Poster presented at University of Texas Health Sciences at Houston for end of semester research presentation. Topic is COVID-19 TX Nursing Home Residents Deaths: Is Payor Mix (% Medicaid) Related?

1. COVID NURSING HOME RESIDENTS’ DEATHS BY % MEDICAID BINS
INTRODUCTION COVID-19 & TX NH DEATHS
SUMMARY OF CONCLUSIONS
(cont.)
ACKNOWLEDGEMENTS
In a PERFECT WORLD:
• Use more advanced statistical methods
• Look at admission assessments—assess how
sick before patients/residents arrived at NH
• Correlate staffing levels & more quality
indicators
• Look at population-income levels using US
census
• Look at finances within facility vs. profits to
shareholders
We would like to thank all of those who helped directly or indirectly in
this study's data collection, Professor Lex Frieden, Teaching Assistant
Roni Matin, Assistant Professor Tiffany Champagne-Langabeer, Dr.
Marylou Cardenas, Darin Rollins, Spencer Rollins, Douglas
Priedeman, Kristin Baker, Dave Baker, Kathryn Hall, SBMI 6313
classmates Anne Miles, Yi Zheng, Chidinma Onye, Ashish Damania,
and Malak Awad . I am grateful for the tutelage of many.
Please contact the author via email:
Annette.D.Mulkay@uth.tmc.edu
The School of Biomedical Informatics |The University of Texas Health Science Center at Houston
Is Medicaid (Payor Mix) Related?
Annette Mulkay
COVID-19 and Texas Nursing Home Residents’ Deaths:
Analysis of Means (ANOVA) with 10 % bins
indicates that nursing home facilities with the
highest percentage of Medicaid patients also had
the highest COVID-19 residents mortality rate (p-
value =.031). The most significant was in the
60%,70%, and 80%.
Univariate regression with clusters in quartiles
indicated that nursing home facilities had a p-value
of 0.072 This exceeded the limit.
The results demonstrate a relationship between the
facility's percent Medicaid and COVID-19 deaths at
the respective 60%, 70%, 80% Medicaid (to
Medicare) payor mix.
However, a post-hoc test such as the Tukey
method should be used to demonstrate variables
are significantly different.
NURSING HOMES 101
BUSINESS STRUCTURE
3603 Deaths
Oct 7, 2020
Fast Facts
• 1035 Texas Nursing Homes
• 65+ years old
• Medicare (0-97.3%)
• Medicaid (0-99.4%)
• 527 Facilities had 0 deaths
• 52.3 Average # Resident deaths
per facility
• Analysis of Variance (ANOVA)
study design
Data.cms.org & LTCFocus.org
ANOVA 10 % Bins –p value of 0.031
ANOVA Quartiles –p value of 0.071
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Structured Abstract &
References-
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