Research Article

Physician Orders for Life Sustaining Treatment in US Nursing Homes: A Case Study of CRNP Engagement in the Care Planning Process

Table 2

Demographic and health care utilization characteristics among nursing home residents who had CRNP participate in care conference, by POLST change in status versus no POLST change in status.

POLST change in status 

Mean (standard deviation)
No POLST change in status 

Mean (standard deviation)

Age in years 75.7 (13.3)74.3 (15.2)
% Female7187%
Religion
 Catholic14%29%
 Protestant21%51%
 Another religion7%7%
 No religion43%*11%
 Unknown15%2%
Payer source
 Medicaid FFS86%57%
 Medicare FFS7%7%
 Medicaid managed care7%24%
 Medicare managed care0%13%
Charlson comorbidity index 4.50 (1.93)5.11 (1.95)
% Social worker completing original POLST79%72%
Days since original POLST completion707 (542)724 (746)
Days since original nursing home admission 839 (587)871 (878)
Days since last nursing home admission 712 (572)572 (616)
Number of hospital admissions (precare conference)0.56 (0.96)1.18 (1.51)
Number of emergency department visits not resulting in hospital admission (precare conference)1.18 (1.72)1.06 (2.00)

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