Is higher volume of postacute care patients associated with a lower rehospitalization rate in skilled nursing facilities?

Medical Care Research and Review

Volumn 69, Issue 1, 2012, Pages 103-118

  Li, Yue ^a   Cai, Xueya ^a   Yin, Jun ^a   Glance, Laurent G ^b   Mukamel, Dana B ^c  

^a UNIVERSITY OF IOWA   (United States)

^b UNIVERSITY OF ROCHESTER   (United States)

^c UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

Minimum Data Set; postacute care; rehospitalization; skilled nursing facilities; volume outcome association

Indexed keywords

ADULT; AGED; ARTICLE; CONTROLLED STUDY; EMERGENCY CARE; FEMALE; HEALTH CARE FACILITY; HEALTH CARE QUALITY; HEALTH SERVICE; HOSPITAL ADMISSION; HOSPITAL READMISSION; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICARE; NURSING HOME; OUTCOME ASSESSMENT; RISK ASSESSMENT;

AGED; AGED, 80 AND OVER; DATA COLLECTION; FEMALE; HUMANS; MALE; OUTCOME ASSESSMENT (HEALTH CARE); PATIENT READMISSION; PROPORTIONAL HAZARDS MODELS; REHABILITATION; SKILLED NURSING FACILITIES; UNITED STATES;

EID: 84863141969     PISSN: 10775587     EISSN: 15526801     Source Type: Journal    
DOI: 10.1177/1077558711414274     Document Type: Article

References (44)

1. Quality measures for national public reporting: User's manual. Cambridge, MA: U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services, & National Nursing Home Quality Measures ; 2004: 48.
2. Abt Associates Inc. (2006). Quality monitoring for Medicare global payment demonstrations: Nursing home quality-based purchasing demonstration. Retrieved from http://www.cms.gov/DemoProjectsEvalRpts/downloads/NHP4P- FinalReport.pdf
3. Birkmeyer J. D., Finlayson E. V., Birkmeyer C. M.. Volume standards for high-risk surgical procedures: Potential benefits of the leapfrog initiative. Surgery. 2001 ; 130: 415-422 (Pubitemid 32868450)
4. Boockvar K., Fishman E., Kyriacou C. K., Monias A., Gavi S., Cortes T.. Adverse events due to discontinuations in drug use and dose changes in patients transferred between acute and long-term care facilities. Archives of Internal Medicine. 2004 ; 164: 545-550 (Pubitemid 38314451)
5. Buchanan J. L., Murkofsky R. L., O'Malley A. J., Karon S. L., Zimmerman D., Caudry D. J., Marcantonio E. R.. Nursing home capabilities and decisions to hospitalize: A survey of medical directors and directors of nursing. Journal of the American Geriatrics Society. 2006 ; 54: 458-465 (Pubitemid 43327158)
6. Covinsky K. E., Palmer R. M., Fortinsky R. H., Counsell S. R., Stewart A. L., Kresevic D., Landefeld C. S.. Loss of independence in activities of daily living in older adults hospitalized with medical illnesses: Increased vulnerability with age. Journal of the American Geriatrics Society. 2003 ; 51: 451-458 (Pubitemid 36457342)
7. Donelan-McCall N., Eilertsen T. B., Fish R., Kramer A. Small patient population and low frequency event effects on the stability of SNF quality measures. Washington, DC: Medicare Payment Advisory Commision ; 2006 :
8. General Accounting Office. (2002). Public reporting of quality indicators has merit, but national implementation is premature (Publication No. GAO-03-187). Retrieved from http://www.gao.gov/new.items/d03187.pdf
9. Glance L. G., Li Y., Osler T. M., Dick A., Mukamel D. B.. Impact of patient volume on the mortality rate of adult intensive care unit patients. Critical Care Medicine. 2006 ; 34: 1925-1934 (Pubitemid 43982469)
10. Gorbien M. J., Bishop J., Beers M. H., Norman D., Osterweil D., Rubenstein L. Z.. Iatrogenic illness in hospitalized elderly people. Journal of the American Geriatrics Society. 1992 ; 40: 1031-1042
11. Grabowski D. C., Feng Z., Intrator O., Mor V.. Medicaid bed-hold policy and Medicare skilled nursing facility rehospitalizations. Health Services Research. 2010 ; 45: 1963-1980
12. Grabowski D. C., Stewart K. A., Broderick S. M., Coots L. A.. Predictors of nursing home hospitalization: A review of the literature. Medical Care Research and Review. 2008 ; 65: 3-39
13. Gruneir A., Lapane K. L., Miller S. C., Mor V.. Long-term care market competition and nursing home dementia special care units. Medical Care. 2007 ; 45: 739-745
14. Halm E. A., Lee C., Chassin M. R.. Is volume related to outcome in health care? A systematic review and methodologic critique of the literature. Annals of Internal Medicine. 2002 ; 137: 511-520 (Pubitemid 35024623)
15. Hutt E., Ecord M., Eilertsen T. B., Frederickson E., Kramer A. M.. Precipitants of emergency room visits and acute hospitalization in short-stay medicare nursing home residents. Journal of the American Geriatrics Society. 2002 ; 50: 223-229 (Pubitemid 34132420)
16. Intrator O., Grabowski D. C., Zinn J., Schleinitz M., Feng Z., Miller S., Mor V.. Hospitalization of nursing home residents: The effects of states' Medicaid payment and bed-hold policies. Health Services Research. 2007 ; 42: 1651-1671 (Pubitemid 47024846)
17. Intrator O., Zinn J., Mor V.. Nursing home characteristics and potentially preventable hospitalizations of long-stay residents. Journal of the American Geriatrics Society. 2004 ; 52: 1730-1736 (Pubitemid 41709929)
18. Jencks S. F., Williams M. V., Coleman E. A.. Rehospitalizations among patients in the Medicare fee-for-service program. New England Journal of Medicine. 2009 ; 360: 1418-1428
19. Jones A. L., Dwyer L. L., Bercovitz A. R., Strahan G. W.. The national nursing home survey: 2004 overview. Vital Health Statistics. 2009 ; 13 (167). 1-155
20. Konetzka R. T., Spector W., Limcangco M. R.. Reducing hospitalizations from long-term care settings. Medical Care Research and Review. 2008 ; 65: 40-66
21. Lawton M. P., Casten R., Parmelee P. A., Van Haitsma K., Corn J., Kleban M. H.. Psychometric characteristics of the minimum data set II: Validity. Journal of the American Geriatrics Society. 1998 ; 46: 736-744 (Pubitemid 28262350)
22. Li Y., Cai X., Mukamel D. B., Glance L. G.. The volume-outcome relationship in nursing home care: An examination of functional decline among long-term care residents. Medical Care. 2010 ; 48: 52-57
23. Li Y., Harrington C., Spector W. D., Mukamel D. B.. State regulatory enforcement and nursing home termination from the Medicare and Medicaid programs. Health Services Research. 2010 ; 45 (6, Pt. 1). 1796-1814
24. Liu K., Black K. J.. Hospital-based and freestanding skilled nursing facilities: Any cause for differential Medicare payments?. Inquiry. 2003 ; 40: 94-104 (Pubitemid 36718101)
25. LiuK.GarrettB.WissokerD.MaxwellS.KramerA.EilertsenT.BuchananJ. (2007). Options for improving Medicare payment for skilled nursing facilities. Retrieved from http://www.urban.org/url.cfm?ID=411526
26. Luft H. S., Bunker J. P., Enthoven A. C.. Should operations be regionalized? The empirical relation between surgical volume and mortality. New England Journal of Medicine. 1979 ; 301: 1364-1369 (Pubitemid 10170739)
27. Luft H. S., Garnick D. W., Mark D. H., Peltzman D. J., Phibbs C. S., Lichtenberg E., McPhee S. J.. Does quality influence choice of hospital?. Journal of the American Medical Association. 1990 ; 263: 2899-2906
28. Luft H. S., Hunt S. S., Maerki S. C.. The volume-outcome relationship: Practice-makes-perfect or selective-referral patterns?. Health Services Research. 1987 ; 22: 157-182 (Pubitemid 17138049)
29. A data book: Health care spending and the Medicare program. Washington, DC: Author ; 2009a :
30. Report to the Congress: Medicare payment policy. Washington, DC: Author ; 2009b :
31. Milcent C.. Hospital ownership, reimbursement systems and mortality rates. Health Economics. 2005 ; 14: 1151-1168 (Pubitemid 41645378)
32. Mor V., Angelelli J., Jones R., Roy J., Moore T., Morris J.. Inter-rater reliability of nursing home quality indicators in the U.S. BMC Health Services Research. 2003 ; 3 (1). 20
33. Mor V., Intrator O., Feng Z., Grabowski D. C.. The revolving door of rehospitalization from skilled nursing facilities. Health Affairs (Millwood). 2010 ; 29: 57-64
34. Mukamel D. B., Glance L. G., Li Y., Weimer D. L., Spector W. D., Zinn J. S., Mosqueda L.. Does risk adjustment of the CMS quality measures for nursing homes matter?. Medical Care. 2008 ; 46: 532-541
35. Mukamel D. B., Weimer D. L., Mushlin A. I.. Interpreting market share changes as evidence for effectiveness of quality report cards. Medical Care. 2007 ; 45: 1227-1232
36. Mukamel D. B., Weimer D. L., Zwanziger J., Gorthy S. F., Mushlin A. I.. Quality report cards, selection of cardiac surgeons, and racial disparities: A study of the publication of the New York State Cardiac Surgery reports. Inquiry. 2004 ; 41: 435-446 (Pubitemid 40393058)
37. Ouslander J. G., Lamb G., Perloe M., Givens J. H., Kluge L., Rutland T., Saliba D.. Wyman Jean F., Hazzard William R.. Potentially avoidable hospitalizations of nursing home residents: Frequency, causes, and costs. Journal of the American Geriatrics Society. 2010 ; 58: 627 760-635 761
38. Ouslander J. G., Weinberg A. D., Phillips V.. Inappropriate hospitalization of nursing facility residents: A symptom of a sick system of care for frail older people. Journal of the American Geriatrics Society. 2000 ; 48: 230-231 (Pubitemid 30106532)
39. Saliba D., Kington R., Buchanan J., Bell R., Wang M., Lee M., Rubenstein L.. Appropriateness of the decision to transfer nursing facility residents to the hospital. Journal of the American Geriatrics Society. 2000 ; 48: 154-163 (Pubitemid 30106519)
40. Stearns S. C., Dalton K., Holmes G. M., Seagrave S. M.. Using propensity stratification to compare patient outcomes in hospital-based versus freestanding skilled-nursing facilities. Medical Care Research and Review. 2006 ; 63: 599-622 (Pubitemid 44320112)
41. Teresi J. A., Holmes D., Bloom H. G., Monaco C., Rosen S.. Factors differentiating hospital transfers from long-term care facilities with high and low transfer rates. The Gerontologist. 1991 ; 31: 795-806
42. Thiemann D. R., Coresh J., Oetgen W. J., Powe N. R.. The association between hospital volume and survival after acute myocardial infarction in elderly patients. New England Journal of Medicine. 1999 ; 340: 1640-1648 (Pubitemid 29249434)
43. Werner R., Stuart E., Polsky D.. Public reporting drove quality gains at nursing homes. Health Affairs (Millwood). 2010 ; 29: 1706-1713
44. Zhan C., Miller M. R., Wong H., Meyer G. S.. The effects of HMO penetration on preventable hospitalizations. Health Services Research. 2004 ; 39: 345-361 (Pubitemid 38339506)