Where Skilled Nursing Facility Residents Get Acute Care: Is the Emergency Department the Medical Home?

Arjun K. Venkatesh; Cameron J. Gettel; Hao Mei; Shih Chuan Chou; Craig Rothenberg; Shu Ling Liu; Gail D’Onofrio; Zhen Qiu Lin; Harlan M. Krumholz

doi:10.1177/0733464820950125

Where Skilled Nursing Facility Residents Get Acute Care: Is the Emergency Department the Medical Home?

Arjun K. Venkatesh, Cameron J. Gettel, Hao Mei, Shih Chuan Chou, Craig Rothenberg, Shu Ling Liu, Gail D’Onofrio, Zhen Qiu Lin, Harlan M. Krumholz

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

Objectives: This study aimed to characterize the distribution of acute care visits among Medicare beneficiaries receiving skilled nursing facility (SNF) services. Methods: We conducted a cross-sectional analysis of a 20% sample of continuously enrolled Medicare beneficiaries in the 2012 Chronic Condition Warehouse data set. Beneficiaries were grouped by the number of days of SNF services, and acute care visits were categorized as “before SNF,” “during SNF,” or “after SNF.” Results: Among the 10,717,786 Medicare beneficiaries analyzed, 384,312 (3.6%) had at least one SNF stay. Discussion: Beneficiaries who received SNF services had a higher proportion of acute care visits made to emergency departments (EDs) than beneficiaries who did not receive SNF services. Also, a higher proportion of acute care visits were made to EDs by beneficiaries after a SNF stay in comparison to residents actively residing in a SNF. The acute care capabilities of SNFs and post-SNF transitions of care to the community setting are discussed.

Original language	English (US)
Pages (from-to)	828-836
Number of pages	9
Journal	Journal of Applied Gerontology
Volume	40
Issue number	8
DOIs	https://doi.org/10.1177/0733464820950125
State	Published - Aug 2021
Externally published	Yes

Keywords

geriatrics
health services
long-term services and supports

ASJC Scopus subject areas

Gerontology
Geriatrics and Gerontology

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10.1177/0733464820950125

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title = "Where Skilled Nursing Facility Residents Get Acute Care: Is the Emergency Department the Medical Home?",

abstract = "Objectives: This study aimed to characterize the distribution of acute care visits among Medicare beneficiaries receiving skilled nursing facility (SNF) services. Methods: We conducted a cross-sectional analysis of a 20% sample of continuously enrolled Medicare beneficiaries in the 2012 Chronic Condition Warehouse data set. Beneficiaries were grouped by the number of days of SNF services, and acute care visits were categorized as “before SNF,” “during SNF,” or “after SNF.” Results: Among the 10,717,786 Medicare beneficiaries analyzed, 384,312 (3.6%) had at least one SNF stay. Discussion: Beneficiaries who received SNF services had a higher proportion of acute care visits made to emergency departments (EDs) than beneficiaries who did not receive SNF services. Also, a higher proportion of acute care visits were made to EDs by beneficiaries after a SNF stay in comparison to residents actively residing in a SNF. The acute care capabilities of SNFs and post-SNF transitions of care to the community setting are discussed.",

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author = "Venkatesh, {Arjun K.} and Gettel, {Cameron J.} and Hao Mei and Chou, {Shih Chuan} and Craig Rothenberg and Liu, {Shu Ling} and Gail D{\textquoteright}Onofrio and Lin, {Zhen Qiu} and Krumholz, {Harlan M.}",

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doi = "10.1177/0733464820950125",

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AU - Venkatesh, Arjun K.

AU - Gettel, Cameron J.

AU - Mei, Hao

AU - Chou, Shih Chuan

AU - Rothenberg, Craig

AU - Liu, Shu Ling

AU - D’Onofrio, Gail

AU - Lin, Zhen Qiu

AU - Krumholz, Harlan M.

N1 - Publisher Copyright: © The Author(s) 2020.

PY - 2021/8

Y1 - 2021/8

N2 - Objectives: This study aimed to characterize the distribution of acute care visits among Medicare beneficiaries receiving skilled nursing facility (SNF) services. Methods: We conducted a cross-sectional analysis of a 20% sample of continuously enrolled Medicare beneficiaries in the 2012 Chronic Condition Warehouse data set. Beneficiaries were grouped by the number of days of SNF services, and acute care visits were categorized as “before SNF,” “during SNF,” or “after SNF.” Results: Among the 10,717,786 Medicare beneficiaries analyzed, 384,312 (3.6%) had at least one SNF stay. Discussion: Beneficiaries who received SNF services had a higher proportion of acute care visits made to emergency departments (EDs) than beneficiaries who did not receive SNF services. Also, a higher proportion of acute care visits were made to EDs by beneficiaries after a SNF stay in comparison to residents actively residing in a SNF. The acute care capabilities of SNFs and post-SNF transitions of care to the community setting are discussed.

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Where Skilled Nursing Facility Residents Get Acute Care: Is the Emergency Department the Medical Home?

Abstract

Keywords

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