Evidence map›Paper›PMID 37907161›Full record

ArticleArchives of physical medicine and rehabilitation2024

Inpatient Rehabilitation Facility Ownership Type Yields Mixed Performances on Quality Measures.

Jessica Edelstein, Chih-Ying Li, Jay Meythaler, Jennifer A Weaver, James E Graham

Open access · greenAbstract read
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.7field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Jessica EdelsteinDepartment of Occupational Therapy, Colorado State University, Fort Collins, CO. Electronic address: Jessica.Edelstein@colostate.edu.
Chih-Ying LiDepartment of Occupational Therapy, School of Health Professions, University of Texas Medical Branch, Galveston, TX.
Jay MeythalerDepartment of Physical Medicine and Rehabilitation, Wayne State University, Detroit, MI.
Jennifer A WeaverDepartment of Occupational Therapy, Colorado State University, Fort Collins, CO.
James E GrahamDepartment of Occupational Therapy, Colorado State University, Fort Collins, CO.
Colorado State University · USThe University of Texas Medical Branch at Galveston · USWayne State University · US

Funding

Standardized Patient Assessment across Post-Acute Care: Opportunities and ChallengesK01HD101589 · NICHD · UNIVERSITY OF TEXAS MED BR GALVESTON · PI LI, CHIH-YING · 2020 to 2024
$632k
NICHD NIH HHS K01 HD101589
6 · The paper itself

Abstract

objectiveTo evaluate the effects of inpatient rehabilitation facility (IRF) ownership type on IRF-Quality Reporting Program (IRF-QRP) measures.

designCross-sectional, observational design.

settingWe used 2 Centers for Medicare and Medicare publicly-available, facility-level data sources: (1) IRF compare files and (2) IRF rate setting files - final rule. Data from 2021 were included.

participantsThe study sample included 1092 IRFs (N=1092).

interventionsNot applicable.

main outcome measuresWe estimated the effects of IRF ownership type, defined as for-profit and nonprofit, on 15 IRF-QRP measures using general linear models. Models were adjusted for the following facility-level characteristics: (1) Centers for Medicare and Medicaid census divisions; (2) number of discharges; (3) teaching status; (4) freestanding vs hospital unit; and (5) estimated average weight per discharge.

resultsOwnership type was significantly associated with 9 out of the fifteen IRF-QRP measures. Nonprofit IRFs performed better with having lower readmissions rates within stay and 30-day post discharge. For-profit IRFs performed better for all the functional measures and with higher rates of returning to home and the community. Lastly, for-profit IRFs spent more per Medicare beneficiary.

conclusionsIdeally, IRF performance would not vary based on ownership type. However, we found that ownership type is associated with IRF-QRP performance scores. We suggest that future studies investigate how ownership type affects patient-level outcomes and the longitudinal effect of ownership type on IRF-QRP measures.

Indexed as

MedicareQuality Indicators, Health CareAftercareAgedCross-Sectional StudiesHumansInpatientsOwnershipPatient DischargeRehabilitation CentersUnited StatesCare compareHealth services researchInpatient rehabilitation facilitiesInpatient Rehabilitation Facility-Quality Reporting ProgramQuality measuresRehabilitation

Identifiers

PMID37907161
PMCPMC11006015
OpenAlexW4388020926

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.