ORH PPC 06-14-24
Karl Brown
2024-06-14
Demographic Table
| R (N=35) |
U (N=81) |
P-value | |
|---|---|---|---|
| Age | |||
| Mean (SD) | 78.5 (5.26) | 79.0 (7.39) | 0.656 |
| Median [Min, Max] | 79.0 [68.0, 96.0] | 79.0 [63.0, 97.0] | |
| Missing | 0 (0%) | 1 (1.2%) | |
| Sex | |||
| Female | 2 (5.7%) | 8 (9.9%) | 0.696 |
| Male | 33 (94.3%) | 72 (88.9%) | |
| Missing | 0 (0%) | 1 (1.2%) | |
| Race | |||
| Black or African American | 1 (2.9%) | 4 (4.9%) | 0.341 |
| Declined to answer | 3 (8.6%) | 3 (3.7%) | |
| White | 31 (88.6%) | 66 (81.5%) | |
| Asian | 0 (0%) | 4 (4.9%) | |
| Native Islander | 0 (0%) | 3 (3.7%) | |
| Missing | 0 (0%) | 1 (1.2%) | |
| Ethnicity | |||
| Declined to answer | 3 (8.6%) | 1 (1.2%) | 0.16 |
| Not Hispanic or Latino | 32 (91.4%) | 78 (96.3%) | |
| Missing | 0 (0%) | 2 (2.5%) | |
| CAN | |||
| Mean (SD) | 77.2 (19.5) | 81.0 (14.0) | 0.313 |
| Median [Min, Max] | 85.0 [25.0, 99.0] | 85.0 [40.0, 99.0] | |
| Missing | 2 (5.7%) | 1 (1.2%) | |
| ACSC | |||
| Mean (SD) | 60.2 (28.1) | 71.7 (21.9) | 0.0605 |
| Median [Min, Max] | 64.0 [0, 99.0] | 77.5 [0, 99.0] | |
| Missing | 7 (20.0%) | 17 (21.0%) | |
| JFI | |||
| Mean (SD) | 4.71 (2.17) | 5.32 (2.05) | 0.272 |
| Median [Min, Max] | 4.00 [0, 10.0] | 5.00 [2.00, 11.0] | |
| Missing | 14 (40.0%) | 18 (22.2%) |
| Overall (N=116) |
|
|---|---|
| Age | |
| Mean (SD) | 78.8 (6.79) |
| Median [Min, Max] | 79.0 [63.0, 97.0] |
| Missing | 1 (0.9%) |
| Sex | |
| Female | 10 (8.6%) |
| Male | 105 (90.5%) |
| Missing | 1 (0.9%) |
| Race | |
| Asian | 4 (3.4%) |
| Black or African American | 5 (4.3%) |
| Declined to answer | 6 (5.2%) |
| Native Islander | 3 (2.6%) |
| White | 97 (83.6%) |
| Missing | 1 (0.9%) |
| Ethnicity | |
| Declined to answer | 4 (3.4%) |
| Not Hispanic or Latino | 110 (94.8%) |
| Missing | 2 (1.7%) |
| CAN | |
| Mean (SD) | 79.8 (15.8) |
| Median [Min, Max] | 85.0 [25.0, 99.0] |
| Missing | 3 (2.6%) |
| ACSC | |
| Mean (SD) | 68.2 (24.4) |
| Median [Min, Max] | 75.0 [0, 99.0] |
| Missing | 24 (20.7%) |
| JFI | |
| Mean (SD) | 5.17 (2.09) |
| Median [Min, Max] | 5.00 [0, 11.0] |
| Missing | 32 (27.6%) |
JFI buckets
Recommendations summaries
| Bucket | Mean | SD | Total | Max |
|---|---|---|---|---|
| Total recommendations | 4.28 | 3.30 | 497 | 17 |
| Mobility rehab | 0.63 | 0.75 | 73 | 3 |
| All DME | 0.18 | 0.47 | 21 | 2 |
| Speech rehab | 0.18 | 0.39 | 21 | 1 |
| Medications | 1.03 | 1.81 | 119 | 16 |
| Social work | 0.31 | 0.64 | 36 | 3 |
Percentage of people treated for each treatment type
| Treatment | Percentage treated |
|---|---|
| O.PTConsult | 37.9 |
| O.OTConsult | 18.1 |
| O.HomeHealthConsult | 6.9 |
| O.Exercise | 28.4 |
| N.SpeechTherapy | 5.2 |
| N.Audiology | 12.1 |
| N.BlindRehab | 0.9 |
| N.PsychiatryPsychology | 19.8 |
| N.AddictionHealth | 0.9 |
| N.PainTreatment | 2.6 |
| N.DME | 3.4 |
| D.PharmacyConsult | 21.6 |
| D.DME | 4.3 |
| S.SocialSupportServices | 24.1 |
| S.CaregiverSupport | 5.2 |
| DiabeticTasks | 2.6 |
| PhysicalActivity | 0.9 |
| Other | 0.9 |
| Weights | 0.0 |
| BloodPressureorHR | 0.0 |
| Diet | 0.9 |
| D-MedAdded | 55.2 |
| D-MedIncreaseDose | 8.6 |
| D-MedStop | 25.9 |
| D-MedDecreaseDose | 12.9 |
| SelfManageAddTask | 1.7 |
| SelfManageIncreaseFreq | 0.0 |
| SelfManageStopTask | 0.9 |
| SelfManageDecreaseTask | 0.9 |
| LabsAdded | 37.1 |
| RadiologyAdded | 25.0 |
| OtherDiagnosticAdded | 0.9 |
| LabsStopped | 0.0 |
| RadiologyStopped | 0.0 |
| OtherDiagnosticStopped | 0.0 |
| ProcedureAdded | 0.0 |
| ConsultAdded | 11.2 |
| OtherPorCAdded | 0.0 |
| ProcedureStopped | 0.0 |
| ConsultStopped | 0.0 |
| OtherPorCStopped | 0.0 |
| O.ADLTools | 3.4 |
| O.LifeAlerts | 5.2 |
| O.DME | 5.2 |
| O.OtherDME | 4.3 |
| S.ReferraltoHBPC | 0.9 |
| S.CommunityBasedResources | 2.6 |
| S.VABenefits | 2.6 |
| S.AdvancedDirectives | 6.0 |
| S.DigitalDivide | 1.7 |
| S.HHHA | 4.3 |
| S.Respite | 0.0 |
| S.AdultDayHealth | 8.6 |
| S.CNH | 0.0 |
| S.Travel | 0.9 |
| S.POLST.LST | 3.4 |
| ReferraltoGeriPACT | 1.7 |
| ReferraltoHBPC | 0.9 |
| Diagnostic.Studies | 0.0 |
| TabletConsultPlaced | 0.0 |
| TechConsultPlaced | 0.0 |
| SelfManagementChange | 0.0 |
| Procedures/Consults | 0.0 |
Percentage of people treated by bucket
| Treatment | Percentage treated |
|---|---|
| TotalRecs | 90.5 |
| MobilityRehab | 49.1 |
| AllDME | 14.7 |
| SpeechRehab | 18.1 |
| Meds | 49.1 |
| SocialWork | 22.4 |
Recommendations vs. CAN
Correlation = -0.154, 95% CI = (-0.328, 0.031), p = 0.10
Total recommendations = 16 -> 7 labs added, 3 meds added
Total recommendations = 14 -> 3 labs added, 1 med added
Total recommendations = 13 -> 2 labs added, 2 meds added, 2 meds
dropped
Correlation for rural group = -0.366, 95% CI = (-0.630, -0.0259), p = 0.04
Correlation for non-rural group = -0.146, 95% CI = (-0.354, 0.076), p = 0.19
Mobility rehab vs. CAN
Correlation for rural group = 0.083, 95% CI = (-0.267, 0.415), p = 0.64
Correlation for non-rural group = -0.022, 95% CI = (-0.241, 0.197), p = 0.84
DME vs. CAN
Correlation for rural group = -0.008, 95% CI = (-0.350, 0.336), p = 0.96
Correlation for non-rural group = -0.293, 95% CI = (-0.481, -0.078), p = 0.008
Speech rehab vs. CAN
Correlation for rural group = -0.131, 95% CI = (-0.454, 0.222), p = 0.47
Correlation for non-rural group = -0.084, 95% CI = (-0.298, 0.138), p = 0.46
Medications vs. CAN
Correlation for rural group = -0.033, 95% CI = (-0.372, 0.313), p = 0.86
Correlation for non-rural group = 0.108, 95% CI = (-0.114, 0.320), p = 0.34
Recommendations vs. JFI
Correlation = -0.093, 95% CI = (-0.300, 0.122), p = 0.40
Correlation for rural group = -0.206, 95% CI = (-0.585, 0.247), p = 0.37
Correlation for non-rural group = -0.088, 95% CI = (-0.329, 0.163), p = 0.49
Total recommendations vs. JFI buckets
Mobility rehab vs. JFI
Correlation for rural group = -0.006, 95% CI = (-0.437, 0.426), p = 0.98
Correlation for non-rural group = -0.052, 95% CI = (-0.296, 0.198), p = 0.68
DME vs. JFI
Correlation for rural group = -0.181, 95% CI = (-0.568, 0.272), p = 0.43
Correlation for non-rural group = -0.126, 95% CI = (-0.362, 0.126), p = 0.33
Speech rehab vs. JFI
Correlation for rural group = 0.409, 95% CI = (-0.027, 0.714), p = 0.07
Correlation for non-rural group = -0.196, 95% CI = (-0.423, 0.055), p = 0.12
Medications vs. JFI
Correlation for rural group = -0.248, 95% CI = (-0.614, 0.206), p = 0.28
Correlation for non-rural group = -0.015, 95% CI = (-0.262, 0.234), p = 0.91
Social work vs. JFI
Correlation for rural group = -0.195, 95% CI = (-0.578, 0.258), p = 0.40
Correlation for non-rural group = -0.071, 95% CI = (-0.314, 0.179), p = 0.58
Recommendations vs. ACSC
Correlation = -0.140, 95% CI = (-0.334, 0.065), p = 0.18
Linear regressions between CAN and recommendation buckets
|
Rural
|
Urban
|
|||||
|---|---|---|---|---|---|---|
| Outcome | Effect of CAN | 95% CI | Effect of CAN | 95% CI | Difference | 95% CI |
| Total recs | -0.040 | (-0.093, 0.014) | -0.035 | (-0.082, 0.013) | 0.005 | (-0.067, 0.076) |
| Mobility rehab | 0.002 | (-0.011, 0.016) | -0.001 | (-0.013, 0.01) | -0.004 | (-0.021, 0.014) |
| All DME | 0.000 | (-0.008, 0.008) | -0.011 | (-0.018, -0.004) | -0.011 | (-0.022, 0) |
| Speech rehab | -0.002 | (-0.009, 0.005) | -0.002 | (-0.009, 0.004) | 0.000 | (-0.009, 0.009) |
| Medications | -0.001 | (-0.021, 0.019) | 0.009 | (-0.008, 0.027) | 0.011 | (-0.016, 0.038) |
| Social work | -0.003 | (-0.014, 0.009) | -0.010 | (-0.02, 0) | -0.007 | (-0.022, 0.008) |
##
## Call:
## lm(formula = ppc2$TotalRecs ~ ppc2$CAN * ppc2$Rurality)
##
## Residuals:
## Min 1Q Median 3Q Max
## -5.2822 -2.0248 -0.1075 1.4164 10.5432
##
## Coefficients:
## Estimate Std. Error t value Pr(>|t|)
## (Intercept) 6.148356 2.165742 2.839 0.0054 **
## ppc2$CAN -0.039629 0.027240 -1.455 0.1486
## ppc2$RuralityU 1.229432 2.941454 0.418 0.6768
## ppc2$CAN:ppc2$RuralityU 0.004702 0.036458 0.129 0.8976
## ---
## Signif. codes: 0 '***' 0.001 '**' 0.01 '*' 0.05 '.' 0.1 ' ' 1
##
## Residual standard error: 3.006 on 109 degrees of freedom
## (3 observations deleted due to missingness)
## Multiple R-squared: 0.08172, Adjusted R-squared: 0.05645
## F-statistic: 3.233 on 3 and 109 DF, p-value: 0.02516##
## Call:
## lm(formula = ppc2$TotalRecs ~ ppc2$CAN * ppc2$Rurality_flipped)
##
## Residuals:
## Min 1Q Median 3Q Max
## -5.2822 -2.0248 -0.1075 1.4164 10.5432
##
## Coefficients:
## Estimate Std. Error t value Pr(>|t|)
## (Intercept) 7.377788 1.990404 3.707 0.000332 ***
## ppc2$CAN -0.034927 0.024231 -1.441 0.152338
## ppc2$Rurality_flippedR -1.229432 2.941454 -0.418 0.676793
## ppc2$CAN:ppc2$Rurality_flippedR -0.004702 0.036458 -0.129 0.897618
## ---
## Signif. codes: 0 '***' 0.001 '**' 0.01 '*' 0.05 '.' 0.1 ' ' 1
##
## Residual standard error: 3.006 on 109 degrees of freedom
## (3 observations deleted due to missingness)
## Multiple R-squared: 0.08172, Adjusted R-squared: 0.05645
## F-statistic: 3.233 on 3 and 109 DF, p-value: 0.02516
Linear regressions between JFI and recommendation buckets
|
Rural
|
Urban
|
|||||
|---|---|---|---|---|---|---|
| Outcome | Effect of JFI | 95% CI | Effect of JFI | 95% CI | Difference | 95% CI |
| Total recs | -0.180 | (-0.784, 0.424) | -0.140 | (-0.502, 0.223) | 0.041 | (-0.664, 0.745) |
| Mobility rehab | -0.002 | (-0.158, 0.155) | -0.021 | (-0.115, 0.073) | -0.020 | (-0.202, 0.163) |
| All DME | -0.018 | (-0.12, 0.084) | -0.035 | (-0.096, 0.027) | -0.017 | (-0.136, 0.103) |
| Speech rehab | 0.076 | (-0.006, 0.158) | -0.040 | (-0.089, 0.009) | -0.116 | (-0.211, -0.02) |
| Medications | -0.102 | (-0.336, 0.133) | -0.009 | (-0.15, 0.132) | 0.093 | (-0.181, 0.366) |
| Social work | -0.048 | (-0.181, 0.084) | -0.024 | (-0.104, 0.056) | 0.025 | (-0.13, 0.18) |
##
## Call:
## lm(formula = ppc2$TotalRecs ~ ppc2$JFI * ppc2$Rurality)
##
## Residuals:
## Min 1Q Median 3Q Max
## -5.2413 -2.1420 -0.3065 1.5157 11.0382
##
## Coefficients:
## Estimate Std. Error t value Pr(>|t|)
## (Intercept) 4.85000 1.59323 3.044 0.00316 **
## ppc2$JFI -0.18030 0.30825 -0.585 0.56025
## ppc2$RuralityU 0.67069 1.91016 0.351 0.72643
## ppc2$JFI:ppc2$RuralityU 0.04059 0.35953 0.113 0.91039
## ---
## Signif. codes: 0 '***' 0.001 '**' 0.01 '*' 0.05 '.' 0.1 ' ' 1
##
## Residual standard error: 2.993 on 80 degrees of freedom
## (32 observations deleted due to missingness)
## Multiple R-squared: 0.0241, Adjusted R-squared: -0.0125
## F-statistic: 0.6586 on 3 and 80 DF, p-value: 0.58##
## Call:
## lm(formula = ppc2$TotalRecs ~ ppc2$JFI * ppc2$Rurality_flipped)
##
## Residuals:
## Min 1Q Median 3Q Max
## -5.2413 -2.1420 -0.3065 1.5157 11.0382
##
## Coefficients:
## Estimate Std. Error t value Pr(>|t|)
## (Intercept) 5.52069 1.05374 5.239 1.28e-06 ***
## ppc2$JFI -0.13971 0.18504 -0.755 0.452
## ppc2$Rurality_flippedR -0.67069 1.91016 -0.351 0.726
## ppc2$JFI:ppc2$Rurality_flippedR -0.04059 0.35953 -0.113 0.910
## ---
## Signif. codes: 0 '***' 0.001 '**' 0.01 '*' 0.05 '.' 0.1 ' ' 1
##
## Residual standard error: 2.993 on 80 degrees of freedom
## (32 observations deleted due to missingness)
## Multiple R-squared: 0.0241, Adjusted R-squared: -0.0125
## F-statistic: 0.6586 on 3 and 80 DF, p-value: 0.58
ACSC vs Recommendation
Correlation for rural group = 0.308, 95% CI = (-0.170, 0.668), p = 0.20
Correlation for non-rural group = -0.277, 95% CI = (-0.625, 0.164), p = 0.21
Social work vs. CAN
Correlation for rural group = -0.113, 95% CI = (-0.440, 0.239), p = 0.53
Correlation for non-rural group = -0.195, 95% CI = (-0.398, 0.025), p = 0.08
Correlation = -0.053, 95% CI = (-0.239, 0.137), p = 0.59