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Data Sources for the At-Risk Community-Dwelling Patient Population

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Table 14. Data Availability for Early Discharge

Data Availability

Early Discharge Data

Advantage

Disadvantage

CMS approval/
DUA required

OASIS

  • Captures recent hospital discharge, severity ratings for diagnoses, and changes in medical or treatment regimens in past 14 days.
  • Data are current (within several months) and available at zip code level.
  • Does not indicate frequency of nursing assessment, changes to medications, or other procedures based on nursing assessment or laboratory test results.
  • Requires application for DUA.
  • Captures only patients in the care of Medicare/Medicaid-certified home health agencies.

Medicare claims

  • Captures the use of equipment, supplies, medications, and laboratory tests by persons living in the Worcester zip code.
  • Data are limited to a segment of the population that is older than 65, has a disability, or has ESRD.

Medicaid claims

  • Captures the use of equipment, supplies, medications, and laboratory tests by persons living in the Worcester zip code.
  • Data are limited to low-income individuals, which varies from State to State and year to year.

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