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Evaluation

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03/06/17 - A new evaluation report for the Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents posted. 

Latest Report

On March 6, 2017 the Centers for Medicare & Medicaid Services released a new evaluation report demonstrating promising results for this Initiative. The report analyzes Medicare expenditures, utilization measures, and MDS-based quality measures through the end of 2015 and includes qualitative findings through mid-2016.

For the second year in a row, partnering long-term care (LTC) facilities at all seven sites collectively showed a decline in all-cause hospitalizations and potentially avoidable hospitalizations, relative to a comparison group. Five sites show statistically significant reductions in at least one of the hospitalization measures. Six of the seven sites also collectively showed reductions in Medicare expenditures relative to a comparison group, with statistically significant declines in total Medicare expenditures at four sites.

Once again, the MDS-based quality measures do not show any pattern of change related to the Initiative, suggesting that lower hospitalization rates are not generally leading to a decline in quality of care for LTC facility residents.

Prior Reports

On January 19, 2016 the Centers for Medicare & Medicaid Services released a new evaluation report demonstrating early results for this Initiative. The report analyzes Medicare expenditures, utilization, and MDS-based quality measures through the end of 2014 and includes qualitative findings through mid-2015.

According to the analysis, all seven sites showed reductions in overall Medicare expenditures relative to a comparison group, with statistically significant declines in total Medicare expenditures at two sites. All sites also showed a decline in all-cause hospitalizations and potentially avoidable hospitalizations, with four sites showing statistically significant reductions in at least one of the hospitalization measures. The MDS-based quality measures do not show any pattern of change related to the Initiative, suggesting that lower hospitalization rates are not generally leading to a decline in quality of care for LTC facility residents.

The previous evaluation report, entitled, "Evaluation of the Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents: Summary of Evaluation as of December 2014", presented results of the quantitative and qualitative analysis of data for the seven ECCPs from 2013, the first year of the Initiative year, relative to a comparison group. That report included promising initial results through 2013, including for hospitalization and potentially avoidable hospitalization levels, though at the time it was too early to draw any firm conclusions because the ECCPs were phasing in their interventions during this period.

Contact us
For more information or questions about these reports or the Initiative as a whole, please email
NFI@cms.hhs.gov