care, the use and effectiveness of these tools outside the context of clinical trials is largely unknown. We surveyed primary care practices in Kansas. Using Medicare claims, we identified patients with diabetes, linked them to practices, and assessed the use of glycohemoglobin (GHb) tests, eye examinations, and lipid profiles.

Quality improvement in critical access hospitals: addressing immunizations prior to discharge.

Context: Many patients hospitalized in critical access hospitals (CAHs) are at high risk for influenza and pneumonia. These hospitalizations may represent a missed opportunity to address immunizations. Addressing these missed immunizations could provide an opportunity for CAHs to gain practical experience in data-driven quality improvement.