Reducing hospital readmissions through preferred networks of skilled nursing facilities

Health Affairs

Volumn 36, Issue 9, 2017, Pages 1591-1598

  McHugh, John P ^a   Foster, Andrew ^b   Mor, Vincent ^b,c   Shield, Renée R ^b   Trivedi, Amal N ^b   Wetle, Terrie ^b   Zinn, Jacqueline S ^d   Tyler, Denise A ^e  

^a Department of Medicine   (United States)

^b BROWN UNIVERSITY   (United States)

^c PROVIDENCE VETERANS AFFAIRS MEDICAL CENTER   (United States)

^d TEMPLE UNIVERSITY   (United States)

^e RTI INTERNATIONAL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; HOSPITAL READMISSION; HUMAN; INTERVIEW; MARKET; MEDICARE; NURSING HOME; PATIENT CODING; AGED; ECONOMICS; HEALTH CARE COST; HOSPITAL; INSURANCE; PATIENT CARE; STATISTICS AND NUMERICAL DATA; UNITED STATES;

AGED; CONTINUITY OF PATIENT CARE; HEALTH EXPENDITURES; HOSPITALS; HUMANS; INSURANCE CLAIM REVIEW; MEDICARE; PATIENT READMISSION; SKILLED NURSING FACILITIES; UNITED STATES;

EID: 85028884406     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.2017.0211     Document Type: Article

References (20)

1. Fingar K, Washington R. Trends in hospital readmissions for four highvolume conditions, 2009-2013 [Internet]. Rockville (MD): Agency for Healthcare Research and Quality; 2015 Nov [cited 2017 Jul 17]. (HCUP Statistical Brief No. 196). Available from: https://www.hcup-us.ahrq.gov/reports/statbriefs/sb196-Readmissions-Trends-High-Volume-Conditions.jsp
2. Gerhardt G, Yemane A, Hickman P, Oelschlaeger A, Rollins E, Brennan N. Data shows reduction in Medicare hospital readmission rates during 2012. Medicare and Medicaid Research Review [serial on the Internet]. 2013;3(2) [cited 2017 Jul 31]. Available from: https://www.cms.gov/mmrr/Downloads/ MMRR2013_003_02_b01.pdf
3. Newhouse JP, Garber AM. Geographic variation in health care spending in the United States: insights from an Institute of Medicine report. JAMA. 2013;310(12):1227-8
4. Ackerly DC, Grabowski DC. Postacute care reform-beyond the ACA. N Engl J Med. 2014;370(8):689-91
5. Mechanic R. Post-acute care-the next frontier for controlling Medicare spending. N Engl J Med. 2014; 370(8):692-4
6. Burke RE, Juarez-Colunga E, Levy C, Prochazka AV, Coleman EA, Ginde AA. Patient and hospitalization characteristics associated with increased postacute care facility discharges from US hospitals. Med Care. 2015;53(6):492-500
7. Coleman EA, Smith JD, Frank JC, Min SJ, Parry C, Kramer AM. Preparing patients and caregivers to participate in care delivered across settings: the Care Transitions Intervention. J Am Geriatr Soc. 2004; 52(11):1817-25
8. Naylor MD, Aiken LH, Kurtzman ET, Olds DM, Hirschman KB. The importance of transitional care in achieving health reform. Health Aff (Millwood). 2011;30(4):746-54
9. Berkowitz RE, Fang Z, Helfand BK, Jones RN, Schreiber R, Paasche-Orlow MK. Project ReEngineered Discharge (RED) lowers hospital readmissions of patients discharged from a skilled nursing facility. J Am Med Dir Assoc. 2013;14(10):736-40
10. Medicare Payment Advisory Commission. Report to the Congress: Medicare payment policy [Internet]. Washington (DC): MedPAC; 2015 Mar. Chapter 7, Medicare's postacute care: trends and ways to rationalize payments; [cited 2017 Jul 17]. Available from: http://www.medpac.gov/docs/default-source/ reports/chapter-7-medicare-s-postacute-care-trends-and-ways-torationalize-payments-march-2015-report-.pdf
11. Mor V, Intrator O, Feng Z, Grabowski DC. The revolving door of rehospitalization from skilled nursing facilities. Health Aff (Millwood). 2010;29(1):57-64
12. Rahman M, Foster AD, Grabowski DC, Zinn JS, Mor V. Effect of hospital-SNF referral linkages on rehospitalization. Health Serv Res. 2013;48(6 Pt 1):1898-919
13. Lage DE, Rusinak D, Carr D, Grabowski DC, Ackerly DC. Creating a network of high-quality skilled nursing facilities: preliminary data on the postacute care quality improvement experiences of an accountable care organization. J Am Geriatr Soc. 2015;63(4):804-8
14. To access the Appendix, click on the Appendix link in the box to the right of the article online
15. Improving Healthcare for the Common Good. Why not the best? [Internet]. Lake Success (NY): IPRO; c 2017 [cited 2017 Jul 17]. Available from: http://whynotthebest.org/
16. Creswell JW. Qualitative inquiry and research design: choosing among five approaches. 2nd edition. Thousand Oaks (CA): Sage Publications; 2007
17. Crabtree BF, Miller WL, editors. Doing qualitative research. 2nd edition. Thousand Oaks (CA): Sage Publications; 1999
18. Yale New Haven Health Services Corporation, Center for Outcomes Research and Evaluation. 2015 condition-specific measures updates and specifications report: hospital-level 30-day risk-standardized readmission measures. New Haven (CT): The Center; 2015 Mar
19. Social Security Administration. Compilation of the Social Security laws: free choice by patient guaranteed [Internet]. Washington (DC): SSA; [cited 2017 Jul 17]. Available from: https://www.ssa.gov/ OP_Home/ssact/title18/1802.htm
20. Ouslander JG, Bonner A, Herndon L, Shutes J. The Interventions to Reduce Acute Care Transfers (INTERACT) quality improvement program: an overview for medical directors and primary care clinicians in long term care. J Am Med Dir Assoc. 2014;15(3):162-70