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Methods: Secondary analysis of 2013\u20132014 Medicare data for individuals aged \u226566 years with stroke, lower extremity joint replacements, and hip\/femur fracture discharged to one of three PAC settings (inpatient rehabilitation facilities, skilled nursing facilities, and home health agencies). Functional scores were co-calibrated into a 0\u2013100 scale across settings. Multilevel logistic regression was used to test the partition of variance (%) and the probability of PAC transition attributed to the functional score in the initial PAC setting. Results: Patients discharged to inpatient rehabilitation facilities with higher function were less likely to use additional PAC. Function level in an inpatient rehabilitation facility explained more of the variance in PAC transitions than function level while in a skilled nursing facility. Discussion: The function level affected PAC transitions more for those discharged to an inpatient rehabilitation facility than to a skilled nursing facility.<\/jats:p>","DOI":"10.1177\/0898264320925259","type":"journal-article","created":{"date-parts":[[2020,6,5]],"date-time":"2020-06-05T10:42:46Z","timestamp":1591353766000},"page":"1325-1334","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Impact of Self-Care and Mobility on One or More Post-Acute Care Transitions"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4817-554X","authenticated-orcid":false,"given":"Chih-Ying","family":"Li","sequence":"first","affiliation":[{"name":"University of Texas Medical Branch, Galveston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amol","family":"Karmarkar","sequence":"additional","affiliation":[{"name":"University of Texas Medical Branch, Galveston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yong-Fang","family":"Kuo","sequence":"additional","affiliation":[{"name":"University of Texas Medical Branch, Galveston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Allen","family":"Haas","sequence":"additional","affiliation":[{"name":"University of Texas Medical Branch, Galveston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenneth J.","family":"Ottenbacher","sequence":"additional","affiliation":[{"name":"University of Texas Medical Branch, Galveston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,6,5]]},"reference":[{"key":"bibr1-0898264320925259","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2015.11.005"},{"key":"bibr2-0898264320925259","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2009.1090"},{"key":"bibr3-0898264320925259","unstructured":"Centers for Medicare and Medicaid Services. (2015). Department of Health and Human Services: Nursing home data compendium. https:\/\/www.cms.gov\/Medicare\/Provider-Enrollment-and-Certification\/CertificationandComplianc\/Downloads\/nursinghomedatacompendium_508-2015.pdf"},{"key":"bibr4-0898264320925259","unstructured":"Centers for Medicare and Medicaid Services. (2017). Medicare learning network connect. Implementing the IMPACT act: Status update & activities. https:\/\/www.cms.gov\/Outreach-and-Education\/Outreach\/NPC\/Downloads\/2017-02-23-IMPACT-Presentation.pdf"},{"key":"bibr5-0898264320925259","unstructured":"Centers for Medicare and Medicaid Services. (2018a). 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