Hospital Resource Utilization And Functional Decline of Geriatric Patients

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Executive SummaryThe relationship between resource consumption and the Hospital Admission Risk Profile (HARP), a tool that can be used to identify patients at risk for functional decline during hospitalization, was explored.Resource consumption was assessed using hospital charges in total and by major ancillary area.The HARP score includes an assessment of activities of daily living (ADL), instrumental ADLs (IADL), and a short form of the Mini Mental Status Examination (MMSE).While the study did not find a relationship between total HARP score and hospital charges, weak relationships were seen between charges and ADLs and IADLs individually.Also, the study revealed differences in resource utilization by age group with a surprisingly lower utilization rate among the oldest patients.The study poses an opportunity to explore the concept of investing high levels of intervention for patients with higher HARP scores as a way to preserve and improve independence, ultimately lowering overall health care costs.

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