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The Risk of Nursing Home Placement

The Risk of Nursing Home Placement. A Study of Clients Receiving Case Management, Home Care, Meals on Wheels or Social Adult Day Services. Purpose of the Study. Identify the factors that predict a client’s risk of nursing home placement. The Study.

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The Risk of Nursing Home Placement

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  1. The Risk of Nursing Home Placement A Study of Clients Receiving Case Management, Home Care, Meals on Wheels or Social Adult Day Services

  2. Purpose of the Study Identify the factors that predict a client’s risk of nursing home placement.

  3. The Study • The study covered clients who received either case management, home care, social adult day care, or meals on wheels between January 1, 2008 and June 30, 2009. • 1,272 clients with usable data

  4. Descriptive Statistics • A majority of the clients were female (68.2%) and white (96.5%). • Nearly two-thirds (60%) of the clients lived alone.

  5. Descriptive Stats Continued • The most frequent age range is between 80 and 89 (46.4%), with about the same number of 70 to 79 year old clients (23.7%) as 90 to 99 year old clients (19.8%).

  6. Survival Time • The time from start of service until the client leaves our care for a nursing home placement.

  7. Survival Time • Average survival time for Broome County clients receiving case management, home care, SADC, or meals on wheels between January 1, 2008 and June 30, 2009 was 13.1 Months. • Nursing home placement rate 5.2% or 66 clients during study period.

  8. Risk Factors for NH Placement • Age: Every year above age 60 raises chance of placement by 8.2%

  9. Risk Factors for NH Placement • IADL: Every additional IADL raises chance of placement by another 30%. • Dementia: The presence of dementia raises the risk of placement by 77.8%. • And one where we have some doubt: Case Management Hours Per Month: Every additional hour of case management raises the risk of placement by 25.7%.

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