ArticleHealth services research2013
The impact of hospital-based skilled nursing facility closures on rehospitalizations.
Article in Health services research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
23 citing papers in PubMed.
- State Medicaid Bed-Hold Policies and Hospitalizations and ED Visits Among Long-Stay Nursing Home Residents.JAMA health forum · 2026Article
- Association between prescription patterns and primary care clinic closures in South Korea: A longitudinal retrospective cohort study.BMC primary care · 2025Article
- Interventional analytics in skilled nursing facilities associated with reduced readmissions.The American journal of managed care · 2024Article
- The health effects of nursing home specialization in post-acute care.Journal of health economics · 2023Article
- Trends In Hospitals And Skilled Nursing Facilities Sharing Medical Providers, 2008-16.Health affairs (Project Hope) · 2020Article
- Do report cards predict future quality? The case of skilled nursing facilities.Journal of health economics · 2019Article
- Role of Post-Acute Care on Hospital Readmission After High-Risk Surgery.The Journal of surgical research · 2019Article
- Hospital-Skilled Nursing Facility Collaboration: A Mixed-Methods Approach to Understanding the Effect of Linkage Strategies.Health services research · 2018Article
- Trends in hospital-SNF relationships in the care of Medicare beneficiaries.Healthcare (Amsterdam, Netherlands) · 2018Article
- Medicare Advantage enrollees' use of nursing homes: trends and nursing home characteristics.The American journal of managed care · 2018Article
- The Contribution of Skilled Nursing Facilities to Hospitals' Readmission Rate.Health services research · 2017Article
- ACO-Affiliated Hospitals Reduced Rehospitalizations From Skilled Nursing Facilities Faster Than Other Hospitals.Health affairs (Project Hope) · 2017Article
- Do hospital-owned skilled nursing facilities provide better post-acute care quality?Journal of health economics · 2016Article
- The Impact of Social Health Insurance on Diabetes and Hypertension Process Indicators among Older Adults in Mexico.Health services research · 2016Article
- Accountability of Hospitals for Medicare Beneficiaries' Postacute Care Discharge Disposition.JAMA internal medicine · 2016Article
- Higher Medicare SNF care utilization by dual-eligible beneficiaries: can Medicaid long-term care policies be the answer?Health services research · 2015Article
- Hospital closure and insights into patient dispersion: the closure of Saint Vincent's Catholic Medical Center in New York City.Applied clinical informatics · 2015Article
- Influence of hospital and nursing home quality on hospital readmissions.The American journal of managed care · 2014Article
- Sensitivity and specificity of the Minimum Data Set 3.0 discharge data relative to Medicare claims.Journal of the American Medical Directors Association · 2014Article
- Effect of hospital-SNF referral linkages on rehospitalization.Health services research · 2013Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
objectiveTo examine the effect of reductions in hospital-based (HB) skilled nursing facility (SNF) bed supply on the rate of rehospitalization of patients discharged to any SNF from zip codes that lost HB beds. DATA SOURCE: We used Medicare enrollment records, Medicare hospital and SNF claims, and nursing home Minimum Dataset assessments and characteristics (OSCAR) to examine nearly 10 million Medicare fee-for-service hospital discharges to SNFs between 1999 and 2006. STUDY
designWe calculated the number of HB and freestanding (FS) SNF beds within a 22 km radius from the centroid of all zip codes in which Medicare beneficiaries reside in all years. We examined the relationship between HB and FS bed supply and the rehospitalization rates of the patients residing in corresponding zip codes in different years using zip code fixed effects and instrumental variable methods including extensive sensitivity analyses. PRINCIPAL
findingsOur estimated coefficients suggest that closure of 882 HB homes during our study period resulted in 12,000-18,000 extra rehospitalizations within 30 days of discharge. The effect was largely concentrated among the most acutely ill, high-need patients.
conclusionsSNF patient-based prospective payment resulted in closure of higher cost HB facilities that had served most postacute patients. As other, less experienced SNFs replaced HB facilities, they were less able to manage high acuity patients without rehospitalizing them.
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