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

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Table 3. Data Availability for Functional Dependence

Data Availability

Functional Dependence Data

Advantage

Disadvantage

Public use data files

MassCHIP

  • Available online.
  • Free.
  • Specific to Worcester.
  • 2002-2007.
  • General disability definition is broad; could include persons who are not target subjects. No information specific to personal care needs.

National Home and Hospice Care Survey

  • 2007.
  • Descriptive data on services provided by home health agencies and hospices.
  • Could be requested from CDC.
  • Reported by U.S. Census regions and MSA indicators.
  • Does not adjust the patient sample based on agency size.
  • Cannot be used to estimate number of functionally dependent individuals in the general population.

American Community Survey

  • 2005-2007.
  • Available for Worcester metro area.
  • Reports on individuals who have physical and self-care disabilities.
  • No indication of the severity of the disability.

CMS approval/
DUA required

OASIS

  • Good ADL descriptors.
  • Available by zip code.
  • Available within several months.
  • Population covered is limited to those receiving home health services from a Medicare/Medicaid-certified agency.

Medicare claims

  • Captures the use of hospital beds, wheelchairs, and lifts by persons who live in the Worcester Zip code.
  • Data capture ends after one year, when equipment is no longer considered "rental."
  • 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 hospital beds, wheelchairs, and lifts by persons who live in the Worcester Zip code.
  • Data are limited to eligible low-income individuals, which varies from State to State and year to year.

Submission of proposal and fee

NHIS and NHIS—D

  • Good ADL descriptors.
  • Requires proposal development and fee payment and possible separate submissions for each survey.

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The information on this page is archived and provided for reference purposes only.

 

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