Improving Stroke Risk Adjustment for Disparities in Acute and Post-acute Care and Outcomes

Tuesday, November 8, 2022

12:45 PM – 2:00 PM

Presenter(s)

Indrakshi Roy, PhD

Research Scientist/Biostatistician
Northern Arizona University
Flagstaff, Arizona, United States

Slides
Amol M. Karmarkar, PhD

Professor and Director of Research
Virginia Commonwealth University (VCU) & Sheltering Arms Institute (SAI)
Richmond, Virginia, United States
Pamela R. Bosch, PT, DPT, PhD

Professor
Northern Arizona University
Phoenix, Arizona, United States

Moderator(s)

Amit Kumar, MPH, PhD

Assistant Professor
Northern Arizona University
Flagstaff, Arizona, United States

Rehabilitation research is urgently needed to improve risk adjustment methods to better understand inequities in rehabilitation for individuals with stroke. This symposium will present validation work using ICD-10 based NIHSS scores from Medicare claims data and will illustrate disparities in stroke severity by race and socio-economic status. Presenters will discuss research opportunities for improving our understanding of stroke care in minority and disadvantaged populations. Understanding population differences in initial stroke severity will help find potential solutions for addressing disparities during post-acute rehabilitation.

Learning Objectives:

Describe a research approach for examining the risk adjustment in rehabilitation service research
Examine the association between stroke severity during acute hospitalization and inpatient rehabilitation outcomes.
State how dual eligibility, as a marker of socioeconomic status, relates to ischemic stroke severity.
Identify disparities in stroke severity along the continuum of rehabilitation care.