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Scientific Data Documentation
National Nursing Home Survey Followup: Wave I, 1987DSN: CC37.NNHS87F.WVI ABSTRACT Use of NNHSF: Wave I Data With the goal of mutual benefit, NCHS reguests the cooperation of recipients of data tapes in certain actions related to their use: A. Any published material derived from the data should acknowledge the National Center for Health Statistics (NCHS) as the original source. It should also include a disclaimer which credits any analyses, interpretations, or conclusions reached to the author (recipient of the tape) and not to NCHS, which is responsible only for the initial data. B. Consumers who wish to publish a technical description of the data will make a reasonable effort to insure that the description is not inconsistent with that published by NCHS. This does not mean, however, that NCHS will review such descriptions. C. Authors should notify NCHS of published articles which utilize the NNHSF: Wave I data tapes and provide a reprint to: Ilene Gottfried Office of Analysis and Epidemiology Division of Analysis National Center for Health Statistics 6525 Belcrest Road Hyattsville, Maryland 20782 Data Purchase and Use Agreement The Public Health Service Act (42 U.S.C. 242m(d) provides that the data collected by the National Center for Health Statistics (NCHS) may be used only for the purpose for which they were obtained; any effort to determine the identity of any reported cases, or to use the information for any purpose other than for health statistical reporting and analysis, would be against the law. NCHS does all it can to assure that the identity of data subjects cannot be disclosed through public-use data sets; all direct identifiers, as well as any characteristics that might lead to identification, are omitted from the data set. Nevertheless, it may be possible in rare instances, through complex analysis and with outside information on sample cases, to ascertain from the data set the identity of particular persons or establishments. Considerable harm could ensue if this were done. Therefore, the undersigned gives the following assurances with respect to all NCHS public-use data sets: The user: will not use the data in these sets in any way except for statistical reporting and analysis; will not release the data sets or any part of them to any person who is not a member of this organization, except with the approval of NCHS; will not attempt to use them to learn the identity of any person or establishment included in any set; and If the identity of any person or establishment should be discovered inadvertently, then (a) no use will be made of this knowledge, (b) the Director of NCHS will be advised of the incident, (c) the information that would identify an individual or establishment will be safeguarded or destroyed, as requested by NCHS, and (d) no one else will be informed of the discovered identity.Introduction This material provides documentation for users of the Micro-Data Tape of the National Nursing Home Survey Followup (NNHSF): Wave I, 1987 conducted by the National Center for Health Statistics. Section IV "Description of the NNHSF: Wave I, 1987" includes information on the history of the 1985 National Nursing Home Survey, the Next-of-Kin (NOK) Component of the NNHS, and data collection procedures used for the NNHSF. References are provided in Section V. The Wave I questionnaire is presented in Section VI. Section VII provides technical details concerning the tape (number of tracks, record length, etc.). Section VIII provides a detailed description of the contents of each data record, by location. Description The National Nursing Home Survey Followup (NNHSF) is a longitudinal study which follows the cohort of current residents and discharged residents sampled in the 1985 National Nursing Home Survey (NNHS) (1-8). The study is a collaborative project between the National Center for Health Statistics (NCHS), Centers for Disease Control (CDC) and the National Institute on Aging (NIA). The NNHSF builds on the data collected in the 1985 NNHS by providing longitudinal information on nursing home and hospital utilization. Wave I was conducted from August through December 1987. The 1985 NNHS collected a variety of information about long-term care facilities and their residents. Data were collected on a sample of patients who were current residents at the time of contact with the facility as well as a sample of discharges that occurred 12 months prior to the facility contact. There were 5,243 current residents and 6,023 discharges. For the current residents, detailed information was collected regarding dependence in activities of daily living, functional impairments, diagnoses, the receipt of services, cognitive and emotional status, charges, source of payments, and a number of other topics of considerable prognostic significance. For the discharged residents, detailed information was obtained regarding diagnoses and services, nursing home and hospital use prior to the sampled nursing home stay, hospitalizations during the sample stay, and nursing home readmissions subsequent to the sample stay. To supplement the current and discharged resident components, the 1985 NNHS included a Next-of-Kin (NOK) component. The NOK interview, using a Computer Assisted Telephone Interviewing (CATS) system, was designed to collect information about current and former nursing home residents that is not generally available from patient records or other sources in the nursing home. Information on the resident's characteristics prior to admission and history of prior nursing home utilization was collected. The Next-of-Kin questionnaire was administered to a family member, the former resident, an institutional representative, or another knowledgeable person who could answer questions about the resident. All residents for whom a Current Resident Questionnaire (CRQ) or a Discharged Resident Questionnaire (DRQ) had been completed during the field data collection portion of the NNHS were eligible for the NOK component. The National Nursing Home Survey Followup obtains additional information on a portion of the residents for whom a CRQ or a DRQ was completed. The followup cohort is comprised of two types of cases. All cases with a completed NOK interview who were not known to be deceased as of the NOK are included. Cases that were either not fielded in the NOK or which did not result in a completed interview were also included if the subject had been a resident of a nursing home at the NNHS field interview. Of the 6,607 subjects who were identified as eligible for Wave I, 6,054 are in the first group and 553 are in the second. Wave I interviews were completed for 6,001 subjects At the time of contact, 1,998 subjects were found to be deceased. The preferred respondent at followup was someone who knew about the subject's experiences since the last contact. Facility respondents were used if the subject was a nursing home resident at the last contact and community based respondents were used if the subject had been discharged into the community. In order to maximize the amount of information collected, more than one respondent could be contacted. For example, if a community based respondent was contacted and in the course of the interview it was learned that the subject had been readmitted to a facility, that facility was then contacted, if necessary, to obtain information on utilization since that admission as well as information on current status. Conversely, if a facility was contacted initially and in the course of the interview it was learned that the subject had been discharged, a new respondent was contacted (either a relative, or the subject depending on the type of discharge) to provide information on the subject's current status. The Wave I interviews were conducted using a CATI system. With CATI, data collection and data entry are concurrent and computer- controlled. The CATI questionnaire used for Wave I was a modified version of the questionnaire developed for the Next-of- Kin Component of the 1985 NNHS. CATI was programmed by utilizing applicable parts of the NOK questionnaire unless otherwise specified on the questionnaire, the same set of questions was asked irrespective of whether the respondent was a subject, next- of-kin, or a facility official. Information was collected on vital status, nursing home and hospital utilization since the last contact, current living arrangements, Medicare number, and source of payment. Approximately 1-2 weeks before the start of the data collection period, advance letters were mailed to respondents. A letter was mailed to each primary respondent for whom an address was available. A special introductory paragraph which included the contents of the letter was added to the questionnaire for respondents for whom no address was available. Upon contacting the appropriate respondent, the interviewer proceeded with the interview, if possible, or scheduled a time to call back. A minimum of five attempts were made to contact each potential respondent for whom there appeared to be a workable telephone number. Many of the respondents were the facilities in which the residents were living at the time of the field interview. To reduce the number of contacts with these facilities, the letter listed all the subjects about whom the facility would be asked. This eliminated the need for multiple letters to the same nursing home. The CATI questionnaire was programmed to allow the interviewer to complete all cases within a sample nursing home on one call without having to reread the introduction. If a sample nursing home refused to participate or could not be contacted, all cases that should have been completed by the facility were changed to "proxy" interviews. In some cases the names of the proxies to be contacted were given by the facility; in most cases, however, interviewers had to use the names listed in the CATI respondent roster for the NOK questionnaire. If the designated respondent could not or would not participate, the interviewer attempted to obtain the name and telephone number of another potential respondent. If the designated respondent could not be located, other contact names that were in the NOK CATI file were examined and attempts were made to locate and interview another individual. Estimation Procedures This micro-data tape is similar to the Next-of-Kin Component of the 1985 National Nursing Home Survey file in that it combines data on subsets of the original current resident and discharged resident samples. However, the current resident and discharged resident samples were designed to be analyzed separately. While it is possible to combine the samples in certain instances, the procedures for doing so are not discussed here. Moreover, each record on the tape represents a person rather than an event. Thus, an individual can only have one record on the file. The discharge resident sample is an event sample and an individual could have multiple records on the file or have records on both the discharged resident file and the current resident file. Decisions concerning the appropriate way to weight the data should take into account the objectives of the analysis, the design of the current resident and discharged resident samples, and non-response to the resident questionnaires and/or the NOK. Some analyses may require more complicated weighting strategies than are discussed here. A statistician should be consulted in those instances. The data tape contains the original weights for the current and discharged resident samples and the two sets of weights derived for the NOK file. A discussion of these weights and a description of the NOK file is provided in the Public Use Data Tape Documentation of the Next-of-Kin Component of the 1985 National Nursing Home Survey. Weights have not been constructed which take into account non-response in the NNHSF. However, non- response rates are low. In addition, NOK weights are not available for subjects not successfully interviewed in the NOK which complicates weighting procedures even further. The weighting procedures used to analyze this data will depend on the objectives of the analysis. For example, information on utilization history can be used to supplement the information available on the resident questionnaires and the NOK. In this case, the data from the Wave I and NOK tapes would be matched to the CRQ/DRQ tapes and non-response to the NOK would be treated as missing data. The weights provided on the CRQ and DRQ data tapes are included on the Wave I tape in columns 485-492 and 509-516, respectively. These weights do not include adjustments for non- response to the NOK or to the Wave I interviews. Alternatively, the data available on the NOK may be central to the analysis and the investigator might want to use weights that take non-response to the NOK into account. Non-response to the NOK questionnaire can result from failure to obtain sufficient information on the CRQ/DRQ to contact a "next-of-kin" or failure to obtain an interview given that name and phone number of a respondent was obtained. Two weights for each sample case (current resident or discharged resident) are provided for this purpose. One of these estimators weights the NOK data to the number of CRQ or DRQ cases with an identified "next-of-kin" respondent. This estimator is the product of the baseweight for sample current or discharged residents, adjustments for the presence of "next-of-kin", and adjustments for non-response to the NOK questionnaire given a respondent was identified. The second estimator weights the NOK data to the total number of DRQ (or CRQ) cases. This estimator assumes that persons without a "next-of-kin" have essentially the same characteristics as those for whom "next-of-kin" were listed. This estimator is the product of the CRQ/DRQ baseweight and adjustments for non- response to the NOK questionnaire as indicated previously. As noted earlier, the NOK weights do not include adjustments for non-response to the Wave I questionnaire. The use of the weights provided are complicated by the design features of the CRQ, DRQ, NOK and the NNHSF. Recall that the DRQ is an event sample. That is, events, rather than persons are sampled. Thus, an individual can appear more than once on the sampling list. While the CRQ is a sample of persons and not events, some current residents were also included in the discharge sample if they were discharged from the nursing home in the last l2 months. The NOK component and the NNHSF, while using the basic CRQ and DRQ samples, follows persons. This is a particular problem for the DRQ sample. All information for persons sampled more than once is included on one record with the reference date for the utilization history questions (Question 24 of the NOK) being the earliest sampled discharge date. Thus, information on the characteristics of the person at the time of admission (Questions 2-19) is collected only for this first sampled stay. If an investigator wants to make inferences about discharge "events" it is necessary to add cases to the file which duplicate the information for those persons who fall in the discharge sample more than once. Information which identifies the ID numbers of each discharged resident's other sampled stays is found in positions 53-59, and 60-66 of the NOK. When records are duplicated to add cases to represent all discharged resident stays, the ID numbers in positions 1-7 of the added records should be changed to match the ID numbers identified in positions 53-59, and 60-66 of the original record. For example, a resident has two stays on the discharge file and the first sampled discharge has an ID number of 1000001 (positions 1-7). The ID number of the second stay (1000002), is stored in positions 53- 59. When the information is duplicated, the ID for the duplicate stay should be changed to 1000002. In addition, stay information must be rearranged to identify the appropriate sampled stay and stay sequences for each new record. Furthermore, information on subject characteristics prior to admission for other than the first sampled stay will be missing. Similarly, if the investigator wishes to make inferences about all current residents, it is necessary to add current resident cases to the NOK file and followup files for each resident with stays in both the discharge and current resident samples by duplicating the NOK information for the discharge resident case and changing the status to "current resident" by changing the ID number. For example, cases with ID numbers in positions 67-73 of the NOK should be duplicated and treated as CRQ cases with the ID number changed to the CRQ ID found in positions 67-73. Stay information must also be arranged to identify the appropriate sampled stay and stay sequences for each new record. Moreover, because all of these cases were originally sampled as current resident cases (but retained as discharge cases on the NOK file), the CRQ weights in NOK positions 388-395, 396-403, and 404-411 should be used to make estimates for current residents. The DRQ weight fields could be blanked out for these resident cases. The cases that were included in both the CRQ and DRQ samples are the only cases on the NOK file with both CRQ and DRQ weights. Analyses which make use of the DRQ sample to make inferences about persons must take into account the fact that the probability of being selected for the survey increases with the number of nursing home stays during the sample period, i.e, persons with many stays are more likely to be selected into the samples. There are two ways to do this. One way is to restrict estimates to cases where the sampled stay is the first eligible stay that the individual had during the sampling frame. Or, the investigator can adjust the baseweight by dividing by the probability of an individual (not events) being selected and adjusting for non-response. The calculation of the probability of selection for an individual with multiple stays is complex and should be computed under the guidance of a statistician. The information needed to do both of these modifications is available in the DRQ files. Additional complications result from analyses which involve combining the CRQ and DRQ samples. Questions Questions concerning data on this tape should be directed to the Division of Analysis, National Center for Health Statistics, 6525 Belcrest Road, Hyattsville, Maryland 20782.CODEBOOK Locations 1-76 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- V1. CASE NUMBER (THE CASE NUMBER CAN BE USED TO MATCH THE WAVE I DATA TAPE WITH THE 1985 NNHS DATA TAPES.) V1 A 7 1 7 RANGE = 1001213 - 7186364 .................6001 BLANK1 A 8 8 15 BLANK DATE OF LAST CONTACT: THIS DATE IS USED AS A REFERENCE DATE AND IS THE LAST DATE FOR WHICH INFORMATION ABOUT THE SUBJECT WAS AVAILABLE. THIS WOULD BE THE DATE OF THE NEXT-OF-KIN (NOK) INTERVIEW IF COMPLETED. FOR DISCHARGED RESIDENTS WITH NO COMPLETED NOK, IT WOULD BE THE DISCHARGE DATE OF THE SAMPLE STAY. FOR CURRENT RESIDENTS WITH NO NOK, IT WOULD BE THE DATE OF THE 1985 NNHS FIELD INTERVIEW. RDATE_M A 2 16 17 MONTH 01 = JANUARY ...................................1653 02 = FEBRUARY ..................................1222 03 = MARCH ..................................... 239 04 = APRIL ..................................... 9 05 = MAY ....................................... 11 06 = JUNE ...................................... 41 07 = JULY ...................................... 7 08 = AUGUST .................................... 46 09 = SEPTEMBER ................................. 237 10 = OCTOBER ................................... 719 11 = NOVEMBER .................................. 709 12 = DECEMBER ..................................1108 RDATE_D A 2 18 19 DAY 01 - 31 ..........................................6001 RDATE_Y A 2 20 21 YEAR 84 - 86 ..........................................6001 BLANK2 A 3 22 24 BLANK LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- DATE OF LAST CONTACT FOR SECOND RESPONDENT: THE SECOND REFERENCE DATE IS THE LAST DATE FOR WHICH THE FIRST RESPONDENT HAD INFOR- MATION ABOUT THE SUBJECT. THIS IS EITHER THE DATE THE SUBJECT WAS DISCHARGED FROM A FACILITY OR THE FIRST REFERENCE DATE IF THE SUBJECT HAD NOT BEEN DISCHARGED FROM A FACILITY. V781 A 2 25 26 MONTH BLANK = LEGITIMATE SKIP ...........................5570 01 = JANUARY ................................... 47 02 = FEBRUARY .................................. 50 03 = MARCH ..................................... 42 04 = APRIL ..................................... 37 05 = MAY ....................................... 31 06 = JUNE ...................................... 36 07 = JULY ...................................... 35 08 = AUGUST .................................... 30 09 = SEPTEMBER ................................. 33 10 = OCTOBER ................................... 30 11 = NOVEMBER .................................. 22 12 = DECEMBER .................................. 38 V780 A 2 27 28 DAY BLANK = LEGITIMATE SKIP ...........................5570 01 - 31 ........................................... 406 98 = DON'T KNOW ................................ 25 V782 A 2 29 30 YEAR BLANK = LEGITIMATE SKIP ...........................5570 84 - 87 ........................................... 431 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- V2. COMPLETION CODE FOR NNHSF WAVE I V2 A 2 31 32 50 = PARTIAL DATA (ONLY VITAL STATUS ASCERTAINED) 46 51 = COMPLETE WITH FACILITY ....................4008 52 = COMPLETE WITH SUBJECT OR PROXY ............1516 53 = COMPLETE W/FACILITY AND SECOND RESPONDENT . 276 54 = FIRST RESPONDENT COMPLETED, SECOND NEEDED . 155 DATE OF NNHSF WAVE I INTERVIEW LDATE_M A 2 33 34 MONTH 08 = AUGUST .................................... 981 09 = SEPTEMBER .................................2134 10 = OCTOBER ...................................2172 11 = NOVEMBER .................................. 460 12 = DECEMBER .................................. 254 LDATE_D A 2 35 36 DAY 01 - 31 ..........................................6001 LDATE_Y A 2 37 38 YEAR 87 .............................................6001 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- RECODE2 A 1 39 39 TYPE OF MAIN RESPONDENT 1 = SUBJECT ................................... 104 2 = PROXY .....................................1455 3 = FACILITY ..................................4442 RECODE3 A 2 40 41 RELATIONSHIP OF MAIN RESPONDENT TO SUBJECT 10 = FACILITY ..................................4442 20 = PARTNER,LIVING AS MARRIED ................. 0 21 = HUSBAND,COMMON-LAW HUSBAND ................ 25 22 = WIFE,COMMON-LAW WIFE ...................... 82 30 = FOSTER CHILD,ADOPTED CHILD ................ 0 31 = SON,STEPSON,SON-IN-LAW .................... 255 32 = DAUGHTER,STEPDAUGHTER,DAU-IN-LAW .......... 456 40 = GRANDCHILD,GREAT-GRANDCHILD ............... 0 41 = G-SON,STEP-G-SON,GR-G-SON ................. 0 42 = G-DAU,STEP-G-DAU,GR-G-DAU ................. 31 50 = PARENT .................................... 2 51 = FATHER,STEPFATHER,FATHER-IN-LAW ........... 14 52 = MOTHER,STEPMOTHER,MOTHER-IN-LAW ........... 42 60 = G-FATHER,GR-G-FATHER,G-F-IN-LAW ........... 0 61 = G-MOTHER,GR-G-MOTHER,G-M-IN-LAW ........... 0 62 = AUNT,UNCLE,COUSIN,SIS,BRO,NIECE ........... 397 70 = EX-WIFE,EX-HUSBAND ........................ 4 71 = FRIEND .................................... 57 72 = LAWYER,GUARDIAN,POWER OF ATTORNEY ......... 23 77 = CASEWORKER,SOCIAL WORKER .................. 0 80 = ENTRIES NOT COVERED ABOVE ................. 26 90 = SELF ...................................... 104 99 = REFUSED ................................... 41 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- RECODE4 A 1 42 42 TYPE OF 2ND RESPONDENT (IF APPLICABLE) BLANK = LEGITIMATE SKIP ...........................5725 1 = SUBJECT ................................... 5 2 = PROXY ..................................... 246 3 = FACILITY .................................. 25 RECODE5 A 2 43 44 RELATIONSHIP OF 2ND RESPONDENT TO SUBJECT BLANK = LEGITIMATE SKIP ...........................5725 10 = FACILITY .................................. 25 20 = PARTNER,LIVING AS MARRIED ................. 0 21 = HUSBAND,COMMON-LAW HUSBAND ................ 7 22 = WIFE,COMMON-LAW WIFE ...................... 12 30 = FOSTER CHILD,ADOPTED CHILD ................ 0 31 = SON,STEPSON,SON-IN-LAW .................... 30 32 = DAUGHTER,STEPDAUGHTER,DAU-IN-LAW .......... 91 40 = GRANDCHILD,GREAT-GRANDCHILD ............... 0 41 = G-SON,STEP-G-SON,GR-G-SON ................. 0 42 = G-DAU,STEP-G-DAU,GR-G-DAU ................. 7 50 = PARENT .................................... 0 51 = FATHER,STEPFATHER,FATHER-IN-LAW ........... 2 52 = MOTHER,STEPMOTHER,MOTHER-IN-LAW ........... 9 60 = G-FATHER,GR-G-FATHER,G-F-IN-LAW ........... 0 61 = G-MOTHER,GR-G-MOTHER,G-M-IN-LAW ........... 0 62 = AUNT,UNCLE,COUSIN,SIS,BRO,NIECE ........... 71 70 = EX-WIFE,EX-HUSBAND ........................ 2 71 = FRIEND .................................... 0 72 = LAWYER,GUARDIAN,POWER OF ATTORNEY ......... 0 77 = CASEWORKER,SOCIAL WORKER .................. 0 80 = ENTRIES NOT COVERED ABOVE ................. 14 90 = SELF ...................................... 5 99 = REFUSED ................................... 1 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- BLANK3 A 1 45 45 BLANK V70. FINAL VITAL STATUS AT END OF NNHSF WAVE I V70 A 1 46 46 1 = ALIVE .....................................3982 2 = DECEASED ..................................1998 8 = DON'T KNOW ................................ 21 V80. RESIDENT STATUS ASSIGNED SUBJECT AT END OF NNHSF WAVE I V80 A 1 47 47 1 = RESIDENT OF SAMPLE NURSING HOME ...........2760 2 = RESIDENT OF OTHER NURSING HOME (NOT SAMPLE NH)........................... 634 3 = NON-RESIDENT (NOT A RESIDENT OF A NH; INCLUDES DECEASED) ................................2565 4 = RESIDENT OF A NURSING HOME (UNKNOWN IF SAMPLE NH).................... 1 8 = DON'T KNOW ................................ 41 BLANK4 A 4 48 51 BLANK V43. SEX OF SUBJECT V43 A 1 52 52 1 = MALE ......................................1747 2 = FEMALE ....................................4254 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- BIRTHDATE OF SUBJECT V44 A 2 53 54 MONTH 01 = JANUARY ................................... 507 02 = FEBRUARY .................................. 465 03 = MARCH ..................................... 565 04 = APRIL ..................................... 482 05 = MAY ....................................... 483 06 = JUNE ...................................... 489 07 = JULY ...................................... 527 08 = AUGUST .................................... 495 09 = SEPTEMBER ................................. 504 10 = OCTOBER ................................... 495 11 = NOVEMBER .................................. 456 12 = DECEMBER .................................. 500 98 = DON'T KNOW ................................ 33 BLANK5 A 2 55 56 BLANK V46 A 4 57 60 YEAR 1879 - 1982 .........................................5968 9998 = DON'T KNOW ................................ 33 BLANK6 A 3 61 63 BLANK DATE OF 1985 NNHS FIELD INTERVIEW V53 A 2 64 65 MONTH 01 = JANUARY ................................... 207 03 = MARCH ..................................... 1 04 = APRIL ..................................... 8 05 = MAY ....................................... 12 07 = JULY ...................................... 1 08 = AUGUST .................................... 716 09 = SEPTEMBER .................................1569 10 = OCTOBER ...................................2061 11 = NOVEMBER ..................................1115 12 = DECEMBER .................................. 311 V54 A 2 66 67 DAY 01 - 31 ...........................................6001 V55 A 2 68 69 YEAR 84 - 86 ...........................................6001 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- DATE OF SAMPLE DISCHARGE: 1985 NNHS DISCHARGED RESIDENT SAMPLE V57 A 2 70 71 MONTH BLANK = LEGITIMATE SKIP ...........................4143 01 = JANUARY ................................... 143 02 = FEBRUARY .................................. 128 03 = MARCH ..................................... 175 04 = APRIL ..................................... 167 05 = MAY ....................................... 146 06 = JUNE ...................................... 174 07 = JULY ...................................... 169 08 = AUGUST .................................... 164 09 = SEPTEMBER ................................. 174 10 = OCTOBER ................................... 146 11 = NOVEMBER .................................. 134 12 = DECEMBER .................................. 138 V58 A 2 72 73 DAY BLANK = LEGITIMATE SKIP ...........................4143 01 - 31 ...........................................1858 V59 A 2 74 75 YEAR BLANK = LEGITIMATE SKIP ...........................4143 84 - 86 ...........................................1858 V50. RESIDENT STATUS ASSIGNED SUBJECT AT END OF 1985 FIELD INTERVIEW V50 A 1 76 76 1 = CURRENT RESIDENT ..........................4143 3 = DISCHARGED (NOT KNOWN DECEASED) ...........1821 4 = OVERLAP CASE - MORE THAN ONE RESIDENT QUESTIONNAIRE COMPLETED FOR SUBJECT ........37 Locations 77-122 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- V86. WAS NOKQ COMPLETED? V86 A 1 77 77 1 = YES .......................................5617 2 = NO ........................................ 384 DATE OF NOKQ (IF APPLICABLE) V86_M A 2 78 79 MONTH BLANK = LEGITIMATE SKIP .......................... 384 01 = JANUARY ...................................1626 02 = FEBRUARY ..................................1217 03 = MARCH ..................................... 229 05 = MAY ....................................... 4 06 = JUNE ...................................... 34 07 = JULY ...................................... 1 08 = AUGUST .................................... 6 09 = SEPTEMBER ................................. 174 10 = OCTOBER ................................... 601 11 = NOVEMBER .................................. 644 12 = DECEMBER ..................................1081 V86_D A 2 80 81 DAY BLANK = LEGITIMATE SKIP ........................... 384 01 - 31 ...........................................5617 V86_Y A 2 82 83 YEAR BLANK = LEGITIMATE SKIP ........................... 384 84 - 86 ...........................................5617 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- V79. RESIDENT STATUS ASSIGNED SUBJECT AT END OF NOK. NOTE: IF THE SUBJECT HAD NO NOK, THE RESIDENT STATUS AT THE FIELD INTERVIEW IS USED AS THE RESIDENT STATUS AT NOK. V79 A 1 84 84 1 = RESIDENT OF SAMPLE NURSING HOME ...........4632 2 = RESIDENT OF OTHER NURSING HOME (NOT SAMPLE NH)........................... 547 3 = NON-RESIDENT .............................. 822 V82. TYPE OF RESPONDENT TO NOKQ (IF APPLICABLE) V82 A 1 85 85 BLANK = LEGITIMATE SKIP ........................... 384 1 = SUBJECT ................................... 155 2 = PROXY .....................................5405 3 = FACILITY .................................. 57 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- SECTION A. A1. At the time of our contact on (date of last contact), (name of subject) was a resident of (name of facility). Is (name of subject) still a resident of (name of facility)? NOTE: THIS QUESTION IS ASKED ONLY IF THE SUBJECT WAS A RESIDENT IN A NURSING FACILITY AT THE LAST CONTACT. V249 A 1 86 86 BLANK = LEGITIMATE SKIP ........................... 823 1 = YES (SKIP TO A5) ..........................2989 2 = NO ........................................2184 9 = REFUSED (SKIP TO B1)....................... 5 A2. After (date of last contact) in what month and year was (he/she) first discharged? V250 A 2 87 88 MONTH BLANK = LEGITIMATE SKIP ...........................3817 01 = JANUARY ................................... 188 02 = FEBRUARY .................................. 206 03 = MARCH ..................................... 229 04 = APRIL ..................................... 209 05 = MAY ....................................... 169 06 = JUNE ...................................... 173 07 = JULY ...................................... 173 08 = AUGUST .................................... 151 09 = SEPTEMBER ................................. 168 10 = OCTOBER ................................... 123 11 = NOVEMBER .................................. 119 12 = DECEMBER .................................. 164 98 = DON'T KNOW ................................ 109 99 = REFUSED ................................... 3 V251 A 2 89 90 DAY BLANK = LEGITIMATE SKIP ...........................3817 01 - 31 ...........................................1897 98 = DON'T KNOW ................................ 284 99 = REFUSED ................................... 3 V252 A 2 91 92 YEAR BLANK = LEGITIMATE SKIP ...........................3817 84 - 87 ...........................................2103 98 = DON'T KNOW ................................ 78 99 = REFUSED ................................... 3 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- A3. Was (he/she) alive at the time of that discharge? V253 A 1 93 93 BLANK = LEGITIMATE SKIP ...........................3817 1 = YES ....................................... 947 2 = NO (SKIP TO B2; CODE B1=2) ................1207 8 = DON'T KNOW (SKIP TO B1) ................... 27 9 = REFUSED (SKIP TO B1) ...................... 3 A4. Where was (he/she) discharged to? AFTER THIS QUESTION, SKIP TO A9. V254 A 2 94 95 BLANK = LEGITIMATE SKIP ...........................5054 01 = OWN HOME OR APT ........................... 75 02 = RELATIVE'S HOME OR APT .................... 27 03 = OTHER PRIVATE HOME OR APT ................. 8 04 = RETIREMENT HOME ........................... 11 05 = BOARDING,ROOMING HOUSE OR APT ............. 10 06 = ANOTHER NURSING HOME ...................... 247 07 = GENERAL OR SHORT TERM HOSPITAL ............ 498 08 = MENTAL HOSPITAL ........................... 14 09 = CHRONIC DISEASE OR OTHER HOSP ............. 8 10 = HOSPICE ................................... 1 11 = SOME OTHER PLACE .......................... 13 12 = GROUP HOME,FOSTER HOME,ETC ................ 1 98 = DON'T KNOW ................................ 34 NOTE: QUESTIONS A5 THROUGH A8 (STAYS 1-4) ARE ASKED OF SUBJECTS WHO ARE STILL RESIDENTS IN THE FACILITY (A1=1). A5. Has (name of subject) been a resident continuously in (name of facility) since (date of last contact)? V259 A 1 96 96 BLANK = LEGITIMATE SKIP ...........................3012 1 = YES (SKIP TO E1) ..........................2903 2 = NO ........................................ 83 8 = DON'T KNOW (SKIP TO E1) ................... 3 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- STAY 1 A6. When was (he/she) first discharged after (date of last contact)? V260 A 2 97 98 MONTH BLANK = LEGITIMATE SKIP ...........................5918 01 = JANUARY ................................... 9 02 = FEBRUARY .................................. 7 03 = MARCH ..................................... 5 04 = APRIL ..................................... 3 05 = MAY ....................................... 11 06 = JUNE ...................................... 7 07 = JULY ...................................... 5 08 = AUGUST .................................... 11 09 = SEPTEMBER ................................. 8 10 = OCTOBER ................................... 4 11 = NOVEMBER .................................. 4 12 = DECEMBER .................................. 2 98 = DON'T KNOW ................................ 7 V261 A 2 99 100 DAY BLANK = LEGITIMATE SKIP ...........................5918 01 - 31 ........................................... 73 98 = DON'T KNOW ................................ 10 V262 A 2 101 102 YEAR BLANK = LEGITIMATE SKIP ...........................5918 85 - 87 ........................................... 79 98 = DON'T KNOW ................................ 4 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- A7. When was (he/she) next admitted to this nursing home? V263 A 2 103 104 MONTH BLANK = LEGITIMATE SKIP ...........................5918 01 = JANUARY ................................... 4 02 = FEBRUARY .................................. 7 03 = MARCH ..................................... 3 04 = APRIL ..................................... 5 05 = MAY ....................................... 10 06 = JUNE ...................................... 9 07 = JULY ...................................... 6 08 = AUGUST .................................... 10 09 = SEPTEMBER ................................. 12 10 = OCTOBER ................................... 6 11 = NOVEMBER .................................. 3 12 = DECEMBER .................................. 3 98 = DON'T KNOW ................................ 5 V264 A 2 105 106 DAY BLANK = LEGITIMATE SKIP ...........................5918 01 - 31 ........................................... 74 98 = DON'T KNOW ................................ 9 V265 A 2 107 108 YEAR BLANK = LEGITIMATE SKIP ...........................5918 85 - 87 ........................................... 78 98 = DON'T KNOW ................................ 5 A8. Was (name of subject) discharged from that stay? V266 A 1 109 109 BLANK = LEGITIMATE SKIP ...........................5918 1 = YES ....................................... 14 2 = NO (SKIP TO D1) ........................... 68 8 = DON'T KNOW (SKIP TO D1) ................... 1 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- STAY 2 A6. When was (he/she) next discharged? V270 A 2 110 111 MONTH BLANK = LEGITIMATE SKIP ...........................5987 03 = MARCH ..................................... 3 05 = MAY ....................................... 3 07 = JULY ...................................... 1 08 = AUGUST .................................... 4 09 = SEPTEMBER ................................. 1 11 = NOVEMBER .................................. 1 98 = DON'T KNOW ................................ 1 V271 A 2 112 113 DAY BLANK = LEGITIMATE SKIP ...........................5987 01 - 31 ........................................... 13 98 = DON'T KNOW ................................ 1 V272 A 2 114 115 YEAR BLANK = LEGITIMATE SKIP ...........................5987 86 - 87 ........................................... 13 98 = DON'T KNOW ................................ 1 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- A7. When was (he/she) next admitted to this nursing home? V273 A 2 116 117 MONTH BLANK = LEGITIMATE SKIP ...........................5987 01 = JANUARY ................................... 1 03 = MARCH ..................................... 3 05 = MAY ....................................... 2 08 = AUGUST .................................... 3 09 = SEPTEMBER ................................. 3 11 = NOVEMBER .................................. 2 V274 A 2 118 119 DAY BLANK = LEGITIMATE SKIP ...........................5987 06 - 29 ........................................... 14 V275 A 2 120 121 YEAR BLANK = LEGITIMATE SKIP ...........................5987 86 - 87 ........................................... 14 A8. Was (name of subject) discharged from that stay? V276 A 1 122 122 BLANK = LEGITIMATE SKIP ...........................5987 1 = YES ....................................... 6 2 = NO (SKIP TO D1) ........................... 8 Locations 123-185 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- STAY 3 A6. When was (he/she) next discharged? V280 A 2 123 124 MONTH BLANK = LEGITIMATE SKIP ...........................5995 01 = JANUARY ................................... 1 04 = APRIL ..................................... 1 07 = JULY ...................................... 2 12 = DECEMBER .................................. 1 98 = DON'T KNOW ................................ 1 V281 A 2 125 126 DAY BLANK = LEGITIMATE SKIP ...........................5995 01 - 28 ........................................... 5 98 = DON'T KNOW ................................ 1 V282 A 2 127 128 YEAR BLANK = LEGITIMATE SKIP ...........................5995 86 - 87 ........................................... 6 A7. When was (he/she) next admitted to this nursing home? V283 A 2 129 130 MONTH BLANK = LEGITIMATE SKIP ...........................5995 04 = APRIL ..................................... 1 05 = MAY ....................................... 2 07 = JULY ...................................... 2 12 = DECEMBER .................................. 1 V284 A 2 131 132 DAY BLANK = LEGITIMATE SKIP ...........................5995 06 - 26 ........................................... 6 V285 A 2 133 134 YEAR BLANK = LEGITIMATE SKIP ...........................5995 86 - 87 ........................................... 6 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- A8. Was (name of subject) discharged from that stay? V286 A 1 135 135 BLANK = LEGITIMATE SKIP ...........................5995 1 = YES ....................................... 2 2 = NO (SKIP TO D1) ........................... 4 STAY 4 A8a. When was (he/she) next discharged? V290 A 2 136 137 MONTH BLANK = LEGITIMATE SKIP ...........................5999 12 = DECEMBER .................................. 1 98 = DON'T KNOW ................................ 1 V291 A 2 138 139 DAY BLANK = LEGITIMATE SKIP ...........................5999 27 ............................................. 1 98 = DON'T KNOW ................................ 1 V292 A 2 140 141 YEAR BLANK = LEGITIMATE SKIP ...........................5999 86 - 87 ........................................... 2 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- A8b. When was (he/she) next admitted to this nursing home? V293 A 2 142 143 MONTH BLANK = LEGITIMATE SKIP ...........................5999 07 = JULY ...................................... 1 12 = DECEMBER .................................. 1 V294 A 2 144 145 DAY BLANK = LEGITIMATE SKIP ...........................5999 15 - 28 ........................................... 2 V295 A 2 146 147 YEAR BLANK = LEGITIMATE SKIP ...........................5999 86 - 87 ........................................... 2 A8c. Was (he/she) discharged from that stay? V296 A 1 148 148 BLANK = LEGITIMATE SKIP ...........................5999 1 = YES ....................................... 0 2 = NO (SKIP TO D1) ........................... 2 BLANK7 A 8 149 156 BLANK LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- NOTE: QUESTIONS A9 THROUGH A16 (STAYS 1-3 AND LAST STAY) ARE ASKED OF SUBJECTS WHO ARE NO LONGER RESIDENTS IN THE FACILITY (A1=2) AND WHO WERE ALIVE AT THE TIME OF DISCHARGE (A3=1). A9. Was (name of subject) ever readmitted to (name of facility) after (date of discharge)? V299 A 1 157 157 BLANK = LEGITIMATE SKIP ...........................5054 1 = YES ....................................... 144 2 = NO (SKIP TO B1) ........................... 797 8 = DON'T KNOW (SKIP TO B1) ................... 6 STAY 1 A10. When was (name of subject) first admitted after (date of discharge)? V300 A 2 158 159 MONTH BLANK = LEGITIMATE SKIP ...........................5857 01 = JANUARY ................................... 9 02 = FEBRUARY .................................. 13 03 = MARCH ..................................... 18 04 = APRIL ..................................... 15 05 = MAY ....................................... 16 06 = JUNE ...................................... 10 07 = JULY ...................................... 10 08 = AUGUST .................................... 9 09 = SEPTEMBER ................................. 11 10 = OCTOBER ................................... 10 11 = NOVEMBER .................................. 8 12 = DECEMBER .................................. 13 98 = DON'T KNOW ................................ 2 V301 A 2 160 161 DAY BLANK = LEGITIMATE SKIP ...........................5857 01 - 31 ........................................... 136 98 = DON'T KNOW ................................ 8 V302 A 2 162 163 YEAR BLANK = LEGITIMATE SKIP ...........................5857 85 - 87 ........................................... 142 98 = DON'T KNOW ................................ 2 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- A11. When was (he/she) discharged from that stay? V303 A 2 164 165 MONTH BLANK = LEGITIMATE SKIP ...........................5857 01 = JANUARY ................................... 15 02 = FEBRUARY .................................. 10 03 = MARCH ..................................... 16 04 = APRIL ..................................... 12 05 = MAY ....................................... 27 06 = JUNE ...................................... 13 07 = JULY ...................................... 13 08 = AUGUST .................................... 9 09 = SEPTEMBER ................................. 3 10 = OCTOBER ................................... 5 11 = NOVEMBER .................................. 10 12 = DECEMBER .................................. 9 98 = DON'T KNOW ................................ 2 V304 A 2 166 167 DAY BLANK = LEGITIMATE SKIP ...........................5857 01 - 31 ........................................... 137 98 = DON'T KNOW ................................ 7 V305 A 2 168 169 YEAR BLANK = LEGITIMATE SKIP ...........................5857 85 - 87 ........................................... 142 98 = DON'T KNOW ................................ 2 A12. Was (he/she) alive at discharge? V306 A 1 170 170 BLANK = LEGITIMATE SKIP ...........................5857 1 = YES ....................................... 101 2 = NO (SKIP TO B2; CODE B1=2) ................ 42 8 = DON'T KNOW (SKIP TO B1).................... 1 A13. Was (he/she) readmitted after that stay? V307 A 1 171 171 BLANK = LEGITIMATE SKIP ...........................5900 1 = YES ....................................... 56 2 = NO (SKIP TO B1) ........................... 45 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- STAY 2 A10. When was (name of subject) next admitted to this facility? V310 A 2 172 173 MONTH BLANK = LEGITIMATE SKIP ...........................5945 01 = JANUARY ................................... 7 02 = FEBRUARY .................................. 6 03 = MARCH ..................................... 6 04 = APRIL ..................................... 4 05 = MAY ....................................... 6 06 = JUNE ...................................... 9 07 = JULY ...................................... 4 08 = AUGUST .................................... 2 09 = SEPTEMBER ................................. 2 10 = OCTOBER ................................... 3 11 = NOVEMBER .................................. 4 12 = DECEMBER .................................. 3 V311 A 2 174 175 DAY BLANK = LEGITIMATE SKIP ...........................5945 01 - 31 ........................................... 54 98 = DON'T KNOW ................................ 2 V312 A 2 176 177 YEAR BLANK = LEGITIMATE SKIP ...........................5945 86 - 87 ........................................... 56 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- A11. When was (he/she) discharged from that stay? V313 A 2 178 179 MONTH BLANK = LEGITIMATE SKIP ...........................5945 01 = JANUARY ................................... 5 02 = FEBRUARY .................................. 4 03 = MARCH ..................................... 5 04 = APRIL ..................................... 3 05 = MAY ....................................... 2 06 = JUNE ...................................... 10 07 = JULY ...................................... 8 08 = AUGUST .................................... 3 09 = SEPTEMBER ................................. 6 10 = OCTOBER ................................... 2 11 = NOVEMBER .................................. 5 12 = DECEMBER .................................. 3 V314 A 2 180 181 DAY BLANK = LEGITIMATE SKIP ...........................5945 01 - 31 ........................................... 55 98 = DON'T KNOW ................................ 1 V315 A 2 182 183 YEAR BLANK = LEGITIMATE SKIP ...........................5945 86 - 87 ........................................... 56 A12. Was (he/she) alive at discharge? V316 A 1 184 184 BLANK = LEGITIMATE SKIP ...........................5945 1 = YES ....................................... 41 2 = NO (SKIP TO B2; CODE B1=2) ................ 15 A13. Was (he/she) readmitted after that stay? V317 A 1 185 185 BLANK = LEGITIMATE SKIP ...........................5960 1 = YES ....................................... 21 2 = NO (SKIP TO B1) ........................... 20 Locations 186-279 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- STAY 3 A10. When was (name of subject) next admitted to this facility? V320 A 2 186 187 MONTH BLANK = LEGITIMATE SKIP ...........................5980 01 = JANUARY ................................... 1 02 = FEBRUARY .................................. 1 03 = MARCH ..................................... 3 04 = APRIL ..................................... 1 05 = MAY ....................................... 1 06 = JUNE ...................................... 2 07 = JULY ...................................... 5 08 = AUGUST .................................... 1 09 = SEPTEMBER ................................. 2 10 = OCTOBER ................................... 2 11 = NOVEMBER .................................. 2 V321 A 2 188 189 DAY BLANK = LEGITIMATE SKIP ...........................5980 01 - 31 ........................................... 21 V322 A 2 190 191 YEAR BLANK = LEGITIMATE SKIP ...........................5980 86 - 87 ........................................... 21 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- A11. When was (he/she) discharged from that stay? V323 A 2 192 193 MONTH BLANK = LEGITIMATE SKIP ...........................5980 01 = JANUARY ................................... 3 02 = FEBRUARY .................................. 2 03 = MARCH ..................................... 2 04 = APRIL ..................................... 1 06 = JUNE ...................................... 2 07 = JULY ...................................... 4 08 = AUGUST .................................... 3 10 = OCTOBER ................................... 1 11 = NOVEMBER .................................. 3 V324 A 2 194 195 DAY BLANK = LEGITIMATE SKIP ...........................5980 06 - 30 ........................................... 21 V325 A 2 196 197 YEAR BLANK = LEGITIMATE SKIP ...........................5980 86 - 87 ........................................... 21 A12. Was (he/she) alive at discharge? V326 A 1 198 198 BLANK = LEGITIMATE SKIP ...........................5980 1 = YES ....................................... 17 2 = NO (SKIP TO B2; CODE B1=2) ................ 4 A13. Was (he/she) readmitted after that stay? V327 A 1 199 199 BLANK = LEGITIMATE SKIP ...........................5984 1 = YES ....................................... 9 2 = NO (SKIP TO B1) ........................... 8 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- LAST STAY Al3a. How many other times was (he/she) admitted between (date of discharge) and now? V337 A 2 200 201 TIMES ADMITTED BLANK = LEGITIMATE SKIP ...........................5992 01 - 03 ........................................... 9 A14. When was (he/she) last admitted to this facility? V330 A 2 202 203 MONTH BLANK = LEGITIMATE SKIP ...........................5992 02 = FEBRUARY .................................. 2 03 = MARCH ..................................... 1 06 = JUNE ...................................... 1 07 = JULY ...................................... 1 08 = AUGUST .................................... 1 10 = OCTOBER ................................... 1 12 = DECEMBER .................................. 1 98 = DON'T KNOW ................................ 1 V331 A 2 204 205 DAY BLANK = LEGITIMATE SKIP ...........................5992 07 - 31 ........................................... 8 98 = DON'T KNOW ................................ 1 V332 A 2 206 207 YEAR BLANK = LEGITIMATE SKIP ...........................5992 86 - 87 ........................................... 8 98 = DON'T KNOW ................................ 1 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- A15. When was (he/she) last discharged from this facility? V333 A 2 208 209 MONTH BLANK = LEGITIMATE SKIP ...........................5992 02 = FEBRUARY .................................. 1 03 = MARCH ..................................... 1 05 = MAY ....................................... 1 07 = JULY ...................................... 1 08 = AUGUST .................................... 3 12 = DECEMBER .................................. 1 98 = DON'T KNOW ................................ 1 V334 A 2 210 211 DAY BLANK = LEGITIMATE SKIP ...........................5992 10 - 30 ........................................... 8 98 = DON'T KNOW ................................ 1 V335 A 2 212 213 YEAR BLANK = LEGITIMATE SKIP ...........................5992 86 - 87 ........................................... 8 98 = DON'T KNOW ................................ 1 A16. Was (he/she) alive at discharge? V336 A 1 214 214 BLANK = LEGITIMATE SKIP ...........................5992 1 = YES ....................................... 5 2 = NO (SKIP TO B2; CODE B1=2) ................ 4 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- SECTION B. B1. Is (name of subject) alive? NOTE: THIS QUESTION WAS INTENDED TO OBTAIN CURRENT VITAL STATUS, I.E., AT THE TIME OF INTERVIEW. HOWEVER, IN SOME CASES FACILITY RESPONDENTS MAY NOT BE REPORTING VITAL STATUS AS OF THE DATE OF INTERVIEW. FOR EXAMPLE, WHEN THE LAST RESPONDENT CONTACTED WAS A FACILITY AND THE SUBJECT HAD BEEN DISCHARGED ALIVE FROM THAT FACILITY SOMETIME IN THE PAST, THE FACILITY MIGHT BE REPORTING A VITAL STATUS OF ALIVE AT THE TIME OF DISCHARGE. ALTERNATIVELY, IF A FACILITY REPORTS AN UNKNOWN VITAL STATUS, THEY MAY BE REPORTING AS OF THE DATE OF INTERVIEW BUT RESPONSES TO OTHER QUESTIONS MIGHT INDICATE THAT THE SUBJECT WAS ALIVE AT DISCHARGE FROM THAT FACILITY. V340 A 1 215 215 1 = YES (SKIP TO C1) ..........................3982 2 = NO ........................................1998 8 = DON'T KNOW (SKIP TO D1) ................... 21 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- B2. On what date did (he/she) die? NOTE: THE SUBJECT'S DATE OF DEATH MAY FALL OUT OF SCOPE FOR THIS FOLLOWUP PERIOD IF INFORMATION ON THE SUBJECT'S DEATH WAS NOT PROVIDED BY EARLIER RESPONDENTS BUT WAS OBTAINED ON WAVE I. THUS, THIS INFORMATION MAY BE INCONSISTENT WITH THAT FOUND ON PREVIOUSLY RELEASED TAPES. V341 A 2 216 217 MONTH BLANK = LEGITIMATE SKIP ...........................4003 01 = JANUARY ................................... 165 02 = FEBRUARY .................................. 182 03 = MARCH ..................................... 210 04 = APRIL ..................................... 172 05 = MAY ....................................... 158 06 = JUNE ...................................... 160 07 = JULY ...................................... 148 08 = AUGUST .................................... 146 09 = SEPTEMBER ................................. 142 10 = OCTOBER ................................... 106 11 = NOVEMBER .................................. 117 12 = DECEMBER .................................. 146 98 = DON'T KNOW ................................ 127 99 = REFUSED ................................... 19 V342 A 2 218 219 DAY BLANK = LEGITIMATE SKIP ...........................4003 01 - 31 ...........................................1718 98 = DON'T KNOW ................................ 261 99 = REFUSED ................................... 19 V343 A 2 220 221 YEAR BLANK = LEGITIMATE SKIP ...........................4003 84 - 87 ...........................................1877 98 = DON'T KNOW ................................ 101 99 = REFUSED ................................... 20 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- BLANK8 A 2 222 223 BLANK B4. During the last 6 months before (name of subject's) death, that is, from (date 6 months prior to death) to (date of death), did (he/she) receive hospice care either at home, in the hospital, in a nursing home, or in a freestanding hospice? AFTER THIS QUESTION, SKIP TO D1. V345 A 1 224 224 BLANK = LEGITIMATE SKIP ...........................4003 1 = YES ....................................... 83 2 = NO ........................................1751 8 = DON'T KNOW ................................ 142 9 = REFUSED ................................... 22 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- SECTION C. C1. Where (is/are) (name of subject/you) staying now? V350 A 2 225 226 BLANK = LEGITIMATE SKIP (A1=1 or B1=2 or B1=8) ....5008 01 = OWN HOME OR APT ........................... 312 02 = RELATIVE'S HOME OR APT .................... 80 03 = OTHER PRIVATE HOME OR APT ................. 8 04 = RETIREMENT HOME ........................... 47 05 = BOARDING,ROOMING HOUSE OR APT ............. 26 06 = ANOTHER NURSING HOME ...................... 404 07 = GENERAL OR SHORT TERM HOSPITAL ............ 48 08 = MENTAL HOSPITAL ........................... 18 09 = CHRONIC DISEASE OR OTHER HOSP ............. 14 10 = HOSPICE ................................... 0 11 = SOME OTHER PLACE .......................... 4 12 = GROUP HOME,FOSTER HOME,ETC ................ 12 98 = DON'T KNOW ................................ 17 99 = REFUSED ................................... 3 BLANK9 A 50 227 276 BLANK C2. Where was (he/she) living before being admitted to the hospital? V352 A 2 277 278 BLANK = LEGITIMATE SKIP ...........................5953 01 = OWN HOME OR APT ........................... 8 02 = RELATIVE'S HOME OR APT .................... 3 03 = OTHER PRIVATE HOME OR APT ................. 0 04 = RETIREMENT HOME ........................... 1 05 = BOARDING,ROOMING HOUSE OR APT ............. 2 06 = ANOTHER NURSING HOME ...................... 34 07 = GENERAL OR SHORT TERM HOSPITAL ............ 0 08 = MENTAL HOSPITAL ........................... 0 09 = CHRONIC DISEASE OR OTHER HOSP ............. 0 10 = HOSPICE ................................... 0 11 = SOME OTHER PLACE .......................... 0 12 = GROUP HOME,FOSTER HOME,ETC ................ 0 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- SECTION D. D1. (Other than the stays you have told me about), did (name of subject/you) have any stays in a nursing home or similar place after (date of last contact)? V359 A 1 279 279 BLANK = LEGITIMATE SKIP (A5=1 or A5=8) ............2906 1 = YES ....................................... 645 2 = NO (SKIP TO E1) ...........................2347 8 = DON'T KNOW (SKIP TO E1) ................... 79 9 = REFUSED (SKIP TO E1) ...................... 24 Locations 280-330 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- NOTE: FOR STAYS 1 THROUGH 3 AND LAST STAY AN ADMISSION DATE BEFORE THE DATE OF LAST CONTACT INDICATES THAT THE SUBJECT WAS IN A NURSING HOME ON THE DATE OF THE NOK INTERVIEW. STAY 1 D2. When (was/were) (name of subject/you) first admitted to a nursing home after (date of last contact)? V360 A 2 280 281 MONTH BLANK = LEGITIMATE SKIP ...........................5356 01 = JANUARY ................................... 56 02 = FEBRUARY .................................. 34 03 = MARCH ..................................... 42 04 = APRIL ..................................... 51 05 = MAY ....................................... 46 06 = JUNE ...................................... 38 07 = JULY ...................................... 45 08 = AUGUST .................................... 44 09 = SEPTEMBER ................................. 40 10 = OCTOBER ................................... 43 11 = NOVEMBER .................................. 24 12 = DECEMBER .................................. 35 98 = DON'T KNOW ................................ 144 99 = REFUSED ................................... 3 V361 A 2 282 283 DAY BLANK = LEGITIMATE SKIP ...........................5356 01 - 31 ........................................... 299 98 = DON'T KNOW ................................ 343 99 = REFUSED ................................... 3 V362 A 2 284 285 YEAR BLANK = LEGITIMATE SKIP ...........................5356 84 - 87 ........................................... 568 98 = DON'T KNOW ................................ 73 99 = REFUSED ................................... 4 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- NOTE: INFORMATION ON LENGTH OF STAY (LOS) AND ADMISSION AND DISCHARGE DATES IS RECORDED AS PROVIDED BY RESPONDENTS. THEREFORE, LOS AS REPORTED MAY BE INCONSISTENT WITH LOS AS CALCULATED FROM THE CORRESPONDING ADMISSION AND DISCHARGE DATES. D2a. How long (was/were) (he/she/you) in the nursing home during this stay? V645 A 3 286 288 NUMBER OF UNITS BLANK = LEGITIMATE SKIP ...........................5356 001 - 200 ......................................... 440 998 = DON'T KNOW ................................ 201 999 = REFUSED ................................... 4 V646 A 1 289 289 UNIT BLANK = LEGITIMATE SKIP ...........................5356 1 = DAYS ...................................... 30 2 = WEEKS ..................................... 45 3 = MONTHS .................................... 290 4 = YEARS ..................................... 76 8 = DON'T KNOW ................................ 200 9 = REFUSED ................................... 4 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- D3. When (was/were) (he/she/you) discharged from this nursing home stay? V363 A 2 290 291 MONTH BLANK = LEGITIMATE SKIP ...........................5356 01 = JANUARY ................................... 3 02 = FEBRUARY .................................. 8 03 = MARCH ..................................... 5 04 = APRIL ..................................... 6 05 = MAY ....................................... 10 06 = JUNE ...................................... 12 07 = JULY ...................................... 14 08 = AUGUST .................................... 18 09 = SEPTEMBER ................................. 7 10 = OCTOBER ................................... 9 11 = NOVEMBER .................................. 9 12 = DECEMBER .................................. 4 20 = STILL THERE (SKIP TO E1; CODE D4=2) ....... 360 50 = DIED THERE (SKIP TO E1; CODE D4=2) ........ 90 98 = DON'T KNOW ................................ 85 99 = REFUSED ................................... 5 V364 A 2 292 293 DAY BLANK = LEGITIMATE SKIP ...........................5806 01 - 31 ........................................... 41 98 = DON'T KNOW ................................ 149 99 = REFUSED ................................... 5 V365 A 2 294 295 YEAR BLANK = LEGITIMATE SKIP ...........................5806 85 - 87 ........................................... 127 98 = DON'T KNOW ................................ 63 99 = REFUSED ................................... 5 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- D4. Did (he/she/you) have any other stays in a nursing home or similar place after this stay? V366 A 1 296 296 BLANK = LEGITIMATE SKIP ...........................5356 1 = YES ....................................... 68 2 = NO (SKIP TO E1) ........................... 549 8 = DON'T KNOW (SKIP TO E1) ................... 23 9 = REFUSED (SKIP TO E1) ...................... 5 STAY 2 D2. When (was/were) (name of subject/you) next admitted to a nursing home? V370 A 2 297 298 MONTH BLANK = LEGITIMATE SKIP ...........................5933 01 = JANUARY ................................... 3 02 = FEBRUARY .................................. 2 03 = MARCH ..................................... 5 04 = APRIL ..................................... 6 05 = MAY ....................................... 5 06 = JUNE ...................................... 4 07 = JULY ...................................... 2 08 = AUGUST .................................... 8 09 = SEPTEMBER ................................. 6 10 = OCTOBER ................................... 6 11 = NOVEMBER .................................. 1 12 = DECEMBER .................................. 3 98 = DON'T KNOW ................................ 17 V371 A 2 299 300 DAY BLANK = LEGITIMATE SKIP ...........................5933 01 - 30 ........................................... 17 98 = DON'T KNOW ................................ 51 V372 A 2 301 302 YEAR BLANK = LEGITIMATE SKIP ...........................5933 85 - 87 ........................................... 59 98 = DON'T KNOW ................................ 8 99 = REFUSED ................................... 1 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- D2a. How long (was/were) (he/she/you) in the nursing home during this stay? V647 A 3 303 305 NUMBER OF UNITS BLANK = LEGITIMATE SKIP ...........................5933 001 - 030 ......................................... 55 998 = DON'T KNOW ................................ 12 999 = REFUSED ................................... 1 V648 A 1 306 306 UNIT BLANK = LEGITIMATE SKIP ...........................5933 1 = DAYS ...................................... 4 2 = WEEKS ..................................... 11 3 = MONTHS .................................... 38 4 = YEARS ..................................... 3 8 = DON'T KNOW ................................ 11 9 = REFUSED ................................... 1 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- D3. When (was/were) (he/she/you) discharged from this nursing home stay? V373 A 2 307 308 MONTH BLANK = LEGITIMATE SKIP ...........................5933 03 = MARCH ..................................... 1 04 = APRIL ..................................... 3 05 = MAY ....................................... 1 06 = JUNE ...................................... 1 07 = JULY ...................................... 2 08 = AUGUST .................................... 3 09 = SEPTEMBER ................................. 3 11 = NOVEMBER .................................. 1 12 = DECEMBER .................................. 1 20 = STILL THERE (SKIP TO E1; CODE D4=2) ....... 38 50 = DIED THERE (SKIP TO E1; CODE D4=2) ........ 7 98 = DON'T KNOW ................................ 6 99 = REFUSED ................................... 1 V374 A 2 309 310 DAY BLANK = LEGITIMATE SKIP ...........................5978 01 - 30 ........................................... 10 98 = DON'T KNOW ................................ 12 99 = REFUSED ................................... 1 V375 A 2 311 312 YEAR BLANK = LEGITIMATE SKIP ...........................5978 85 - 87 ........................................... 19 98 = DON'T KNOW ................................ 3 99 = REFUSED ................................... 1 D4. Did (he/she/you) have any other stays in a nursing home or similar place after this stay? V376 A 1 313 313 BLANK = LEGITIMATE SKIP ...........................5933 1 = YES ....................................... 11 2 = NO (SKIP TO E1) ........................... 56 9 = REFUSED (SKIP TO E1) ...................... 1 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- STAY 3 D2. When (was/were) (name of subject/you) next admitted to a nursing home? V380 A 2 314 315 MONTH BLANK = LEGITIMATE SKIP ...........................5990 04 = APRIL ..................................... 1 08 = AUGUST .................................... 1 09 = SEPTEMBER ................................. 3 10 = OCTOBER ................................... 1 98 = DON'T KNOW ................................ 5 V381 A 2 316 317 DAY BLANK = LEGITIMATE SKIP ...........................5990 04 - 26 ........................................... 3 98 = DON'T KNOW ................................ 8 V382 A 2 318 319 YEAR BLANK = LEGITIMATE SKIP ...........................5990 85 - 87 ........................................... 9 98 = DON'T KNOW ................................ 2 D2a. How long (was/were) (he/she/you) in the nursing home during this stay? V649 A 3 320 322 NUMBER OF UNITS BLANK = LEGITIMATE SKIP ...........................5990 001 - 015 ......................................... 9 998 = DON'T KNOW ................................ 2 V650 A 1 323 323 UNIT BLANK = LEGITIMATE SKIP ...........................5990 1 = DAYS ...................................... 2 2 = WEEKS ..................................... 2 3 = MONTHS .................................... 5 4 = YEARS ..................................... 1 8 = DON'T KNOW ................................ 1 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- D3. When (was/were) (he/she/you) discharged from this nursing home stay? V383 A 2 324 325 MONTH BLANK = LEGITIMATE SKIP ...........................5990 04 = APRIL ..................................... 1 09 = SEPTEMBER ................................. 1 11 = NOVEMBER .................................. 1 20 = STILL THERE (SKIP TO E1; CODE D4=2) ....... 3 50 = DIED THERE (SKIP TO E1; CODE D4=2) ........ 1 98 = DON'T KNOW ................................ 4 V384 A 2 326 327 DAY BLANK = LEGITIMATE SKIP ...........................5994 29 ............................................. 1 98 = DON'T KNOW ................................ 6 V385 A 2 328 329 YEAR BLANK = LEGITIMATE SKIP ...........................5994 86 - 87 ........................................... 5 98 = DON'T KNOW ................................ 2 D4. Did (he/she/you) have any other stays in a nursing home or similar place after this stay? V386 A 1 330 330 BLANK = LEGITIMATE SKIP ...........................5990 1 = YES ....................................... 3 2 = NO (SKIP TO E1) ........................... 8 Locations 331-383 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- LAST STAY D5a. How many other stays did (he/she/you) have in a nursing home or similar place between (date of last contact) and now? V397 A 2 331 332 NUMBER OF STAYS BLANK = LEGITIMATE SKIP ...........................5998 01 - 10 ........................................... 3 D5b. When (was/were) (he/she/you) last admitted to a nursing home? V390 A 2 333 334 MONTH BLANK = LEGITIMATE SKIP ...........................5998 10 = OCTOBER ................................... 2 98 = DON'T KNOW ................................ 1 V391 A 2 335 336 DAY BLANK = LEGITIMATE SKIP ...........................5998 04 - 05 ........................................... 2 98 = DON'T KNOW ................................ 1 V392 A 2 337 338 YEAR BLANK = LEGITIMATE SKIP ...........................5998 87 ............................................. 2 98 = DON'T KNOW ................................ 1 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- D5c. How long (was/were) (he/she/you) in the nursing home during this stay? V651 A 3 339 341 NUMBER OF UNITS BLANK = LEGITIMATE SKIP ...........................5998 001 - 002 ......................................... 3 V652 A 1 342 342 UNIT BLANK = LEGITIMATE SKIP ...........................5998 1 = DAYS ...................................... 2 2 = WEEKS ..................................... 1 3 = MONTHS .................................... 0 4 = YEARS ..................................... 0 D5d. When (was/were) (he/she/you) discharged from this nursing home stay? V393 A 2 343 344 MONTH BLANK = LEGITIMATE SKIP ...........................5998 10 = OCTOBER ................................... 1 20 = STILL THERE (SKIP TO E1) .................. 1 98 = DON'T KNOW ................................ 1 V394 A 2 345 346 DAY BLANK = LEGITIMATE SKIP ...........................5999 06 ............................................. 1 98 = DON'T KNOW ................................ 1 V395 A 2 347 348 YEAR BLANK = LEGITIMATE SKIP ...........................5999 87 ............................................. 1 98 = DON'T KNOW ................................ 1 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- SECTION E. E1. After (date of last contact), (was/were) (he/she/you) a patient in a general or short term hospital overnight or longer? V399 A 1 349 349 1 = YES .......................................2364 2 = NO (SKIP TO SECTION H) ....................3407 8 = DON'T KNOW (SKIP TO SECTION H) ............ 197 9 = REFUSED (SKIP TO SECTION H) ............... 33 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- NOTE: FOR STAYS 1 THROUGH 3 AND LAST STAY AN ADMISSION DATE BEFORE THE DATE OF LAST CONTACT INDICATES THAT THE SUBJECT WAS IN A HOSPITAL ON THE DATE OF THE NOK INTERVIEW. STAY 1 E2. When (was/were) (he/she/you) first admitted to a general or short term hospital after (date of last contact)? V400 A 2 350 351 MONTH BLANK = LEGITIMATE SKIP ...........................3637 01 = JANUARY ................................... 170 02 = FEBRUARY .................................. 198 03 = MARCH ..................................... 208 04 = APRIL ..................................... 194 05 = MAY ....................................... 163 06 = JUNE ...................................... 170 07 = JULY ...................................... 166 08 = AUGUST .................................... 160 09 = SEPTEMBER ................................. 144 10 = OCTOBER ................................... 121 11 = NOVEMBER .................................. 129 12 = DECEMBER .................................. 149 98 = DON'T KNOW ................................ 391 99 = REFUSED ................................... 1 V401 A 2 352 353 DAY BLANK = LEGITIMATE SKIP ...........................3637 01 - 31 ...........................................1613 98 = DON'T KNOW ................................ 750 99 = REFUSED ................................... 1 V402 A 2 354 355 YEAR BLANK = LEGITIMATE SKIP ...........................3637 84 - 87 ...........................................2170 98 = DON'T KNOW ................................ 193 99 = REFUSED ................................... 1 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- NOTE: INFORMATION ON LENGTH OF STAY (LOS) AND ADMISSION AND DISCHARGE DATES IS RECORDED AS PROVIDED BY RESPONDENTS. THEREFORE, LOS AS REPORTED MAY BE INCONSISTENT WITH LOS AS CALCULATED FROM THE CORRESPONDING ADMISSION AND DISCHARGE DATES. E2a. How long (was/were) (he/she/you) in the hospital during this stay? V655 A 3 356 358 NUMBER OF UNITS BLANK = LEGITIMATE SKIP ...........................3637 001 - 123 .........................................1982 998 = DON'T KNOW ................................ 381 999 = REFUSED ................................... 1 V656 A 1 359 359 UNIT BLANK = LEGITIMATE SKIP ...........................3637 1 = DAYS ......................................1500 2 = WEEKS ..................................... 367 3 = MONTHS .................................... 122 8 = DON'T KNOW ................................ 373 9 = REFUSED ................................... 2 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- E3. When (was/were) (he/she/you) discharged from this hospital stay? V403 A 2 360 361 MONTH BLANK = LEGITIMATE SKIP ...........................3637 01 = JANUARY ................................... 132 02 = FEBRUARY .................................. 126 03 = MARCH ..................................... 183 04 = APRIL ..................................... 149 05 = MAY ....................................... 128 06 = JUNE ...................................... 143 07 = JULY ...................................... 139 08 = AUGUST .................................... 126 09 = SEPTEMBER ................................. 119 10 = OCTOBER ................................... 95 11 = NOVEMBER .................................. 94 12 = DECEMBER .................................. 103 20 = STILL THERE (SKIP TO SEC. H; CODE E4=2) ... 52 50 = DIED THERE (SKIP TO SEC. H; CODE E4=2) .... 343 98 = DON'T KNOW ................................ 431 99 = REFUSED ................................... 1 V404 A 2 362 363 DAY BLANK = LEGITIMATE SKIP ...........................4032 01 - 31 ...........................................1243 98 = DON'T KNOW ................................ 725 99 = REFUSED ................................... 1 V405 A 2 364 365 YEAR BLANK = LEGITIMATE SKIP ...........................4032 84 - 87 ...........................................1710 98 = DON'T KNOW ................................ 258 99 = REFUSED ................................... 1 E4. Did (he/she/you) have any other stays in a general or short-term hospital after this stay? V406 A 1 366 366 BLANK = LEGITIMATE SKIP ...........................3637 1 = YES ....................................... 708 2 = NO (SKIP TO SECTION H) ....................1560 8 = DON'T KNOW (SKIP TO SECTION H) ............ 95 9 = REFUSED (SKIP TO SECTION H) ............... 1 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- STAY 2 E2. When (was/were) (he/she/you) next admitted to a general or short-term hospital? V410 A 2 367 368 MONTH BLANK = LEGITIMATE SKIP ...........................5293 01 = JANUARY ................................... 45 02 = FEBRUARY .................................. 42 03 = MARCH ..................................... 59 04 = APRIL ..................................... 51 05 = MAY ....................................... 70 06 = JUNE ...................................... 64 07 = JULY ...................................... 53 08 = AUGUST .................................... 64 09 = SEPTEMBER ................................. 48 10 = OCTOBER ................................... 47 11 = NOVEMBER .................................. 32 12 = DECEMBER .................................. 38 98 = DON'T KNOW ................................ 95 V411 A 2 369 370 DAY BLANK = LEGITIMATE SKIP ...........................5293 01 - 31 ........................................... 506 98 = DON'T KNOW ................................ 202 V412 A 2 371 372 YEAR BLANK = LEGITIMATE SKIP ...........................5293 84 - 87 ........................................... 679 98 = DON'T KNOW ................................ 29 E2a. How long (was/were) (he/she/you) in the hospital during this stay? V657 A 3 373 375 NUMBER OF UNITS BLANK = LEGITIMATE SKIP ...........................5293 001 - 087 ......................................... 621 998 = DON'T KNOW ................................ 86 999 = REFUSED ................................... 1 V658 A 1 376 376 UNIT BLANK = LEGITIMATE SKIP ...........................5293 1 = DAYS ...................................... 477 2 = WEEKS ..................................... 120 3 = MONTHS .................................... 27 8 = DON'T KNOW ................................ 83 9 = REFUSED ................................... 1 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- E3. When (was/were) (he/she/you) discharged from this hospital stay? V413 A 2 377 378 MONTH BLANK = LEGITIMATE SKIP ...........................5293 01 = JANUARY ................................... 39 02 = FEBRUARY .................................. 31 03 = MARCH ..................................... 51 04 = APRIL ..................................... 34 05 = MAY ....................................... 54 06 = JUNE ...................................... 52 07 = JULY ...................................... 42 08 = AUGUST .................................... 52 09 = SEPTEMBER ................................. 47 10 = OCTOBER ................................... 41 11 = NOVEMBER .................................. 28 12 = DECEMBER .................................. 26 20 = STILL THERE (SKIP TO SEC. H; CODE E4=2) ... 11 50 = DIED THERE (SKIP TO SEC. H; CODE E4=2) .... 106 98 = DON'T KNOW ................................ 93 99 = REFUSED ................................... 1 V414 A 2 379 380 DAY BLANK = LEGITIMATE SKIP ...........................5410 01 - 31 ........................................... 408 98 = DON'T KNOW ................................ 182 99 = REFUSED ................................... 1 V415 A 2 381 382 YEAR BLANK = LEGITIMATE SKIP ...........................5410 84 - 87 ........................................... 556 98 = DON'T KNOW ................................ 34 99 = REFUSED ................................... 1 E4. Did (he/she/you) have any other stays in a general or short-term hospital after this stay? V416 A 1 383 383 BLANK = LEGITIMATE SKIP ...........................5293 1 = YES ....................................... 266 2 = NO (SKIP TO SECTION H) .................... 435 8 = DON'T KNOW (SKIP TO SECTION H) ............ 6 9 = REFUSED (SKIP TO SECTION H) ............... 1 Locations 384-429 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- STAY 3 E2. When (was/were) (he/she/you) next admitted to a general or short-term hospital? V420 A 2 384 385 MONTH BLANK = LEGITIMATE SKIP ...........................5735 01 = JANUARY ................................... 13 02 = FEBRUARY .................................. 21 03 = MARCH ..................................... 17 04 = APRIL ..................................... 21 05 = MAY ....................................... 16 06 = JUNE ...................................... 25 07 = JULY ...................................... 37 08 = AUGUST .................................... 21 09 = SEPTEMBER ................................. 17 10 = OCTOBER ................................... 18 11 = NOVEMBER .................................. 18 12 = DECEMBER .................................. 11 98 = DON'T KNOW ................................ 31 V421 A 2 386 387 DAY BLANK = LEGITIMATE SKIP ...........................5735 01 - 31 ........................................... 202 98 = DON'T KNOW ................................ 64 V422 A 2 388 389 YEAR BLANK = LEGITIMATE SKIP ...........................5735 84 - 87 ........................................... 257 98 = DON'T KNOW ................................ 9 E2a. How long (was/were) (he/she/you) in the hospital during this stay? V659 A 3 390 392 NUMBER OF UNITS BLANK = LEGITIMATE SKIP ...........................5735 001 - 036 ......................................... 231 998 = DON'T KNOW ................................ 35 V660 A 1 393 393 UNIT BLANK = LEGITIMATE SKIP ...........................5735 1 = DAYS ...................................... 181 2 = WEEKS ..................................... 38 3 = MONTHS .................................... 13 8 = DON'T KNOW ................................ 34 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- E3. When (was/were) (he/she/you) discharged from this hospital stay? V423 A 2 394 395 MONTH BLANK = LEGITIMATE SKIP ...........................5735 01 = JANUARY ................................... 9 02 = FEBRUARY .................................. 14 03 = MARCH ..................................... 20 04 = APRIL ..................................... 11 05 = MAY ....................................... 13 06 = JUNE ...................................... 13 07 = JULY ...................................... 29 08 = AUGUST .................................... 17 09 = SEPTEMBER ................................. 14 10 = OCTOBER ................................... 11 11 = NOVEMBER .................................. 16 12 = DECEMBER .................................. 11 20 = STILL THERE (SKIP TO SEC. H; CODE E4=2) ... 8 50 = DIED THERE (SKIP TO SEC. H; CODE E4=2) .... 47 98 = DON'T KNOW ................................ 33 V424 A 2 396 397 DAY BLANK = LEGITIMATE SKIP ...........................5790 01 - 31 ........................................... 153 98 = DON'T KNOW ................................ 58 V425 A 2 398 399 YEAR BLANK = LEGITIMATE SKIP ...........................5790 84 - 87 ........................................... 200 98 = DON'T KNOW ................................ 11 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- E4. Did (he/she/you) have any other stays in a general or short-term hospital after this stay? V426 A 1 400 400 BLANK = LEGITIMATE SKIP ...........................5735 1 = YES ....................................... 93 2 = NO (SKIP TO SECTION H) .................... 169 8 = DON'T KNOW (SKIP TO SECTION H) ............ 4 LAST STAY E5a. How many other stays did (he/she/you) have in a general or short term hospital between (date of last contact) and now? V437 A 2 401 402 NUMBER OF STAYS BLANK = LEGITIMATE SKIP ...........................5908 01 - 07 ........................................... 90 98 = DON'T KNOW ................................ 3 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- E5b. When (was/were) (he/she/you) last admitted to a general or short-term hospital? V430 A 2 403 404 MONTH BLANK = LEGITIMATE SKIP ...........................5908 01 = JANUARY ................................... 4 02 = FEBRUARY .................................. 4 03 = MARCH ..................................... 4 04 = APRIL ..................................... 8 05 = MAY ....................................... 9 06 = JUNE ...................................... 4 07 = JULY ...................................... 8 08 = AUGUST .................................... 19 09 = SEPTEMBER ................................. 9 10 = OCTOBER ................................... 7 11 = NOVEMBER .................................. 6 12 = DECEMBER .................................. 5 98 = DON'T KNOW ................................ 6 V431 A 2 405 406 DAY BLANK = LEGITIMATE SKIP ...........................5908 02 - 31 ........................................... 72 98 = DON'T KNOW ................................ 21 V432 A 2 407 408 YEAR BLANK = LEGITIMATE SKIP ...........................5908 85 - 87 ........................................... 90 98 = DON'T KNOW ................................ 3 E5c. How long (was/were) (he/she/you) in the hospital during this stay? V661 A 3 409 411 NUMBER OF UNITS BLANK = LEGITIMATE SKIP ...........................5908 001 - 020 ......................................... 81 998 = DON'T KNOW ................................ 12 V662 A 1 412 412 UNIT BLANK = LEGITIMATE SKIP ...........................5908 1 = DAYS ...................................... 69 2 = WEEKS ..................................... 10 3 = MONTHS .................................... 3 8 = DON'T KNOW ................................ 11 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- E5d. When (was/were) (he/she/you) discharged from this hospital stay? V433 A 2 413 414 MONTH BLANK = LEGITIMATE SKIP ...........................5908 01 = JANUARY ................................... 4 02 = FEBRUARY .................................. 2 03 = MARCH ..................................... 2 04 = APRIL ..................................... 3 05 = MAY ....................................... 7 06 = JUNE ...................................... 3 07 = JULY ...................................... 1 08 = AUGUST .................................... 11 09 = SEPTEMBER ................................. 9 10 = OCTOBER ................................... 2 11 = NOVEMBER .................................. 3 12 = DECEMBER .................................. 1 20 = STILL THERE (SKIP TO SEC. H) .............. 6 50 = DIED THERE (SKIP TO SEC. H) ............... 35 98 = DON'T KNOW ................................ 4 V434 A 2 415 416 DAY BLANK = LEGITIMATE SKIP ...........................5949 02 - 31 ........................................... 38 98 = DON'T KNOW ................................ 14 V435 A 2 417 418 YEAR BLANK = LEGITIMATE SKIP ...........................5949 86 - 87 ........................................... 50 98 = DON'T KNOW ................................ 2 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- SECTION H. H1. Medicaid is a national program which pays for health care for persons in need. When (name of subject/you) (was/were) first admitted to a nursing home, (was/were) (he/she/you) eligible to receive Medicaid benefits for nursing home care? NOTE: THIS QUESTION WAS NOT ASKED IF THE SUBJECT HAD BEEN DISCHARGED ALIVE FROM A FACILITY AND NO NON-FACILITY PROXY WAS CONTACTED. V451 A 1 419 419 BLANK = LEGITIMATE SKIP ........................... 302 1 = YES, ELIGIBLE (SKIP TO H4) ................2708 2 = NO, INELIGIBLE ............................2028 3 = NEVER APPLIED (SKIP TO H5) ................ 342 8 = DON'T KNOW (SKIP TO H5) ................... 575 9 = REFUSED (SKIP TO H5) ...................... 46 H2. Why (was/were) (he/she/you) ineligible? V452 A 1 420 420 BLANK = LEGITIMATE SKIP ...........................3973 1 = TOO MUCH INCOME/ASSETS ....................1080 2 = OWNED PROPERTY ............................ 37 3 = AGE ....................................... 17 4 = OTHER ..................................... 221 5 = PRIVATE PAY ............................... 539 8 = DON'T KNOW ................................ 134 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- H3. Did (he/she/you) later become eligible and receive Medicaid benefits for nursing home care? V453 A 1 421 421 BLANK = LEGITIMATE SKIP ...........................3973 1 = YES ....................................... 664 2 = NO (SKIP TO H5) ...........................1308 8 = DON'T KNOW (SKIP TO H5) ................... 55 9 = REFUSED (SKIP TO H5) ...................... 1 H4. What year did (he/she/you) begin to receive Medicaid benefits for nursing home care? V454 A 2 422 423 YEAR BLANK = LEGITIMATE SKIP ...........................2629 65 - 87 ...........................................2229 98 = DON'T KNOW ................................1142 99 = REFUSED ................................... 1 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- H5. ASK ONLY IF THE SUBJECT IS CURRENTLY A RESIDENT OF A NURSING HOME. I am going to read a list of ways in which facilities are paid for their services. Please answer "yes" or "no" to each item that may have helped pay for the care (name of subject) is currently receiving. NOTE: THIS INFORMATION WAS NOT OBTAINED FOR SOME RESIDENT SUBJECTS FOR WHOM A SECOND RESPONDENT COULD NOT BE CONTACTED. V460 A 1 424 424 1. OWN INC, FAMILY, HLTH INS, RET FUNDS, SOC SEC BLANK = LEGITIMATE SKIP ...........................2647 1 = YES .......................................2597 2 = NO ........................................ 506 8 = DON'T KNOW ................................ 232 9 = REFUSED ................................... 19 V461 A 1 425 425 2. MEDICARE BLANK = LEGITIMATE SKIP ...........................2647 1 = YES ....................................... 726 2 = NO ........................................2325 8 = DON'T KNOW ................................ 284 9 = REFUSED ................................... 19 V462 A 1 426 426 3. MEDICAID BLANK = LEGITIMATE SKIP ...........................2647 1 = YES .......................................2052 2 = NO ........................................1064 8 = DON'T KNOW ................................ 219 9 = REFUSED ................................... 19 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- V464 A 1 427 427 5. STATE FUNDED INDIGENT CARE EXCLUDING MEDICAID BLANK = LEGITIMATE SKIP ...........................2647 1 = YES ....................................... 102 2 = NO ........................................2961 8 = DON'T KNOW ................................ 272 9 = REFUSED ................................... 19 V465 A 1 428 428 6. OTHER GOV'T ASSISTANCE OR WELFARE BLANK = LEGITIMATE SKIP ...........................2647 1 = YES ....................................... 114 2 = NO ........................................2973 8 = DON'T KNOW ................................ 248 9 = REFUSED ................................... 19 V466 A 1 429 429 7. RELIGIOUS ORG., FOUNDATIONS, VOL. AGENCIES BLANK = LEGITIMATE SKIP ...........................2647 1 = YES ....................................... 21 2 = NO ........................................3071 8 = DON'T KNOW ................................ 243 9 = REFUSED ................................... 19 Locations 430-546 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- V467 A 1 430 430 8. VA (VETERANS ADMINISTRATION) BLANK = LEGITIMATE SKIP ...........................2647 1 = YES ....................................... 153 2 = NO ........................................2931 8 = DON'T KNOW ................................ 251 9 = REFUSED ................................... 19 V468 A 1 431 431 9. INITIAL PAYMENT-LIFE CARE FUNDS BLANK = LEGITIMATE SKIP ...........................2647 1 = YES ....................................... 11 2 = NO ........................................3069 8 = DON'T KNOW ................................ 255 9 = REFUSED ................................... 19 V469 A 1 432 432 10. NO CHARGE MADE FOR CARE (FACILITY PAYS COSTS) BLANK = LEGITIMATE SKIP ...........................2647 1 = YES ....................................... 43 2 = NO ........................................3046 8 = DON'T KNOW ................................ 246 9 = REFUSED ................................... 19 LABEL A/N LEN BEG END DESCRIPTION FREQ ----- --- --- --- --- ----------- ---- V470 A 1 433 433 11. SOME OTHER SOURCE BLANK = LEGITIMATE SKIP ...........................2647 1 = YES ....................................... 4 2 = NO ........................................3086 8 = DON'T KNOW ................................ 245 9 = REFUSED ................................... 19 BLANK10 A 50 434 483 BLANK ASK ONLY IF 'YES' TO MEDICAID AS A SOURCE OF PAYMENT. H5a. You told me that Medicaid helps pay for the care (name of subject) is currently receiving. Is that skilled nursing care (SNF) or intermediate nursing care (ICF)? V463 A 1 484 484 BLANK = LEGITIMATE SKIP ...........................3949 1 = SKILLED NURSING CARE ...................... 646 2 = INTERMEDIATE NURSING CARE .................1260 3 = OTHER ..................................... 59 8 = DON'T KNOW ................................ 87 LABEL BEG END LEN DESCRIPTION FREQ ----- --- --- --- --------------- ---- CRQWGT 485 492 8 RECORD WEIGHT FROM CRQ FILE - SECOND STAGE INFLATION FACTOR USED TO PRODUCE NATIONAL ESTIMATES OF CURRENT RESIDENTS (4 DECIMAL PLACES IMPLIED) BLANK = NOT APPLICABLE ...................................1826 RANGE = 00098173 - 12742625 ..............................4175 NOKWGT1 493 500 8 NEXT-OF-KIN WEIGHT 1; FOR CRQ CASES - SECOND STAGE INFLATION FACTOR USED TO PRODUCE NATIONAL ESTIMATES OF ALL CURRENT RESIDENTS WITH A NEXT-OF-KIN LISTED ON CRQ (4 DECIMAL PLACES IMPLIED). THIS WEIGHT DIFFERS FROM THE CRQ WEIGHT IN POSITIONS 485-492 BY NON-RESPONSE ADJUSTMENTS FOR THE NOK QUESTIONNAIRE GIVEN A RESPONDENT WAS IDENTIFIED AND POST-STRATIFIED ADJUSTMENTS BY AGE AT ADMISSION, SEX AND RACE. BLANK = NOT APPLICABLE ...................................2109 RANGE = 00111138 - 18828133 ..............................3892 NOKWGT2 501 508 8 NEXT-OF-KIN WEIGHT 2; FOR CRQ CASES - SECOND STAGE INFLATION FACTOR USED TO PRODUCE NATIONAL ESTIMATES OF ALL CURRENT RESIDENTS, INCLUDING THOSE WITHOUT NOK (4 DECIMAL PLACES IMPLIED). THIS WEIGHT DIFFERS FROM THE CRQ WEIGHT IN POSITIONS 485-492 BY NON-RESPONSE ADJUST- MENTS FOR THE NOK QUESTIONNAIRE AND POST-STRATIFIED ADJUSTMENTS BY AGE AT ADMISSION, SEX AND RACE. BLANK = NOT APPLICABLE ...................................2109 RANGE = 00112647 - 18085912 ..............................3892 DRQWGT 509 516 8 RECORD WEIGHT FROM DRQ FILE - SECOND STAGE INFLATION FACTOR USED TO PRODUCE NATIONAL ESTIMATES OF DISCHARGED RESIDENTS (4 DECIMAL PLACES IMPLIED) BLANK = NOT APPLICABLE ...................................4143 RANGE = 00021674 - 25803124 ..............................1858 LABEL BEG END LEN DESCRIPTION FREQ ----- --- --- --- --------------- ---- NOKWGT3 517 524 8 NEXT-OF-KIN WEIGHT 3; FOR DRQ CASES - SECOND STAGE INFLATION FACTOR USED TO PRODUCE NATIONAL ESTIMATES OF ALL DISCHARGED RESIDENTS WITH A NEXT-OF-KIN LISTED ON DRQ (4 DECIMAL PLACES IMPLIED). THIS WEIGHT DIFFERS FROM THE DRQ WEIGHT IN POSITIONS 509-516 BY NON-RESPONSE ADJUSTMENTS FOR THE NOK QUESTIONNAIRE GIVEN A RESPONDENT WAS IDENTIFIED AND POST-STRATIFIED ADJUSTMENTS BY AGE AT ADMISSION, SEX AND RACE. BLANK = NOT APPLICABLE ...................................4247 RANGE = 00034464 - 32349206 ..............................1754 NOKWGT4 525 532 8 NEXT-OF-KIN WEIGHT 4; FOR DRQ CASES - SECOND STAGE INFLATION FACTOR USED TO PRODUCE NATIONAL ESTIMATES OF ALL DISCHARGED RESIDENTS, INCLUDING THOSE WITHOUT NOK (4 DECIMAL PLACES IMPLIED). THIS WEIGHT DIFFERS FROM THE DRQ WEIGHT IN POSITIONS 509-516 BY NON-RESPONSE ADJUSTMENTS FOR THE NOK QUESTIONNAIRE AND POST- STRATIFIED ADJUSTMENTS BY AGE AT ADMISSION, SEX AND RACE. BLANK = NOT APPLICABLE ...................................4247 RANGE = 00034710 - 32735310 ..............................1754 DRQOV1 533 539 7 DISCHARGED RESIDENT OVERLAP CASE ID NUMBER - THE DRQ SAMPLE IS AN EVENT SAMPLE. AN INDIVIDUAL RESIDENT COULD HAVE MORE THAN ONE STAY IN THE DISCHARGED RESIDENT SAMPLE. THIS CASE ID NUMBER IS THE DISCHARGED RESIDENT ID NUMBER FOR A SECOND DISCHARGED RESIDENT SAMPLE STAY. BLANK = NOT APPLICABLE ...................................5995 RANGE = 1068352 - 7017361 .......................... ..... 6 CRQOV1 540 546 7 CURRENT RESIDENT OVERLAP CASE ID NUMBER - AN INDIVIDUAL RESIDENT COULD HAVE SAMPLED STAYS IN BOTH THE CURRENT RESIDENT AND DISCHARGED RESIDENT SAMPLES. THIS ID NUMBER IS THE CURRENT RESIDENT ID NUMBER FOR DISCHARGED RESIDENTS WHO LATER BECAME CURRENT RESIDENTS. BLANK = NOT APPLICABLE ...................................5969 RANGE = 1029248 - 7184237 .......................... ..... 32 REFERENCES 1. Hing E, Sekscenski E, Strahan G. The National Nursing Home Survey: 1985 summary for the United States, National Center for Health Statistics. Vital Health Stat 13(97). 1989. 2. Hing E. Effects of the prospective payment system on nursing homes. National Center for Health Statistics. Vital Health Stat 13(98). 1989. 3. King E. Nursing home utilization by current residents, United States, 1985. National Center for Health Statistics. Vital Health Stat 13(102). 1989. 4. Sekscenski E. Discharges from nursing homes: 1985 National Nursing Home Survey. National Center for Health Statistics. Vital Health Stat 13(103). In press. 5. Strahan G. Nursing home characteristics: Preliminary data from the 1985 National Nursing Home Survey. Advance data from vital and health statistics, no. 131. Hyattsville, Maryland: National Center for Health Statistics. 1987. 6. King E. Use of nursing homes by the elderly: Preliminary data from the 1985 National Nursing Home Survey. Advance data from vital and health statistics, no. 135. Hyattsville, Maryland: National Center for Health Statistics. 1987. 7. Sekscenski E. Discharges from nursing homes: Preliminary data from the 1985 National Nursing Home Survey. Advance data from vital and health statistics, no. 142. Hyattsville, Maryland: National Center for Health Statistics. 1987. 8. Strahan G. Characteristics of registered nurses in nursing homes: Preliminary data from the 1985 National Nursing Home Survey. Advance data from vital and health statistics, no. 152. Hyattsville, Maryland: National Center for Health Statistics. 1988. 9. McCarthy PJ. Replication: An approach to the analysis of data from complex surveys. National Center for Health Statistics. Vital Health Stat 2(14). 1966. 10. McCarthy PJ. Pseudoreplication: Further evaluation and application of the balanced half-sample technique. National Center for Health Statistics. Vital Health Stat 2(31). 1969. 11. Hansen MH, Hurwitz WN, Madow WG. Sample survey methods and theory, vol 1. New York: John Wiley and Sons. 1953. 12. Cochran WG. Sampling techniques. New York: John Wiley and Sons. 1953.
