Hospital-skilled nursing facility referral linkage reduces readmission rates among Medicare patients receiving major surgery
BACKGROUND:In the health reform era, rehospitalization after discharge may result in financial penalties to hospitals. The effect of increased hospital-skilled nursing facility (SNF) linkage on readmission reduction after surgery has not been explored.METHODS:To determine whether enhanced hospital-S...
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sg-smu-ink.soe_research-32882019-08-05T06:24:37Z Hospital-skilled nursing facility referral linkage reduces readmission rates among Medicare patients receiving major surgery SCHOENFELD, Andrew J. ZHANG, Xuan GRABOWSKI, David C. MOR, Vincent WEISSMAN, Joel S. RAHMAN, Momotazur BACKGROUND:In the health reform era, rehospitalization after discharge may result in financial penalties to hospitals. The effect of increased hospital-skilled nursing facility (SNF) linkage on readmission reduction after surgery has not been explored.METHODS:To determine whether enhanced hospital-SNF linkage, as measured by the proportion of surgical patients referred from a hospital to a particular SNF, would result in reduced 30-day readmission rates for surgical patients, we used national Medicare data (2011-2012) and evaluated patients who underwent 1 of 5 operative procedures (coronary artery bypass grafting [CABG], hip fracture repair, total hip arthroplasty, colectomy, or lumbar spine surgery). Initial evaluation was performed using regression modeling. Patient choice in SNF referral was adjusted for using instrumental variable (IV) analysis with distance between an individuals' home and the SNF as the IV.RESULTS:A strong negative correlation (P CONCLUSION:The benefits of increased hospital-SNF linkage seem to include meaningful reductions in hospital readmission after surgery. Overall, a 10% increase in the proportion of surgical referrals to a particular SNF is estimated to decrease readmissions by 4%. This may impact hospital-SNF networks participating in risk-based reimbursement models. 2016-05-02T07:00:00Z text application/pdf https://ink.library.smu.edu.sg/soe_research/2289 info:doi/10.1016/j.surg.2015.12.012 https://ink.library.smu.edu.sg/context/soe_research/article/3288/viewcontent/surgery_2016.pdf http://creativecommons.org/licenses/by-nc-nd/4.0/ Research Collection School Of Economics eng Institutional Knowledge at Singapore Management University Health and Medical Administration Health Economics |
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Health and Medical Administration Health Economics SCHOENFELD, Andrew J. ZHANG, Xuan GRABOWSKI, David C. MOR, Vincent WEISSMAN, Joel S. RAHMAN, Momotazur Hospital-skilled nursing facility referral linkage reduces readmission rates among Medicare patients receiving major surgery |
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BACKGROUND:In the health reform era, rehospitalization after discharge may result in financial penalties to hospitals. The effect of increased hospital-skilled nursing facility (SNF) linkage on readmission reduction after surgery has not been explored.METHODS:To determine whether enhanced hospital-SNF linkage, as measured by the proportion of surgical patients referred from a hospital to a particular SNF, would result in reduced 30-day readmission rates for surgical patients, we used national Medicare data (2011-2012) and evaluated patients who underwent 1 of 5 operative procedures (coronary artery bypass grafting [CABG], hip fracture repair, total hip arthroplasty, colectomy, or lumbar spine surgery). Initial evaluation was performed using regression modeling. Patient choice in SNF referral was adjusted for using instrumental variable (IV) analysis with distance between an individuals' home and the SNF as the IV.RESULTS:A strong negative correlation (P CONCLUSION:The benefits of increased hospital-SNF linkage seem to include meaningful reductions in hospital readmission after surgery. Overall, a 10% increase in the proportion of surgical referrals to a particular SNF is estimated to decrease readmissions by 4%. This may impact hospital-SNF networks participating in risk-based reimbursement models. |
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SCHOENFELD, Andrew J. ZHANG, Xuan GRABOWSKI, David C. MOR, Vincent WEISSMAN, Joel S. RAHMAN, Momotazur |
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SCHOENFELD, Andrew J. ZHANG, Xuan GRABOWSKI, David C. MOR, Vincent WEISSMAN, Joel S. RAHMAN, Momotazur |
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SCHOENFELD, Andrew J. |
title |
Hospital-skilled nursing facility referral linkage reduces readmission rates among Medicare patients receiving major surgery |
title_short |
Hospital-skilled nursing facility referral linkage reduces readmission rates among Medicare patients receiving major surgery |
title_full |
Hospital-skilled nursing facility referral linkage reduces readmission rates among Medicare patients receiving major surgery |
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Hospital-skilled nursing facility referral linkage reduces readmission rates among Medicare patients receiving major surgery |
title_full_unstemmed |
Hospital-skilled nursing facility referral linkage reduces readmission rates among Medicare patients receiving major surgery |
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hospital-skilled nursing facility referral linkage reduces readmission rates among medicare patients receiving major surgery |
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Institutional Knowledge at Singapore Management University |
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2016 |
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https://ink.library.smu.edu.sg/soe_research/2289 https://ink.library.smu.edu.sg/context/soe_research/article/3288/viewcontent/surgery_2016.pdf |
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