Evidence map›Paper›PMID 32804613›Full record

ArticleJournal of hospital medicine2020

Improving Healthcare Value: COVID-19 Emergency Regulatory Relief and Implications for Post-Acute Skilled Nursing Facility Care.

Ann M Sheehy, Charles Fs Locke, Farah A Kaiksow, W Ryan Powell, Andrea Gilmore Bykovskyi, Amy Jh Kind

Abstract read
In one paragraph

Article in Journal of hospital medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Observation unit use among patients with cancer following emergency department visits: Results of a multicenter prospective cohort from CONCERN.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ann M SheehyDivision of Hospital Medicine, Department of Medicine, School of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin.
Charles Fs LockeDepartment of Care Coordination and Utilization Management, The Johns Hopkins Hospital, Baltimore, Maryland.
Farah A KaiksowDivision of Hospital Medicine, Department of Medicine, School of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin.
W Ryan PowellHealth Services and Care Research Program, Department of Medicine, School of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin.
Andrea Gilmore BykovskyiHealth Services and Care Research Program, Department of Medicine, School of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin.
Amy Jh KindHealth Services and Care Research Program, Department of Medicine, School of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin.

Funding

Wisconsin Alzheimer's Disease Research CenterP30AG062715 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI Jeffrey John Nirschl · 2019 to 2026
$34.5M
Neighborhood Socioeconomic Disadvantage and Medicare's 30-Day Rehospitalization Policy: Eliminating Rehospitalization Disparities by Informing Policy Design and ImplementationR01MD010243 · NIMHD · UNIVERSITY OF WISCONSIN-MADISON · PI KIND, AMY J. · 2015 to 2019
$2.8M
Novel Approaches to Identifying and Engaging Disadvantaged Patients with Alzheimer’s Disease (AD) in Clinical ResearchK76AG060005 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI GILMORE-BYKOVSKYI, ANDREA L · 2018 to 2022
$1.1M
NIA NIH HHS K76 AG060005NIA NIH HHS P30 AG062715NIMHD NIH HHS R01 MD010243
6 · The paper itself

Abstract

Rarely, if ever, does a national healthcare system experience such rapid and marked change as that seen with the COVID-19 pandemic. In March 2020, the president of the United States declared a national health emergency, enabling the Department of Health & Human Services authority to grant temporary regulatory waivers to facilitate efficient care delivery in a variety of healthcare settings. The statutory requirement that Medicare beneficiaries stay three consecutive inpatient midnights to qualify for post-acute skilled nursing facility coverage is one such waiver. This so-called Three Midnight Rule, dating back to the 1960s as part of the Social Security Act, is being scrutinized more than half a century later given the rise in observation hospital stays. Despite the tragic emergency circumstances prompting waivers, the Centers for Medicare & Medicaid Services and Congress now have a unique opportunity to evaluate potential improvements revealed by COVID-19 regulatory relief and should consider permanent reform of the Three Midnight Rule.

Indexed as

BetacoronavirusCenters for Medicare and Medicaid Services, U.S.Coronavirus InfectionsCOVID-19Health Care ReformHumansMedicareOutpatientsPandemicsPneumonia, ViralSARS-CoV-2Skilled Nursing FacilitiesSubacute CareUnited States

Identifiers

PMID32804613
PMCPMC7518138

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.