ArticleHealth services research2016
Is a Skilled Nursing Facility's Rehospitalization Rate a Valid Quality Measure?
Article in Health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
9 citing papers in PubMed.
- Changes in Patient Medical Complexity After Skilled Nursing Facility Payment Reform: A Qualitative Study.Journal of the American Medical Directors Association · 2026Article
- Multiple imputation procedures for estimating causal effects with multiple treatments with application to the comparison of healthcare providers.Statistics in medicine · 2022Article
- Higher hospital referral concentration associated with lower-risk patients in skilled nursing facilities.Health services research · 2021Article
- Variability in Transitional Care Outcomes Across Hospitals Discharging Veterans to Skilled Nursing Facilities.Medical care · 2020Observational
- Changes in Hospital Referral Patterns to Skilled Nursing Facilities Under the Hospital Readmissions Reduction Program.Medical care · 2019Article
- Transitional Care Outcomes in Veterans Receiving Post-Acute Care in a Skilled Nursing Facility.Journal of the American Geriatrics Society · 2019Observational
- Do report cards predict future quality? The case of skilled nursing facilities.Journal of health economics · 2019Article
- Medicare Advantage Enrollees More Likely To Enter Lower-Quality Nursing Homes Compared To Fee-For-Service Enrollees.Health affairs (Project Hope) · 2018Article
- Best of the 2016 AcademyHealth Annual Research Meeting.Health services research · 2016Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectiveTo determine whether the observed differences in the risk-adjusted rehospitalization rates across skilled nursing facilities (SNFs) reflect true differences or merely differences in patient severity. SETTINGS: Elderly Medicare beneficiaries newly admitted to an SNF following hospitalization. STUDY
designWe used 2009-2012 Medicare data to calculate SNFs' risk-adjusted rehospitalization rate. We then estimated the effect of these rehospitalization rates on the rehospitalization of incident patients in 2013, using an instrumental variable (IV) method and controlling for patient's demographic and clinical characteristics and residential zip code fixed effects. We used the number of empty beds in a patient's proximate SNFs during hospital discharge to create the IV. PRINCIPAL
findingsThe risk-adjusted rehospitalization rate varies widely; about one-quarter of the SNFs have a rehospitalization rate lower than 17 percent, and for one-quarter, it is higher than 23 percent. All the IV models result in a robust finding that an increase in a SNF's rehospitalization rate of 1 percentage point over the period 2009-2012 leads to an increase in a patient's likelihood of rehospitalization by 0.8 percentage points in 2013.
conclusionsTreatment in SNFs with historically low rehospitalization causally reduces a patient's likelihood of rehospitalization. Observed differences in rehospitalization rates reflect true differences and are not an artifact of selection.
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