Trends in Post-Acute Care in US Nursing Homes: 2001-2017

2021 ◽  
Vol 22 (12) ◽  
pp. 2491-2495.e2
Author(s):  
Rachel M. Werner ◽  
Zachary Templeton ◽  
Nate Apathy ◽  
Meghan M. Skira ◽  
R. Tamara Konetzka
Keyword(s):  
Nursing Homes ◽  
Acute Care ◽  
Post Acute Care

scholarly journals Do older adults benefit from post-acute care following hospitalisation? A prospective cohort study at three Swiss nursing homes

2020 ◽  
Author(s):  
Marion Thalmann ◽  
Thomas Trster ◽  
Karina Fischer ◽  
Gabriele Bieri-Brning ◽  
Beeler Patrick ◽  
...  
Keyword(s):  
Older Adults ◽  
Cohort Study ◽  
Nursing Homes ◽  
Acute Care ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Post Acute Care

Does the Volume of Post-Acute Care Affect Quality of Life in Nursing Homes?

2015 ◽  
Vol 36 (10) ◽  
pp. 1272-1286
Author(s):  
Kathleen Abrahamson ◽  
Tetyana P. Shippee ◽  
Carrie Henning-Smith ◽  
Valerie Cooke
Keyword(s):  
Quality Of Life ◽  
Nursing Homes ◽  
Acute Care ◽  
Post Acute Care

scholarly journals Association Between 5-Star Nursing Home Report Card Ratings and Potentially Preventable Hospitalizations

2018 ◽  
Vol 55 ◽  
pp. 004695801878732 ◽  
Author(s):  
Kira L. Ryskina ◽  
R. Tamara Konetzka ◽  
Rachel M. Werner
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Acute Care ◽  
Rating System ◽  
Preventable Hospitalizations ◽  
Star Rating ◽  
Hospitalization Rates ◽  
Nursing Home Quality ◽  
Potentially Preventable Hospitalizations ◽  
Post Acute Care

Nursing homes’ publicly reported star ratings increased substantially since Centers for Medicare & Medicaid Services’s Nursing Home Compare adopted a 5-star rating system. Our objective was to test whether the improvements in nursing home 5-star ratings were correlated with reductions in rates of hospitalization. We hypothesized that increased attention to 5-star star ratings motivated nursing homes to make changes that improved their star ratings but did not affect their hospitalization rate, resulting in a weakened association between ratings and hospitalizations. We used 2007-2010 Medicare hospital claims and nursing home clinical assessment data to compare the correlation between nursing home 5-star ratings and hospitalization rates before versus after 5-star ratings were publicly released. The correlation between the rate of hospitalization and a nursing home’s 5-star rating weakened slightly after the ratings became publicly available. This decrease in correlation was concentrated among patients receiving post-acute care, who experienced relatively more hospitalizations from best-rated nursing homes. The improvements in nursing home star ratings after the release of Medicare’s 5-star rating system were not accompanied by improvements in a broader measure of outcomes for post-acute care patients. Although this dissociation may be due to better matching of sicker patients to higher-quality nursing homes or superficial improvements by nursing homes to increase their ratings without substantial investments in quality improvement, the 5-star ratings nonetheless became less meaningful as an indicator of nursing home quality for post-acute care patients.

New Post-Acute Care Quality Measures Take Effect Oct. 1

ASHA Leader ◽  
2016 ◽  
Vol 21 (6) ◽  
pp. 34-35
Author(s):  
Sarah Warren ◽  
Tim Nanof
Keyword(s):  
Acute Care ◽  
Quality Measures ◽  
Care Quality ◽  
Post Acute Care

Moving in, taking charge in the post-acute care realm

2013 ◽  
Vol 6 (2) ◽  
pp. 1-25
Author(s):  
MARY ELLEN SCHNEIDER
Keyword(s):  
Acute Care ◽  
Taking Charge ◽  
Post Acute Care

Integrating Palliative Care Assessment Tools to Enhance Understanding of Illness Trajectory in Post-Acute Care and Long-Term Care

2021 ◽  
pp. 104990912110181
Author(s):  
Daphna Grossman ◽  
Yona Grossman ◽  
Ezra Nadler ◽  
Mark Rootenberg ◽  
Jurgis Karuza ◽  
...  
Keyword(s):  
Acute Care ◽  
Chart Review ◽  
Assessment Tools ◽  
Illness Trajectory ◽  
Illness Burden ◽  
Palliative Approach ◽  
Interprofessional Care ◽  
Care Assessment ◽  
Understanding Of Illness ◽  
Post Acute Care

Objectives: To determine whether education and integration of the Gold Standard Framework Proactive Identification Guidance (GSF-PIG) and the Palliative Performance Scale (PPS) into care rounds, in post-acute care settings, can facilitate communication between the interprofessional care team to enhance understanding of illness trajectories, identifying those who would benefit from a palliative approach to care. Methods: Interprofessional care teams received training on the GSF-PIG and PPS which were integrated into weekly care rounds and completed a post-evaluation survey. A chart review was conducted for the 40 patients and residents reviewed with the GSF-PIG and PPS. Data analysis included descriptive statistics and comparisons of characteristics between patients and residents who were grouped as positive or negative on the GFS-PIG surprise question using chi square analyzes and t-tests. Results: The GSF-PIG and PPS were found to enhance communication within care teams and enhance understanding of patient and resident’s illness burden. The chart review revealed that patients and residents whom the team would not be surprised if they died within 1 year were older (p = .002), had a lower PPS score (p = .002) and had more indicators of decline (p < .001) compared to patients and residents the team would be surprised if they died within the year. Conclusion: Training interprofessional care teams on the utilization and integration of the GSF-PIG and PPS during weekly care rounds helped increase the understanding of patient and resident illness burden and illness trajectory to identify those who may benefit from a palliative approach to care.

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