Archives of Physical Medicine and Rehabilitation journal homepage: www.archives-pmr.org Archives of Physical Medicine and Rehabilitation 2015;96:790-8
ORIGINAL RESEARCH
Performance-Based Outcomes of Inpatient Rehabilitation Facilities Treating Hip Fracture Patients in the United States Michael P. Cary, Jr., PhD, RN,a Marianne Baernholdt, PhD, MPH, RN, FAAN,b Ruth A. Anderson, PhD, MA, RN, FAAN,a Elizabeth I. Merwin, PhD, RN, FAANa From aDuke University, School of Nursing, Durham, NC; and bVirginia Commonwealth University, School of Nursing, Richmond, VA.
Abstract Objective: To examine the influence of facility and aggregate patient characteristics of inpatient rehabilitation facilities (IRFs) on performancebased rehabilitation outcomes in a national sample of IRFs treating Medicare beneficiaries with hip fracture. Design: Secondary data analysis. Setting: U.S. Medicare-certified IRFs (NZ983). Participants: Data included patient records of Medicare beneficiaries (NZ34,364) admitted in 2009 for rehabilitation after hip fracture. Intervention: Not applicable. Main Outcome Measures: Performance-based outcomes included mean motor function on discharge, mean motor change (mean motor score on discharge minus mean motor score on admission), and percentage discharged to the community. Results: Higher mean motor function on discharge was explained by aggregate characteristics of patients with hip fracture (lower age [PZ.009], lower percentage of blacks [P
ORIGINAL RESEARCH
Performance-Based Outcomes of Inpatient Rehabilitation Facilities Treating Hip Fracture Patients in the United States Michael P. Cary, Jr., PhD, RN,a Marianne Baernholdt, PhD, MPH, RN, FAAN,b Ruth A. Anderson, PhD, MA, RN, FAAN,a Elizabeth I. Merwin, PhD, RN, FAANa From aDuke University, School of Nursing, Durham, NC; and bVirginia Commonwealth University, School of Nursing, Richmond, VA.
Abstract Objective: To examine the influence of facility and aggregate patient characteristics of inpatient rehabilitation facilities (IRFs) on performancebased rehabilitation outcomes in a national sample of IRFs treating Medicare beneficiaries with hip fracture. Design: Secondary data analysis. Setting: U.S. Medicare-certified IRFs (NZ983). Participants: Data included patient records of Medicare beneficiaries (NZ34,364) admitted in 2009 for rehabilitation after hip fracture. Intervention: Not applicable. Main Outcome Measures: Performance-based outcomes included mean motor function on discharge, mean motor change (mean motor score on discharge minus mean motor score on admission), and percentage discharged to the community. Results: Higher mean motor function on discharge was explained by aggregate characteristics of patients with hip fracture (lower age [PZ.009], lower percentage of blacks [P
