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American Journal of Medical Quality, Vol. 18, No. 2, 66-72 (2003)
DOI: 10.1177/106286060301800204
© 2003 American College of Medical Quality

Risk Adjusting Outcome Measures for Post-Acute Care

Brant E. Fries, PhD

Institute of Gerontology and School of Public Health, University of Michigan, and Ann Arbor VA Medical Center, Ann Arbor, MI, bfries{at}umich.edu

John N. Morris, PhD

Research and Training Institute, Hebrew Rehabilitation Center for Aged, Boston, MA

Pablo Aliaga, MS

Institute of Gerontology and School of Public Health, University of Michigan, Ann Arbor, MI

Richard Jones, PhD

Re-search and Training Institute, Hebrew Rehabilitation Center for Aged, Boston, MA

This article examines whether different risk adjusters are needed for home care outcome measures for post-acute care clients. Multiple risk adjusters that met clinical and policy criteria were tested using multiple logistic regression on a sample of 4403 post-acute home care clients from Michigan. Two of the 6 outcome measures had substantially different risk adjusters for the post-acute care population versus the general population. Care should be taken to select outcome measures and risk adjusters for special home care populations.

Key Words: Cognitive decline • decubitus ulcers • functional de-cline • outcomes


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