Trends In Hospitals And Skilled Nursing Facilities Sharing Medical Providers, 2008-16.

ABSTRACT: Hospitals and skilled nursing facilities (SNFs) face increasing pressure to improve care coordination and reduce unnecessary readmissions. One strategy to accomplish this is to share physicians and advanced practice clinicians, so that the same providers see patients in both settings. Using 2008-16 Medicare claims, we found that as SNFs moved increasingly toward using SNF specialists, there was a steady decline in the number of facilities sharing medical providers and in the proportion of SNF primary care delivered by provider practices with both hospital and SNF clinicians (hospital-SNF practices). In SNF fixed effects analyses, we found that SNFs that increased primary care visits by hospital-SNF practices had slightly fewer readmissions, shorter lengths-of-stay, and increased successful

SUBMITTER: White EM 

PROVIDER: S-EPMC7446141 | biostudies-literature | 2020 Aug

REPOSITORIES: biostudies-literature