scholarly journals Differences Between Skilled Nursing Facilities in Risk of Subsequent Long‐Term Care Placement

2018 ◽  
Vol 66 (10) ◽  
pp. 1880-1886 ◽  
Author(s):  
James S. Goodwin ◽  
Shuang Li ◽  
Addie Middleton ◽  
Kenneth Ottenbacher ◽  
Yong‐Fang Kuo
Keyword(s):  
Long Term Care ◽  
Skilled Nursing Facilities ◽  
Nursing Facilities ◽  
Term Care ◽  
Skilled Nursing

Falls in Skilled-Nursing Facilities (SNF) and Long-Term-Care (LTC) Facilities

2019 ◽  
Vol 73 (4_Supplement_1) ◽  
pp. 7311505140p1
Author(s):  
Patti Calk ◽  
Whitney Francis ◽  
Jonann Arrant ◽  
Mary Doss ◽  
Linda Jones
Keyword(s):  
Long Term Care ◽  
Skilled Nursing Facilities ◽  
Nursing Facilities ◽  
Term Care ◽  
Skilled Nursing

scholarly journals Long-Term Care Hospitals: A Case Study in Waste

2021 ◽  
pp. 1-57
Author(s):  
Liran Einav ◽  
Amy Finkelstein ◽  
Neale Mahoney
Keyword(s):  
Event Study ◽  
Study Design ◽  
Long Term Care ◽  
Skilled Nursing Facilities ◽  
Nursing Facilities ◽  
Term Care ◽  
Skilled Nursing ◽  
Hospital Markets

Abstract There is substantial waste in US healthcare but little consensus on how to combat it. We identify one source of waste: long-term care hospitals (LTCHs). Using the entry of LTCHs into hospital markets in an event study design, we find that most LTCH patients would have counterfactually received care at Skilled Nursing Facilities – facilities that provide medically similar care but are paid significantly less – and that substitution to LTCHs leaves patients unaffected or worse off on all dimensions we can objectively measure. Our results imply Medicare could save about $4.6 billion per year by not allowing discharge to LTCHs.

Regulatory requirements for recreational therapy in nursing homes

2017 ◽  
Vol 13 (1) ◽  
pp. 25
Author(s):  
Dawn De Vries, DHA, MPA, CTRS
Keyword(s):  
Nursing Homes ◽  
Long Term Care ◽  
Skilled Nursing Facilities ◽  
Recreational Therapy ◽  
Nursing Facilities ◽  
Regulatory Requirements ◽  
Term Care ◽  
Skilled Nursing

More recreational therapists than ever are practicing in long-term care and skilled nursing facilities (SNFs). Despite this increase in recreational therapists working in SNFs, there continues to be significant confusion about regulatory requirements, as well as practice and coverage issues. This article intends to provide information on regulatory, coverage, and practice issues related to recreational therapy in nursing homes.

scholarly journals Management of Diabetes in Long-term Care and Skilled Nursing Facilities: A Position Statement of the American Diabetes Association

Diabetes Care ◽  
2016 ◽  
Vol 39 (2) ◽  
pp. 308-318 ◽  
Author(s):  
Medha N. Munshi ◽  
Hermes Florez ◽  
Elbert S. Huang ◽  
Rita R. Kalyani ◽  
Maria Mupanomunda ◽  
...  
Keyword(s):  
American Diabetes Association ◽  
Long Term Care ◽  
Position Statement ◽  
Skilled Nursing Facilities ◽  
Nursing Facilities ◽  
Term Care ◽  
Skilled Nursing

scholarly journals HOSPICE VISIT INTENSITY BY PHYSICIANS AND NURSE PRACTITIONERS ON THE GENERAL INPATIENT LEVEL OF CARE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S7-S7
Author(s):  
Thomas J Christian ◽  
Joan Teno ◽  
Pedro L Gozalo ◽  
Michael Plotzke
Keyword(s):  
Nurse Practitioner ◽  
Long Term Care ◽  
Skilled Nursing Facilities ◽  
Fiscal Year ◽  
Level Of Care ◽  
Nursing Facilities ◽  
Term Care ◽  
Skilled Nursing ◽  
Inpatient Units

Abstract The Medicare Hospice Benefit’s General Inpatient (GIP) level of care provides short-term services for pain and symptom management in an inpatient facility that cannot be managed in the patient’s home. Relatively little is known about how beneficiaries utilize services during GIP care. Among a cohort of Medicare hospice beneficiaries utilizing GIP during Federal Fiscal Year 2014 (FY2014), we used 100% Medicare hospice and Part B claims to identify physician and nurse practitioner services concurrent with GIP dates. We estimated logistic regression models to determine the likelihood a beneficiary never receives physician or nurse practitioner services. We found that among the 1.5 million GIP days serviced in FY2014, more than half (52.4%) lacked any recorded physician or nurse practitioner services. Absence rates for these services were particularly high among hospice GIP days provided in inpatient facilities (69.1% missing services), long-term care hospitals (84.3% missing services), and skilled nursing facilities (85.3% missing services). Moreover, one in five hospice episodes having at least three sequential GIP days lacked any physician or nurse practitioner services. Relative to hospice inpatient units, rates of absence were higher among episodes beginning in long-term care hospitals [59.3% long-term care hospital vs. 11.5% hospice inpatient units; AOR 9.65 95% CI 7.47-12.46] and skilled nursing facilities [51.3% skilled nursing facility vs. 11.5% hospice inpatient units; AOR 5.98, 95% CI 5.63-6.36]. More in depth research and monitoring is needed to further understand dimensions of GIP care provision, to ensure that hospice beneficiaries are receiving adequate services regardless of their inpatient setting.

scholarly journals Management of elderly patients with type 2 diabetes in long-term care and skilled-nursing facilities

2018 ◽  
Author(s):  
Ricardo Gómez-Huelgas ◽  
Luis M. Pérez-Belmonte ◽  
Inmaculada Rivera-Cabeo ◽  
Juan C. Morilla-Herrera ◽  
José M. Bellosta-Ymbert ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Elderly Patients ◽  
Long Term Care ◽  
Skilled Nursing Facilities ◽  
Nursing Facilities ◽  
Term Care ◽  
Skilled Nursing

scholarly journals New COVID-19 Transmission after the First Vaccine Dose at Skilled Nursing Facilities in Nebraska

2021 ◽  
Vol 1 (S1) ◽  
pp. s20-s20
Author(s):  
Ishrat Kamal-Ahmed ◽  
FNU Kanishka ◽  
Derry Stover ◽  
Matthew Donahue ◽  
Yi Du ◽  
...  
Keyword(s):  
Long Term Care ◽  
Vaccine Coverage ◽  
Vaccine Dose ◽  
Care Program ◽  
Skilled Nursing Facilities ◽  
Percentage Increase ◽  
Nursing Facilities ◽  
Term Care ◽  
Skilled Nursing

Group Name: DHHS EpiBackground: The inoculation with SARS-CoV-2 vaccine at long-term care facilities (LTCFs) in Nebraska began on December 28, 2020, as part of the Centers for Disease Control and Prevention (CDC) Pharmacy Partnership for Long-Term Care Program.1 As of February 5, 2021, 159 skilled nursing facilities (SNFs) had completed their first vaccine clinic, and 7,271 residents and 6,768 staff had received the first dose of the 2-dose series. Surveillance data before vaccination (December 21–27, 2020) and after the first vaccination dose (January 25–31, 2021) indicate that the weekly SARS-CoV-2 positivity rate at SNFs decreased from 1.18% to 0.42% for residents and 0.54% to 0.11% for staff.2,3,4 In this study, we examined the perceived decrease in new transmission initiated by the first dose of vaccine at SNFs. Methods: We analyzed the data with separate logistic regressions for residents and staff. We included 145 SNFs that completed their first vaccine clinic, and we used the Federal and Pharmacy Partnership database for the number of residents and staff that received the first dose of vaccine at the first vaccine clinic. We followed the SNFs for 21 days after the first vaccine clinic from December 28, 2020, through February 5, 2021, for any first-time SARS-CoV-2–positive cases. The National Healthcare Safety Network (NHSN) database was used to collect the information on the number of residents present at the facility on the day of the first vaccine clinic, if available, or days before in the same week as the first vaccine clinic. The staff count for each facility was extracted from Nebraska Licensure for LTCFs. We collected new case information from the state surveillance, the NHSN, and the Test-Nebraska platform. Results: The mean resident vaccine coverage was 80% and the median staff vaccine coverage was 43%. We found a reverse association between staff vaccine coverage and new positive staff cases. For each percentage increase in staff vaccine coverage, the odds of having a new staff positive case 7 days and 14 days after the first vaccine clinic decrease by 26% and 48%, respectively. No association between coverage and new resident transmission was detected. Possible confounding exists when infected residents might have tested positive 7–14 days after the first vaccine clinic who were not affected by the vaccine. Conclusions: Although we observed the association between lower case count with increased facility-level vaccine coverage, we would need to wait for the administration of the second dose of vaccine before assessing the level of association between coverage and new transmission. Further initiatives are warranted to increase the suboptimal vaccine coverage for staff.Funding: NoDisclosures: None

scholarly journals USING A UNIVERSAL SATISFACTION SCORE IN LONG-TERM CARE SETTINGS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S744-S744
Author(s):  
Nicholas Castle ◽  
Lindsay Schwartz ◽  
David Gifford
Keyword(s):  
Assisted Living ◽  
Long Term Care ◽  
Pay For Performance ◽  
Psychometric Testing ◽  
Satisfaction Score ◽  
Nursing Facilities ◽  
Term Care ◽  
Skilled Nursing ◽  
National Quality

Abstract The CoreQ (not an acronym) consists of a limited number of satisfaction items (3-4 items, depending on setting) that are used to create an overall satisfaction score for long-term care facilities. This measure has been used in assisted living (AL) and skilled nursing facilities (SNFs) and has been endorsed by the National Quality Forum (NQF). Briefly, the development and psychometric testing of the CoreQ will be described, including the rationale for producing an overall satisfaction score and correlation with important quality indicators like Five-Star. Using data collected over the past 3 years, comprising more than 100,000 respondents, the use of the CoreQ measure will be described. For example, the CoreQ scores are used in MA to allow providers to benchmark their performance. The use of the scores in this way will be discussed including how providers have used the scores for quality improvement. Some states have elected to use CoreQ in pay for performance and other state initiatives. A case study of how New Jersey uses CoreQ with SNFs will be presented, including distribution of scores and addressing data collection challenges. CoreQ can be utilized as a short customer satisfaction measure to allow providers to benchmark their performance, residents and families in decision-making, and states and others to use for accountability.

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