ArticleHealth affairs (Project Hope)2017
Patients Are Not Given Quality-Of-Care Data About Skilled Nursing Facilities When Discharged From Hospitals.
Article in Health affairs (Project Hope), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed.
- Access to preferred skilled nursing facilities: Transitional care pathways for patients with Alzheimer's disease and related dementias.Health services research · 2024Article
- Hospital Discharge Planners Need More Information When Referring Patients to Home Health Care: Insights From the Coronavirus Disease 2019 Pandemic.Health services insights · 2023Article
- Higher hospital referral concentration associated with lower-risk patients in skilled nursing facilities.Health services research · 2021Article
- Policy in Clinical Practice: Choosing Post-Acute Care in the New Decade.Journal of hospital medicine · 2021Article
- Is There a Link between Nursing Home Reported Quality and COVID-19 Cases? Evidence from California Skilled Nursing Facilities.Journal of the American Medical Directors Association · 2020Article
- Cognitive Biases Influence Decision-Making Regarding Postacute Care in a Skilled Nursing Facility.Journal of hospital medicine · 2020Article
- Transitional Care Outcomes in Veterans Receiving Post-Acute Care in a Skilled Nursing Facility.Journal of the American Geriatrics Society · 2019Observational
- Quality measurement and nursing homes: measuring what matters.BMJ quality & safety · 2019Article
- Do report cards predict future quality? The case of skilled nursing facilities.Journal of health economics · 2019Article
- Medicare's bundled payment model did not change skilled nursing facility discharge patterns.The American journal of managed care · 2019Article
- Choosing the Best and Scrambling for the Rest: Hospital-Nursing Home Relationships and Admissions to Post-Acute Care.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2019Article
- Perceived Costs of Care Influence Post-Acute Care Choices by Clinicians, Patients, and Caregivers.Journal of the American Geriatrics Society · 2019Article
- Hospital-Skilled Nursing Facility Collaboration: A Mixed-Methods Approach to Understanding the Effect of Linkage Strategies.Health services research · 2018Article
- Medicare Advantage control of postacute costs: perspectives from stakeholders.The American journal of managed care · 2018Article
- Do Skilled Nursing Facilities Selected to Participate in Preferred Provider Networks Have Higher Quality and Lower Costs?Health services research · 2018Article
- Defining and Measuring Nursing Home Placement.Journal of the American Geriatrics Society · 2018Article
- Hospitals Using Bundled Payment Report Reducing Skilled Nursing Facility Use And Improving Care Integration.Health affairs (Project Hope) · 2018Article
- Discharge to skilled-care or rehabilitation following elective anterior cervical discectomy and fusion increases the risk of 30-day re-admissions and post-discharge complications.Journal of spine surgery (Hong Kong) · 2018Article
- Medicare Advantage Enrollees More Likely To Enter Lower-Quality Nursing Homes Compared To Fee-For-Service Enrollees.Health affairs (Project Hope) · 2018Article
- Assessing the Quality of Nursing Homes in Managed Care Organizations: Integrating LTSS for Dually Eligible Beneficiaries.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
Hospitals are now being held at least partly accountable for Medicare patients' care after discharge, as a result of regulations and incentives imposed by the Affordable Care Act. However, little is known about how patients select a postacute care facility. We used a multiple case study approach to explore both how patients requiring postacute care decide which skilled nursing facility to select and the role of hospital staff members in this decision. We interviewed 138 staff members of sixteen hospitals and twenty-five skilled nursing facilities and 98 patients in fourteen of the skilled nursing facilities. Most patients described receiving only lists of skilled nursing facilities from hospital staff members, while staff members reported not sharing data about facilities' quality with patients because they believed that patient choice regulations precluded them from doing so. Consequently, patients' choices were rarely based on readily available quality data. Proposed changes to the Medicare conditions of participation for hospitals that pertain to discharge planning could rectify this problem. In addition, less strict interpretations of choice requirements would give hospitals flexibility in the discharge planning process and allow them to refer patients to higher-quality facilities.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.