Challenges and Consequences of Reduced Skilled Nursing Facility Lengths of Stay.

ABSTRACT: OBJECTIVE:To identify the challenges that reductions in length of stay (LOS) pose for skilled nursing facilities (SNFs) and their postacute care (PAC) patients. DATA SOURCES/SETTING:Seventy interviews with staff in 25 SNFs in eight U.S. cities, LOS data for patients in those SNFs. STUDY DESIGN:Data were qualitatively analyzed, and key themes were identified. Interview data from SNFs with and without reductions in median risk-adjusted LOS were compared and contrasted. DATA COLLECTION/EXTRACTION METHODS:We conducted 70 semistructured interviews. LOS data were derived from minimum dataset (MDS) admission records available for all patients in all U.S. SNFs from 2012 to 2014. PRINCIPAL FINDINGS:Challenges reported regardless of reductions in LOS included frequent and more complicated re-authori

SUBMITTER: Tyler DA 

PROVIDER: S-EPMC6232452 | biostudies-literature | 2018 Dec

REPOSITORIES: biostudies-literature