Helping the Long-Term/Post-Acute Care Facility Manage Influenza

2017 ◽  
Vol 32 (9) ◽  
pp. 14-24
Author(s):  
Marylee B. Grosso
Keyword(s):  
Acute Care ◽  
Care Facility ◽  
Acute Care Facility ◽  
Post Acute Care

INCONTINENCE-ASSOCIATED DERMATITIS IN A LONG TERM ACUTE CARE FACILITY

2008 ◽  
Vol 35 (Supplement) ◽  
pp. S58 ◽  
Author(s):  
Mary Arnold-Long ◽  
LuAnn Reed ◽  
Kari Dunning ◽  
Jun Ying
Keyword(s):  
Acute Care ◽  
Care Facility ◽  
Acute Care Facility

Delirium among elderly patients admitted to a post-acute care facility and 3-months outcome

2015 ◽  
Vol 16 (5) ◽  
pp. 586-592 ◽  
Author(s):  
Doris Ka Ying Miu ◽  
Ching Wai Chan ◽  
Ching Kok
Keyword(s):  
Elderly Patients ◽  
Acute Care ◽  
Care Facility ◽  
Acute Care Facility ◽  
Post Acute Care

scholarly journals Hospital to Post-Acute Care Facility Transfers: Identifying Targets for Information Exchange Quality Improvement

2017 ◽  
Vol 18 (1) ◽  
pp. 70-73 ◽  
Author(s):  
Christine D. Jones ◽  
Ethan Cumbler ◽  
Benjamin Honigman ◽  
Robert E. Burke ◽  
Rebecca S. Boxer ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Acute Care ◽  
Information Exchange ◽  
Care Facility ◽  
Acute Care Facility ◽  
Post Acute Care

111 Misaligned Incentives for Lumbar Spine Surgery in the Bundled Payment for Care Initiative

Neurosurgery ◽  
2017 ◽  
Vol 64 (CN_suppl_1) ◽  
pp. 223-223
Author(s):  
Joseph E Tanenbaum ◽  
Dominic Pelle ◽  
Edward C Benzel ◽  
Michael P Steinmetz ◽  
Thomas Mroz
Keyword(s):  
Acute Care ◽  
Lumbar Fusion ◽  
Hospital Costs ◽  
Care Facility ◽  
Thoracolumbar Fracture ◽  
Acute Care Facility ◽  
Patient Demographics ◽  
Episode Of Care ◽  
Hospital Characteristics ◽  
Post Acute Care

Abstract INTRODUCTION Under the Bundled Payments for Care Initiative (BPCI), Medicare reimburses for lumbar fusion without adjusting for the patient's underlying pathology. We compared the hospital resource use of two lumbar fusion cohorts that BPCI groups into the same payment bundle: patients with spondylolisthesis and patients with thoracolumbar fracture. METHODS With BPCI, hospitals are reimbursed for a lumbar fusion episode of care if patients are assigned diagnosis related group (DRG) 459 or 460. Vertebroplasty and kyphoplasty use different DRGs. National Inpatient Sample data from 2013 were queried to identify all patients that underwent lumbar fusion to treat a primary diagnosis of thoracolumbar fracture or spondylolisthesis and that were assigned DRG 459 or 460. Multivariable linear and logistic regression were used to compare length of hospital stay (LOS), direct hospital costs, and odds of discharge to a post-acute care facility for thoracolumbar fracture patients and spondylolisthesis patients. All models adjusted for patient demographics, 29 comorbidities, and hospital characteristics. The complex survey design of the NIS was taken into account in all models. RESULTS >After adjusting for patient demographics, insurance status, hospital characteristics, and 29 comorbidities, spondylolisthesis patients had a mean LOS that was 36% shorter (95% CI 26% - 44%, P< 0.0001), a mean cost that was 13% less (95% CI 3.7% - 21%, P< 0.0001), and had 3.6 times greater odds of being discharged home (95% CI 2.5 5.4, P< 0.0001) than thoracolumbar fracture patients. CONCLUSION Under the proposed DRG-based BPCI, hospitals would be reimbursed the same amount for lumbar fusion regardless of whether a patient had spondylolisthesis or thoracolumbar fracture. However, compared with fusion for spondylolisthesis, fusion for thoracolumbar fracture was associated with longer LOS, greater direct hospital costs, and increased likelihood of being discharged to a post-acute care facility. Our findings suggest that the BPCI episode of care for lumbar fusion dis-incentivizes treating trauma patients.

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