Transitions From Skilled Nursing Facility to Home: The Relationship of Early Outpatient Care to Hospital Readmission

Jennifer L. Carnahan, James E. Slaven, Christopher Callahan, Wanzhu Tu, Alexia Torke

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Background: Many adults are discharged to skilled nursing facilities (SNFs) prior to returning home from the hospital. Patient characteristics and factors that can help to prevent postdischarge adverse outcomes are poorly understood. Objective: To identify whether early post-SNF discharge care reduces likelihood of 30-day hospital readmissions. Design: Secondary data analysis using the Electronic Medical Record, Medicare, Medicaid and the Minimum Data Set. Participants/setting: Older (age > 65 years), community-dwelling adults admitted to a safety net hospital in the Midwest for 3 or more nights and discharged home after an SNF stay (n = 1543). Measurements: The primary outcome was hospital readmission within 30 days of SNF discharge. The primary independent variables were either a home health visit or an outpatient provider visit within a week of SNF discharge. Results: Out of 8754 community-dwelling, hospitalized older adults, 3025 (34.6%) were discharged to an SNF, of whom 1543 (51.0%) returned home. Among the SNF to home group, a home health visit within a week of SNF discharge was associated with reduced hazard of 30-day hospital readmission [adjusted hazard ratio (aHR) 0.61, P < .001] but outpatient provider visits were not associated with reduced risk of hospital readmission (aHR = 0.67, P = .821). Conclusion: For patients discharged from an SNF to home, the finding that a home health visit within a week of discharge is associated with reduced hazard of 30-day hospital readmissions suggests a potential avenue for intervention.

Original languageEnglish (US)
JournalJournal of the American Medical Directors Association
DOIs
StateAccepted/In press - 2017

Fingerprint

Skilled Nursing Facilities
Patient Readmission
Ambulatory Care
House Calls
Independent Living
Health
Outpatients
Safety-net Providers
Group Homes
Electronic Health Records
Medicaid
Medicare

Keywords

  • Care transitions
  • Home care
  • Hospital readmission
  • Primary care
  • Skilled nursing facility

ASJC Scopus subject areas

  • Nursing(all)
  • Medicine(all)
  • Health Policy

Cite this

@article{954e324af936423abf044acd8f954373,
title = "Transitions From Skilled Nursing Facility to Home: The Relationship of Early Outpatient Care to Hospital Readmission",
abstract = "Background: Many adults are discharged to skilled nursing facilities (SNFs) prior to returning home from the hospital. Patient characteristics and factors that can help to prevent postdischarge adverse outcomes are poorly understood. Objective: To identify whether early post-SNF discharge care reduces likelihood of 30-day hospital readmissions. Design: Secondary data analysis using the Electronic Medical Record, Medicare, Medicaid and the Minimum Data Set. Participants/setting: Older (age > 65 years), community-dwelling adults admitted to a safety net hospital in the Midwest for 3 or more nights and discharged home after an SNF stay (n = 1543). Measurements: The primary outcome was hospital readmission within 30 days of SNF discharge. The primary independent variables were either a home health visit or an outpatient provider visit within a week of SNF discharge. Results: Out of 8754 community-dwelling, hospitalized older adults, 3025 (34.6{\%}) were discharged to an SNF, of whom 1543 (51.0{\%}) returned home. Among the SNF to home group, a home health visit within a week of SNF discharge was associated with reduced hazard of 30-day hospital readmission [adjusted hazard ratio (aHR) 0.61, P < .001] but outpatient provider visits were not associated with reduced risk of hospital readmission (aHR = 0.67, P = .821). Conclusion: For patients discharged from an SNF to home, the finding that a home health visit within a week of discharge is associated with reduced hazard of 30-day hospital readmissions suggests a potential avenue for intervention.",
keywords = "Care transitions, Home care, Hospital readmission, Primary care, Skilled nursing facility",
author = "Carnahan, {Jennifer L.} and Slaven, {James E.} and Christopher Callahan and Wanzhu Tu and Alexia Torke",
year = "2017",
doi = "10.1016/j.jamda.2017.05.007",
language = "English (US)",
journal = "Journal of the American Medical Directors Association",
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TY - JOUR

T1 - Transitions From Skilled Nursing Facility to Home

T2 - The Relationship of Early Outpatient Care to Hospital Readmission

AU - Carnahan, Jennifer L.

AU - Slaven, James E.

AU - Callahan, Christopher

AU - Tu, Wanzhu

AU - Torke, Alexia

PY - 2017

Y1 - 2017

N2 - Background: Many adults are discharged to skilled nursing facilities (SNFs) prior to returning home from the hospital. Patient characteristics and factors that can help to prevent postdischarge adverse outcomes are poorly understood. Objective: To identify whether early post-SNF discharge care reduces likelihood of 30-day hospital readmissions. Design: Secondary data analysis using the Electronic Medical Record, Medicare, Medicaid and the Minimum Data Set. Participants/setting: Older (age > 65 years), community-dwelling adults admitted to a safety net hospital in the Midwest for 3 or more nights and discharged home after an SNF stay (n = 1543). Measurements: The primary outcome was hospital readmission within 30 days of SNF discharge. The primary independent variables were either a home health visit or an outpatient provider visit within a week of SNF discharge. Results: Out of 8754 community-dwelling, hospitalized older adults, 3025 (34.6%) were discharged to an SNF, of whom 1543 (51.0%) returned home. Among the SNF to home group, a home health visit within a week of SNF discharge was associated with reduced hazard of 30-day hospital readmission [adjusted hazard ratio (aHR) 0.61, P < .001] but outpatient provider visits were not associated with reduced risk of hospital readmission (aHR = 0.67, P = .821). Conclusion: For patients discharged from an SNF to home, the finding that a home health visit within a week of discharge is associated with reduced hazard of 30-day hospital readmissions suggests a potential avenue for intervention.

AB - Background: Many adults are discharged to skilled nursing facilities (SNFs) prior to returning home from the hospital. Patient characteristics and factors that can help to prevent postdischarge adverse outcomes are poorly understood. Objective: To identify whether early post-SNF discharge care reduces likelihood of 30-day hospital readmissions. Design: Secondary data analysis using the Electronic Medical Record, Medicare, Medicaid and the Minimum Data Set. Participants/setting: Older (age > 65 years), community-dwelling adults admitted to a safety net hospital in the Midwest for 3 or more nights and discharged home after an SNF stay (n = 1543). Measurements: The primary outcome was hospital readmission within 30 days of SNF discharge. The primary independent variables were either a home health visit or an outpatient provider visit within a week of SNF discharge. Results: Out of 8754 community-dwelling, hospitalized older adults, 3025 (34.6%) were discharged to an SNF, of whom 1543 (51.0%) returned home. Among the SNF to home group, a home health visit within a week of SNF discharge was associated with reduced hazard of 30-day hospital readmission [adjusted hazard ratio (aHR) 0.61, P < .001] but outpatient provider visits were not associated with reduced risk of hospital readmission (aHR = 0.67, P = .821). Conclusion: For patients discharged from an SNF to home, the finding that a home health visit within a week of discharge is associated with reduced hazard of 30-day hospital readmissions suggests a potential avenue for intervention.

KW - Care transitions

KW - Home care

KW - Hospital readmission

KW - Primary care

KW - Skilled nursing facility

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