Do Hospital-Owned Skilled Nursing Facilities Provide Better Post-Acute Care Quality? / Momotazur Rahman, Edward C. Norton, David C. Grabowski.

Format:

Book

Author/Creator:

Rahman, Momotazur.

Contributor:

National Bureau of Economic Research.

Norton, Edward C.

Grabowski, David C.

Series:

Working Paper Series (National Bureau of Economic Research) no. w22515.

NBER working paper series no. w22515

Language:

English

Physical Description:

1 online resource: illustrations (black and white);

Place of Publication:

Cambridge, Mass. National Bureau of Economic Research 2016.

Summary:

As hospitals are increasingly held accountable for patients' post-discharge outcomes under new payment models, hospitals may choose to acquire skilled nursing facilities (SNFs) to better manage these outcomes. This raises the question of whether patients discharged to hospital-based SNFs have better outcomes. In unadjusted comparisons, hospital-based SNF patients have much lower Medicare utilization in the 180 days following discharge relative to freestanding SNF patients. We solved the problem of differential selection into hospital-based and freestanding SNFs by using differential distance from home to the nearest hospital with a SNF relative to the distance from home to the nearest hospital without a SNF as an instrument. We found that hospital-based SNF patients spent roughly 5 more days in the community and 6 fewer days in the SNF in the 180 days following their original hospital discharge with no significant effect on mortality or hospital readmission.

Notes:

Print version record

August 2016.