{"id":"https://openalex.org/W2001990702","doi":"https://doi.org/10.1097/mlr.0b013e31817d69d3","title":"Medicare Home Health Patients\u2019 Transitions Through Acute And Post-Acute Care Settings","display_name":"Medicare Home Health Patients\u2019 Transitions Through Acute And Post-Acute Care Settings","publication_year":2008,"publication_date":"2008-10-22","ids":{"openalex":"https://openalex.org/W2001990702","doi":"https://doi.org/10.1097/mlr.0b013e31817d69d3","mag":"2001990702","pmid":"https://pubmed.ncbi.nlm.nih.gov/18953231"},"language":"en","primary_location":{"id":"doi:10.1097/mlr.0b013e31817d69d3","doi":"https://doi.org/10.1097/mlr.0b013e31817d69d3","is_oa":false,"landing_page_url":"https://doi.org/10.1097/mlr.0b013e31817d69d3","pdf_url":null,"source":{"id":"https://openalex.org/S79233773","display_name":"Medical Care","issn_l":"0025-7079","issn":["0025-7079","1537-1948"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","fnege-3","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medical Care","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5036759930","display_name":"Jennifer L. Wolff","orcid":"https://orcid.org/0000-0002-7898-3903","observed_orcids":["https://orcid.org/0000-0002-7898-3903"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]},{"id":"https://openalex.org/I50959184","display_name":"Centers for Medicare and Medicaid Services","ror":"https://ror.org/02g02rq35","country_code":"US","type":"government","lineage":["https://openalex.org/I1299022934","https://openalex.org/I50959184"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Jennifer L. Wolff","raw_affiliation_strings":["Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland 21205, USA. jwolff@jhsph.edu","Centers for Medicare and Medicaid Services, Baltimore, Maryland","Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health and \u2020Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore, Maryland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland 21205, USA. jwolff@jhsph.edu","institution_ids":["https://openalex.org/I145311948"]},{"raw_affiliation_string":"Centers for Medicare and Medicaid Services, Baltimore, Maryland","institution_ids":["https://openalex.org/I50959184"]},{"raw_affiliation_string":"Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health and \u2020Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore, Maryland","institution_ids":["https://openalex.org/I145311948"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5063578147","display_name":"Ann Meadow","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I50959184","display_name":"Centers for Medicare and Medicaid Services","ror":"https://ror.org/02g02rq35","country_code":"US","type":"government","lineage":["https://openalex.org/I1299022934","https://openalex.org/I50959184"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ann Meadow","raw_affiliation_strings":["Centers for Medicare and Medicaid Services, Baltimore, Maryland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centers for Medicare and Medicaid Services, Baltimore, Maryland","institution_ids":["https://openalex.org/I50959184"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111924341","display_name":"Carlos O. Weiss","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Carlos O. Weiss","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5055605251","display_name":"Cynthia M. Boyd","orcid":"https://orcid.org/0000-0001-5642-9015","observed_orcids":["https://orcid.org/0000-0001-5642-9015"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Cynthia M. Boyd","raw_affiliation_strings":["Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health and \u2020Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore, Maryland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health and \u2020Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore, Maryland","institution_ids":["https://openalex.org/I145311948"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5083477380","display_name":"Bruce A. Leff","orcid":"https://orcid.org/0000-0003-1714-7458","observed_orcids":["https://orcid.org/0000-0003-1714-7458"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Bruce Leff","raw_affiliation_strings":["Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health and \u2020Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore, Maryland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health and \u2020Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore, Maryland","institution_ids":["https://openalex.org/I145311948"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5036759930","https://openalex.org/A5055605251","https://openalex.org/A5083477380"],"corresponding_institution_ids":["https://openalex.org/I145311948","https://openalex.org/I50959184"],"apc_list":null,"apc_paid":null,"fwci":7.0702,"has_fulltext":false,"cited_by_count":37,"citation_normalized_percentile":{"value":0.96094789,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":98},"biblio":{"volume":"46","issue":"11","first_page":"1188","last_page":"1193"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11376","display_name":"Geriatric Care and Nursing Homes","score":0.5479000210762024,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11376","display_name":"Geriatric Care and Nursing Homes","score":0.5479000210762024,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.2827000021934509,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12174","display_name":"Hospital Admissions and Outcomes","score":0.07750000059604645,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/home-health-care","display_name":"home health care","score":0.8619999885559082},{"id":"https://openalex.org/keywords/medicare-beneficiaries","display_name":"Medicare beneficiaries","score":0.9240000247955322},{"id":"https://openalex.org/keywords/care-transitions","display_name":"care transitions","score":0.8190000057220459},{"id":"https://openalex.org/keywords/post-acute-care","display_name":"post-acute care","score":0.8820000290870667},{"id":"https://openalex.org/keywords/acute-care","display_name":"acute care","score":0.546999990940094},{"id":"https://openalex.org/keywords/oasis","display_name":"OASIS","score":0.8659999966621399},{"id":"https://openalex.org/keywords/administrative-claims-data","display_name":"administrative claims data","score":0.7379999756813049},{"id":"https://openalex.org/keywords/method-agreement","display_name":"measurement agreement","score":0.5839999914169312},{"id":"https://openalex.org/keywords/inpatient-rehabilitation","display_name":"inpatient rehabilitation","score":0.8799999952316284},{"id":"https://openalex.org/keywords/skilled-nursing-facilities","display_name":"skilled nursing facilities","score":0.9470000267028809},{"id":"https://openalex.org/keywords/hospice","display_name":"hospice","score":0.7879999876022339},{"id":"https://openalex.org/keywords/living-arrangements","display_name":"living arrangements","score":0.9399999976158142},{"id":"https://openalex.org/keywords/functional-status","display_name":"functional status","score":0.5669999718666077},{"id":"https://openalex.org/keywords/quality-of-care-measures","display_name":"quality of care measures","score":0.6200000047683716}],"concepts":[{"id":"https://openalex.org/C2781385661","wikidata":"https://www.wikidata.org/wiki/Q4677918","display_name":"Acute care","level":3,"score":0.7203940153121948},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7174149751663208},{"id":"https://openalex.org/C2779028819","wikidata":"https://www.wikidata.org/wiki/Q6865410","display_name":"Minimum Data Set","level":3,"score":0.66464763879776},{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.623297393321991},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5794366598129272},{"id":"https://openalex.org/C2778818304","wikidata":"https://www.wikidata.org/wiki/Q1819478","display_name":"Rehabilitation","level":2,"score":0.5325155854225159},{"id":"https://openalex.org/C2775909303","wikidata":"https://www.wikidata.org/wiki/Q3259564","display_name":"Inpatient care","level":3,"score":0.5164918899536133},{"id":"https://openalex.org/C3017977530","wikidata":"https://www.wikidata.org/wiki/Q557429","display_name":"Acute hospital","level":3,"score":0.5084561109542847},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.41519036889076233},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.401003360748291},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.3608512282371521},{"id":"https://openalex.org/C3019398978","wikidata":"https://www.wikidata.org/wiki/Q837142","display_name":"Nursing homes","level":2,"score":0.32583558559417725},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.20252662897109985},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0},{"id":"https://openalex.org/C151730666","wikidata":"https://www.wikidata.org/wiki/Q7205","display_name":"Paleontology","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000367","descriptor_name":"Age Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003266","descriptor_name":"Continuity of Patient Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006278","descriptor_name":"Medicare","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006304","descriptor_name":"Health Status","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006699","descriptor_name":"Home Care Services","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D006760","descriptor_name":"Hospitalization","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010351","descriptor_name":"Patient Discharge","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D011787","descriptor_name":"Quality of Health Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D012737","descriptor_name":"Sex Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012959","descriptor_name":"Socioeconomic Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013997","descriptor_name":"Time Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015577","descriptor_name":"Geriatric Assessment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1097/mlr.0b013e31817d69d3","doi":"https://doi.org/10.1097/mlr.0b013e31817d69d3","is_oa":false,"landing_page_url":"https://doi.org/10.1097/mlr.0b013e31817d69d3","pdf_url":null,"source":{"id":"https://openalex.org/S79233773","display_name":"Medical Care","issn_l":"0025-7079","issn":["0025-7079","1537-1948"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","fnege-3","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medical Care","raw_type":"journal-article"},{"id":"pmid:18953231","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/18953231","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medical care","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.9940000176429749,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":24,"referenced_works":["https://openalex.org/W1487982484","https://openalex.org/W1564089207","https://openalex.org/W1972704345","https://openalex.org/W1978258728","https://openalex.org/W1981400547","https://openalex.org/W1981967347","https://openalex.org/W1985430014","https://openalex.org/W1990412281","https://openalex.org/W1996550266","https://openalex.org/W2010190030","https://openalex.org/W2021418042","https://openalex.org/W2024201314","https://openalex.org/W2045360712","https://openalex.org/W2046107794","https://openalex.org/W2095648008","https://openalex.org/W2103956916","https://openalex.org/W2104461281","https://openalex.org/W2117950346","https://openalex.org/W2119927226","https://openalex.org/W2136816915","https://openalex.org/W2153928704","https://openalex.org/W2157090126","https://openalex.org/W2315151966","https://openalex.org/W3144214054"],"related_works":["https://openalex.org/W4405964738","https://openalex.org/W1989405618","https://openalex.org/W3116185637","https://openalex.org/W2315151966","https://openalex.org/W1996550266","https://openalex.org/W2888034864","https://openalex.org/W4210710927","https://openalex.org/W3209099740","https://openalex.org/W2059405970","https://openalex.org/W2155894219"],"abstract_inverted_index":{"OBJECTIVES:":[0],"To":[1],"describe":[2],"Medicare":[3,48,59],"beneficiaries'":[4,115],"transitions":[5],"through":[6],"home":[7,63,167,186],"health":[8,35,64,86,116,168,187],"care":[9,67],"within":[10],"the":[11,47,95,101,162,166,181,219],"context":[12],"of":[13,34,66,170,222,228,243],"other":[14],"acute":[15,90,108],"and":[16,19,26,28,53,73,91,100,117,131,143,156,175,208,213,241],"post-acute":[17,92],"services,":[18],"to":[20,151,192,234],"examine":[21],"agreement":[22],"between":[23,69,141,173],"administrative":[24,144,176],"claims":[25,145,177],"Outcome":[27],"Assessment":[29],"Information":[30],"Set":[31],"(OASIS)":[32],"measures":[33,227,236],"services":[36,93],"use.":[37],"DATA":[38],"SOURCES:":[39],"The":[40],"2004":[41,72,76],"Chronic":[42],"Condition":[43],"Data":[44],"Warehouse,":[45],"including":[46],"5%":[49],"standard":[50],"analytic":[51],"file":[52],"OASIS.":[54],"Study":[55],"participants":[56],"were":[57,78,112,125],"66,510":[58],"beneficiaries":[60],"with":[61,138,149],"a":[62],"start":[65,169],"assessment":[68],"January":[70],"15,":[71,75],"July":[74],"who":[77],"discharged":[79],"before":[80],"December":[81],"1,":[82],"2004.":[83],"RESULTS:":[84],"Home":[85],"patients":[87,122],"frequently":[88],"incurred":[89],"during":[94],"14":[96,163],"days":[97,103,164],"preceding":[98,165],"admission":[99],"30":[102],"after":[104,183],"discharge,":[105],"predominantly":[106],"in":[107,114,161],"hospitals.":[109],"Substantial":[110],"differences":[111],"observed":[113],"functioning":[118],"across":[119],"living":[120,123,137],"arrangements;":[121],"alone":[124],"less":[126,129,133],"medically":[127],"complex,":[128],"disabled,":[130],"received":[132],"assistance":[134],"than":[135,225],"those":[136],"others.":[139],"Agreement":[140,172],"OASIS":[142,174],"was":[146,178,190,203],"uniformly":[147],"low":[148],"regard":[150],"inpatient":[152,154,197,206],"hospital,":[153],"rehabilitation,":[155],"skilled":[157],"nursing":[158],"facility":[159],"use":[160],"care.":[171,244],"uneven":[179],"for":[180,196,205],"period":[182],"discharge":[184],"from":[185],"care;":[188],"it":[189],"determined":[191],"be":[193],"near":[194],"perfect":[195],"hospital":[198],"(kappa":[199,210],"=":[200,211],"0.85),":[201],"but":[202,230],"lower":[204],"rehabilitation":[207],"hospice":[209],"0.22":[212],"0.10,":[214],"respectively).":[215],"CONCLUSIONS:":[216],"Findings":[217],"reinforce":[218],"potential":[220],"merit":[221],"patient-specific":[223],"rather":[224],"setting-specific":[226],"quality,":[229],"underscore":[231],"practical":[232],"challenges":[233],"constructing":[235],"that":[237],"span":[238],"data":[239],"sources":[240],"episodes":[242]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":2},{"year":2021,"cited_by_count":1},{"year":2020,"cited_by_count":1},{"year":2018,"cited_by_count":4},{"year":2017,"cited_by_count":2},{"year":2016,"cited_by_count":4},{"year":2015,"cited_by_count":2},{"year":2014,"cited_by_count":2},{"year":2012,"cited_by_count":5}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
