Collaboration among multiple entities is needed to meet the emerging challenges around transitions of care for complex clinical pathways
LTACH=Long-term acute care hospital
- Discharges from the acute care setting to the long-term care setting increased from 21% in 2000 to 26.3% in 20153
- Jenks et al estimates that about 20% of all Medicare beneficiaries discharged from the hospital are readmitted within 30 days4
- The national rate of hospital readmissions at 30 days from skilled nursing facilities (SNF) is 21%5
- SNFs are experiencing shorter stays and falling occupancies6
- From 2012 to 2017, nursing home occupancies fell from nearly 86% to less than 82%6
- Data on file. Adelphi market research. Bipolar Disorder Institutional Patient Journey. September 2015.
- Steffen S, Kösters M, Becker T, Puschner B. Discharge planning in mental health care: a systematic review of the recent literature. Acta Psychiatr Scand. 2009;120:1-9.
- Werner RM, Konetzka RT. Trends in post–acute care use among Medicare beneficiaries: 2000 to 2015. JAMA Research Letter. 17 April, 2018. JAMA. 2018;319:1616-1617.
- Jencks SF, Williams MV, Coleman EA. Rehospitalizations among patients in the Medicare fee-for-service program. N Engl J Med. 2009;360:1418-1428.
- Fry L. High acuity unit in SNF: Novel program to improve quality of care for post-acute patients. JAMDA. 2018;19:B18.
- McKnight’s Long-Term Care News. https://www.mcknights.com/marketplace/the-demands-of-a-rapidly-growing-senior-population-will-drive-2018-industry-changes/. Accessed April 24, 2019.