JEN Frailty Index

Key Features:

- For more information see this brief video

- Uses claims data to identify Medicare and Medicaid enrollees at risk for long-term care admission within 9-12 months
- Creates a risk score based on 13 impairment categories, which encompasses nearly 1,800 diagnoses found to be significantly related to concurrent or future long-term care services
- Impairment categories include ambulatory limitations, dementia, chronic medical disease, and others

Potential Applications:

- Can be used by health care providers to implement interventions that would prevent or delay the need for long-term care
- Useful for both payers and hospital systems (especially accountable care organizations and health systems implementing bundled payments) to assess risk of populations and to target interventions.

JEN Frailty Index 01487 Population Health Geriatrics Mortality Predictive Risk Adjustment JEN Associates
Specifications: 

Requires input of all patient diagnoses from all settings of care within the year.

Evidence: 
  1. Eric De Jonge, K., Jamshed, N., Gilden, D., Kubisiak, J., Bruce, S. R., & Taler, G. (2014). Effects of Home_Based Primary Care on Medicare Costs in High_Risk Elders. Journal of the American Geriatrics Society, 62(10), 1825-1831.
  2. Gilden, D. M., Kubisiak, J. M., Kahle-Wrobleski, K., Ball, D. E., & Bowman, L. (2014). Using US Medicare records to evaluate the indirect health effects on spouses: a case study in Alzheimer's disease patients. BMC Health Services Research, 14(1), 291.
  3. JEN Associates (2008). MassHealth Senior Care Options Program Evaluation: Pre-SCO Enrollment Period CY2004 and Post-SCO Enrollment Period CY2005 Nursing Home Entry Rate and Frailty Level Comparisons. Massachusetts Executive Office of Health and Human Services.
CID: 
01487