Turning over the Beds – How Optimizing Pre-Discharge Patient Teaching Reduced Discharge Delays in the Inpatient Hospital at Dana-Farber Cancer Institute and Brigham and Women's Hospital

Solle, Justin Cook; Close, Sara; Koch, Brandon; Hartley, Tricia; Steinberg, Alexis; Pullo, Anna; Guerrero, Caitlin; Mlynarski, Daria; Daniels, Lauren; Curran, Shauna; Gould, Katie; Glotzbecker, Brett; Emmert, Amy

doi:10.1016/j.bbmt.2019.12.045

Biology of Blood and Marrow Transplantation

2020

DOI: 10.1016/j.bbmt.2019.12.045

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Turning over the Beds – How Optimizing Pre-Discharge Patient Teaching Reduced Discharge Delays in the Inpatient Hospital at Dana-Farber Cancer Institute and Brigham and Women's Hospital

Justin Cook Solle

Sara Close

Brandon Koch

et al.

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Effect of Acute Care Discharge Delays on Inpatient Rehabilitation Effect of Acute Care Discharge Delays on Inpatient Rehabilitation Facility (IRF) Utilization Facility (IRF) Utilization

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Discharge delays present hospitals with challenges in managing costs for Medicare admissions. Meanwhile, Inpatient Rehabilitation Facilities (IRF) are subject to strict pre-admission requirements that can complicate efficient transitions of care for patients with intensive rehabilitation needs. The purpose of this retrospective quantitative correlational study was to examine any relationship between acute care discharge delays and IRF utilization. This study investigated whether length of stay (LOS) and Medicare Advantage prior authorization requirements impact IRF referrals by reviewing 3,747 medical records of acute stroke patients aged 65 years and older at a regionally integrated healthcare system over a 3-year period (2020- 2022). Referral to IRF was strongly correlated with LOS, and Medicare financial class (fee-for-service vs. Medicare Advantage) was a significant moderator of that relationship. Patient age at admission and whether the referring hospital operated an IRF were also significantly related to IRF referral. Further, distinct differences in post-acute care pathways were noted for stroke patients between FFS and MA plans despite very similar clinical profiles.

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Effect of Acute Care Discharge Delays on Inpatient Rehabilitation Effect of Acute Care Discharge Delays on Inpatient Rehabilitation Facility (IRF) Utilization Facility (IRF) Utilization

Garrard

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Turning over the Beds – How Optimizing Pre-Discharge Patient Teaching Reduced Discharge Delays in the Inpatient Hospital at Dana-Farber Cancer Institute and Brigham and Women's Hospital

Cited by 1 publication

References 0 publications

Effect of Acute Care Discharge Delays on Inpatient Rehabilitation Effect of Acute Care Discharge Delays on Inpatient Rehabilitation Facility (IRF) Utilization Facility (IRF) Utilization

Effect of Acute Care Discharge Delays on Inpatient Rehabilitation Effect of Acute Care Discharge Delays on Inpatient Rehabilitation Facility (IRF) Utilization Facility (IRF) Utilization

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