Skilled Nursing Facility Patients Discharged to Home Health Agency Services Spend More Days at Home.

ABSTRACT:

Objectives

To investigate the association of the utilization of Medicare-certified home health agency (CHHA) services with post-acute skilled nursing facility (SNF) discharge outcomes that included home time, rehospitalization, SNF readmission, and mortality.

Design

Retrospective cohort study.

Setting

New York State fee-for-service Medicare beneficiaries aged 65 years and older admitted to SNFs for post-acute care and discharged to the community in 2014.

Participants

A total of 25,357 older adults.

Measurements

The outcomes included days spent alive in the community ("home time"), rehospitalization, SNF readmission, and mortality within 30- and 90-day post-SNF discharge periods. The primary independent variables were SNF five-star overall quality rating

SUBMITTER: Simning A 

PROVIDER: S-EPMC7363542 | biostudies-literature | 2020 Jul

REPOSITORIES: biostudies-literature