CLUSTERING OF REHOSPITALIZATION RISK FACTORS AND IDENTIFICATION OF ASSOCIATED HOME HEALTH INTERVENTIONS IN…

Assistance award details

Assistance award identifier

ASST_NON_K00AG095132_075

FAIN

K00AG095132

Recipient

THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK

Awarding agency

Department of Health and Human Services

Funding agency

Department of Health and Human Services

Assistance listing (CFDA)

93.866

Total obligated

$90,401

Period

Sep 3, 2025 – May 31, 2030

Fiscal year

2026

Place of performance state

NY

Source file

FY2026_All_Assistance_Full_20261006.zip

Description

CLUSTERING OF REHOSPITALIZATION RISK FACTORS AND IDENTIFICATION OF ASSOCIATED HOME HEALTH INTERVENTIONS IN AGING SEPSIS SURVIVORS RECEIVING HOME HEALTHCARE - PROJECT SUMMARY THIS F99/K00 TRANSITION TO AGING RESEARCH FOR PREDOCTORAL STUDENT AWARD APPLICATION WILL SUPPORT THE APPLICANT’S RESEARCH TRAINING TO BECOME AN INDEPENDENT RESEARCHER FOCUSED ON IMPROVING OUTCOMES FOR OLDER SEPSIS SURVIVORS WITH COMPLEX NEEDS TRANSITIONING FROM HOSPITAL TO HOME HEALTHCARE (HH) USING ADVANCED DATA SCIENCE METHODS. THE STUDY AIMS TO UNDERSTAND COMPLEX ASSOCIATIONS OF COEXISTING REHOSPITALIZATION RISK FACTORS (INCLUDING SOCIAL SUPPORT, PERSONAL, AND CONTEXTUAL FACTORS) WITH REHOSPITALIZATION AMONG OLDER SEPSIS SURVIVORS AND TO IDENTIFY SPECIFIC HH INTERVENTIONS THAT IMPROVE CARE QUALITY AND OUTCOMES. IN THE F99 PHASE, THE APPLICANT WILL (1) DESCRIBE DISTINCT AND SHARED PROFILES OF CLUSTERS AMONG OLDER SEPSIS SURVIVORS WITH COEXISTING REHOSPITALIZATION RISK FACTORS AND (2) EXAMINE THE ASSOCIATIONS BETWEEN THESE CLUSTERS AND REHOSPITALIZATION. THIS RETROSPECTIVE COHORT STUDY WILL USE EXISTING NATIONAL MEDICARE CLAIMS DATA TO IDENTIFY HH PATIENTS AGED 65+ WITH A SEPSIS DIAGNOSIS DURING AN INPATIENT STAY. IN THE K00 PHASE, THE APPLICANT WILL BUILD ON F99 FINDINGS BY VALIDATING THE CLUSTERING ALGORITHM WITH A NEW, UNSEEN SAMPLE AND EXPANDING TRAINING FOR THE APPLICANT IN NATURAL LANGUAGE PROCESSING (NLP) TO ANALYZE CLINICAL NOTES BY (1) DEVELOPING AN NLP ALGORITHM TO IDENTIFY HH INTERVENTIONS, (2) DESCRIBING DIFFERENCES IN HH INTERVENTIONS ACROSS DISTINCT CLUSTERS, AND (3) ASSESSING THE ASSOCIATION BETWEEN IDENTIFIED HH INTERVENTIONS AND REHOSPITALIZATION. RESEARCH TRAINING WILL TAKE PLACE AT TWO RESEARCH-INTENSIVE INSTITUTIONS, THE UNIVERSITY OF PENNSYLVANIA (F99) AND COLUMBIA UNIVERSITY (K00), WITH AMPLE RESOURCES AND SUPPORT FROM A MULTIDISCIPLINARY MENTORSHIP TEAM WITH EXPERTISE IN AGING, SEPSIS SURVIVORSHIP, TRANSITIONS IN CARE, MULTIMORBIDITY (I.E., MULTIPLE CHRONIC CONDITIONS