Post-Acute Care Services and Outcomes Among Elderly Stroke Patients

Under the terms of this consortium agreement, Dr. Larry B Goldstein will collaborate with the Investigators at the Yale School of Public Health on the Post-Acute Care Services and Outcomes Among Elderly Stroke Patients study. He will act as a senior neurologist to provide clinical perspective for the study as well as contribute to interpretation of analyses and development of scientific abstracts and manuscripts. He will provide 0.3 calendar months (2.5%) of effort each year for this two-year project. The primary aims of the application are: 1) to use a healthcare community-level approach to evaluate whether nursing home and home health agency performance ratings are associated with 30-day readmission rates for elderly patients discharged with stroke; 2) to assess the patient-level utilization patterns of home health and skilled nursing facility services among elderly patient discharged with a stroke; and 3) among stroke survivors who use post-discharge skilled nursing facility or home health services, assess whether the facility characteristics and quality ratings are associated with outcomes.