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 Qualjournal_title
Journal of nursing care qualityauthors
McHugh JP,Shield RR,Gadbois EA,Winblad U,Mor V,Tyler DAdoi
10.1097/NCQ.0000000000000459subject
Has Abstractpub_date
2021-01-01 00:00:00pages
91-98issue
1eissn
1057-3631issn
1550-5065pii
00001786-202101000-00017journal_volume
36pub_type
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