Accountability of Hospitals for Medicare Beneficiaries’ Postacute Care Discharge Disposition

Mor, Vincent; Rahman, Momotazur; McHugh, John

doi:10.1001/jamainternmed.2015.6508

Cited by 12 publications

(13 citation statements)

References 6 publications

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“…Hospitals are increasingly establishing formal postacute networks to which they attempt to refer their patients, although their willingness to do so in the face of considerable pressure to have patients and families make the choice (Luke ; Mor, Rahman, and McHugh ). Accountable Care Organizations and providers participating in bundles are currently grappling with precisely this problem while building their own postacute provider networks (Lage et al.…”

Section: Summary and Implicationsmentioning

confidence: 99%

The Contribution of Skilled Nursing Facilities to Hospitals’ Readmission Rate

Rahman

McHugh

Gozalo

et al. 2016

Health Services Research

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Section: Summary and Implicationsmentioning

confidence: 99%

The Contribution of Skilled Nursing Facilities to Hospitals’ Readmission Rate

Rahman

McHugh

Gozalo

et al. 2016

Health Services Research

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“…Programs based on these models should provide hospitals with incentives to form stronger partnerships with postacute care providers, such as home health agencies and skilled nursing facilities (SNFs). 1–3 Whether or not they create formal relationships with postacute care providers, hospitals might be expected to attempt to steer patients toward higher-quality providers from which patients are less likely to be rehospitalized. 4,5 Indeed, research shows that hospitals that discharge patients to fewer SNFs have lower aggregate rehospitalization rates from SNFs, and hospitals that reduced the number of discharge locations most dramatically over time had the greatest reduction in rehospitalization rates.…”

mentioning

confidence: 99%

Patients Are Not Given Quality-Of-Care Data About Skilled Nursing Facilities When Discharged From Hospitals

et al. 2017

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Hospitals are now being held at least partly accountable for Medicare patients’ care after discharge, as a result of regulations and incentives imposed by the Affordable Care Act. However, little is known about how patients select a postacute care facility. We used a multiple case study approach to explore both how patients requiring postacute care decide which skilled nursing facility to select and the role of hospital staff members in this decision. We interviewed 138 staff members of sixteen hospitals and twenty-five skilled nursing facilities and 98 patients in fourteen of the skilled nursing facilities. Most patients described receiving only lists of skilled nursing facilities from hospital staff members, while staff members reported not sharing data about facilities’ quality with patients because they believed that patient choice regulations precluded them from doing so. Consequently, patients’ choices were rarely based on readily available quality data. Proposed changes to the Medicare conditions of participation for hospitals that pertain to discharge planning could rectify this problem. In addition, less strict interpretations of choice requirements would give hospitals flexibility in the discharge planning process and allow them to refer patients to higher-quality facilities.

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“…; Mor, Rahman, and McHugh ). Focusing on discharging patients to less costly locations (e.g., home) has been suggested as a major factor in this process of lowering hospital spending (Mor, Rahman, and McHugh ). Large variation in the price of medical care may be attributed to variation among hospitals based on various measures such as performance (Das et al.…”

Section: Aimsmentioning

confidence: 99%

“…Some have suggested that focusing on post‐acute discharge may hold major implications for reducing overall spending (Das et al. ; Mor, Rahman, and McHugh ). Focusing on discharging patients to less costly locations (e.g., home) has been suggested as a major factor in this process of lowering hospital spending (Mor, Rahman, and McHugh ).…”

Section: Aimsmentioning

confidence: 99%