Facility and resident characteristics associated with variation in nursing home transfers: evidence from the OPTIMISTIC demonstration project.

ABSTRACT:

Background

Centers for Medicare and Medicaid Services (CMS) funded demonstration project to evaluate financial incentives for nursing facilities providing care for 6 clinical conditions to reduce potentially avoidable hospitalizations (PAHs). The Optimizing Patient Transfers, Impacting Medical Quality, and Improving Symptoms: Transforming Institutional Care (OPTIMISTIC) site tested payment incentives alone and in combination with the successful nurse-led OPTIMISTIC clinical model. Our objective was to identify facility and resident characteristics associated with transfers, including financial incentives with or without the clinical model.

Methods

This was a longitudinal analysis from April 2017 to June 2018 of transfers among nursing home residents in 40 nursing facilities,

SUBMITTER: Blackburn J 

PROVIDER: S-EPMC8142645 | biostudies-literature | 2021 May

REPOSITORIES: biostudies-literature