Relative contributions of hospital versus skilled nursing facility quality on patient outcomes.

ABSTRACT:

Background

Hospitals and health systems worldwide have adopted value-based payment to improve quality and reduce costs. In the USA, skilled nursing facilities (SNFs) are now financially penalised for higher-than-expected readmission rates. However, the extent to which SNFs contribute to, and should thus be held accountable for, readmission rates is unknown. To compare the relative contributions of hospital and SNF quality on readmission rates while controlling for unobserved patient characteristics.

Methods

Retrospective cohort study of Medicare beneficiaries, 2010-2016. Acute care hospitals and SNFs in the USA. Medicare beneficiaries with two hospitalisations followed by SNF admissions, divided into two groups: (1) patients who went to different hospitals but were discharge

SUBMITTER: Chatterjee P 

PROVIDER: S-EPMC7770560 | biostudies-literature | 2021 Mar

REPOSITORIES: biostudies-literature