Marilyn Klug, PhD

Upper Midwest Rural Health Research Center

Phone: 701.787.0089
E-mail: mklug@medicine.nodak.edu

Center for Rural Health
University of North Dakota
501 N. Columbia Road
P.O. Box 9037
Grand Forks, ND 58202

Current Projects (1)

Effect of Type and Timeliness of Post-Acute Care on Preventable Hospital Readmissions for Rural Medicare Beneficiaries
Research center: Upper Midwest Rural Health Research Center
Funder: Office of Rural Health Policy (ORHP)
Topics: Hospitals and clinics, Medicare
The purpose of this project is to: 1) determine how location of hospitals used for initial admissions by rural patients affects readmission rates; 2) assess how the use of swing beds affects rural patients' readmissions; and 3) examine the impact of the type and timeliness of post-acute care, including home health care, skilled nursing, and physician visits, on readmissions for rural patients.

Completed Projects (1)

Potentially Preventable Rural Hospital Readmissions, Lead researcher
Research center: Upper Midwest Rural Health Research Center
Funder: Office of Rural Health Policy (ORHP)
Topics: Hospitals and clinics, Quality
This project focuses on the analysis of potentially preventable rural hospital readmissions, a potential quality indicator receiving considerable attention from policymakers and payers. Using 3-M algorithm software and MedPAR inpatient claims data from 9 geographically representative states, this study will explore the relationship between readmission rates and geographic regions, categories of rural hospitals, discharge destination, clinical diagnoses and patient attributes.

Publications (2)

Geographic Differences in Potentially Preventable Readmission Rates in Rural and Urban Hospitals (Final Report)
Author(s): Marilyn G. Klug, Alana Knudson, Kyle Muus
Research center: Upper Midwest Rural Health Research Center
Topic: Hospitals and clinics
Date: 11 / 2010
Potentially preventable hospital readmissions (PPRs) among Medicare patients are examples of inefficiencies in the health care system. Policymakers are considering efforts to measure and publicly report preventable readmission rates and target hospitals with high rates for improvement by means of payment policy and technical assistance. To help inform the policy debate about readmissions of rural patients, this study estimated PPRs in three types of acute care hospitals: urban prospective payment system (PPS) hospitals, rural PPS hospitals and Critical Access Hospitals (CAHs).
Potentially Preventable Readmissions in Rural Hospitals (Policy Brief)
Author(s): Marilyn G. Klug, Kyle Muus, Michelle Casey, Ira Moscovice
Research center: Upper Midwest Rural Health Research Center
Topic: Hospitals and clinics
Date: 08 / 2009
A hospital's potentially preventable readmission rate is a quality indicator receiving considerable attention from policymakers and payers. Using 3-M algorithm software and Medicare inpatient claims data from five states, this brief examines potentially preventable readmission rates for rural and urban hospitals, and discusses the rural implications of policy initiatives to reduce readmission rates.

Topics Centers Researchers Other Resources Search		Marilyn Klug, PhD Upper Midwest Rural Health Research Center Phone: 701.787.0089 E-mail: mklug@medicine.nodak.edu Center for Rural Health University of North Dakota 501 N. Columbia Road P.O. Box 9037 Grand Forks, ND 58202 Current Projects (1) Effect of Type and Timeliness of Post-Acute Care on Preventable Hospital Readmissions for Rural Medicare Beneficiaries Research center: Upper Midwest Rural Health Research Center Funder: Office of Rural Health Policy (ORHP) Topics: Hospitals and clinics, Medicare The purpose of this project is to: 1) determine how location of hospitals used for initial admissions by rural patients affects readmission rates; 2) assess how the use of swing beds affects rural patients' readmissions; and 3) examine the impact of the type and timeliness of post-acute care, including home health care, skilled nursing, and physician visits, on readmissions for rural patients. Completed Projects (1) Potentially Preventable Rural Hospital Readmissions, Lead researcher Research center: Upper Midwest Rural Health Research Center Funder: Office of Rural Health Policy (ORHP) Topics: Hospitals and clinics, Quality This project focuses on the analysis of potentially preventable rural hospital readmissions, a potential quality indicator receiving considerable attention from policymakers and payers. Using 3-M algorithm software and MedPAR inpatient claims data from 9 geographically representative states, this study will explore the relationship between readmission rates and geographic regions, categories of rural hospitals, discharge destination, clinical diagnoses and patient attributes. Publications (2) Geographic Differences in Potentially Preventable Readmission Rates in Rural and Urban Hospitals (Final Report) Author(s): Marilyn G. Klug, Alana Knudson, Kyle Muus Research center: Upper Midwest Rural Health Research Center Topic: Hospitals and clinics Date: 11 / 2010 Potentially preventable hospital readmissions (PPRs) among Medicare patients are examples of inefficiencies in the health care system. Policymakers are considering efforts to measure and publicly report preventable readmission rates and target hospitals with high rates for improvement by means of payment policy and technical assistance. To help inform the policy debate about readmissions of rural patients, this study estimated PPRs in three types of acute care hospitals: urban prospective payment system (PPS) hospitals, rural PPS hospitals and Critical Access Hospitals (CAHs). Potentially Preventable Readmissions in Rural Hospitals (Policy Brief) Author(s): Marilyn G. Klug, Kyle Muus, Michelle Casey, Ira Moscovice Research center: Upper Midwest Rural Health Research Center Topic: Hospitals and clinics Date: 08 / 2009 A hospital's potentially preventable readmission rate is a quality indicator receiving considerable attention from policymakers and payers. Using 3-M algorithm software and Medicare inpatient claims data from five states, this brief examines potentially preventable readmission rates for rural and urban hospitals, and discusses the rural implications of policy initiatives to reduce readmission rates.