Readmission Reduction Strategies for Patients Discharged to Skilled Nursing Facilities: A Case Study From 2 Hospital Systems in 1 City.

Abstract:

BACKGROUND:Some hospitals seek integration with skilled nursing facilities (SNFs) to reduce readmissions while others focus more on patients discharged home. PURPOSE:Our objective was to understand different approaches for readmission reduction for patients discharged to SNFs based on contrasting strategies from 2 competing hospital systems. METHODS:Employing a case study methodology, we compared 1 hospital system that integrated with SNFs to a competing system that did not. We compared interview data from clinical and administrative staff and publicly reported rehospitalization rate changes from the 2 systems. RESULTS:Analysis of integrating hospital system interviews noted providing patients detailed discharge information and educating SNF staff regarding care protocols. Integrated hospital system all-cause readmission rates declined by nearly 1 percentage point more than the nonintegrated hospital system (coefficient, -0.008; 95% confidence interval, -0.003 to -0.012) between 2014 and 2017. CONCLUSION:As hospitals explore care transition improvements to SNFs, developing more embedded relationships highlights one approach to improve value.

journal_name

J Nurs Care Qual

authors

McHugh JP,Shield RR,Gadbois EA,Winblad U,Mor V,Tyler DA

doi

10.1097/NCQ.0000000000000459

subject

Has Abstract

pub_date

2021-01-01 00:00:00

pages

91-98

issue

1

eissn

1057-3631

issn

1550-5065

pii

00001786-202101000-00017

journal_volume

36

pub_type

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