keyword
MENU ▼
Read by QxMD icon Read
search

Skilled Nursing Facility

keyword
https://www.readbyqxmd.com/read/29656565/rural-urban-differences-in-costs-of-end-of-life-care-for-the-last-6-months-of-life-among-patients-with-breast-lung-or-colorectal-cancer
#1
Elizabeth Crouch, Jan M Eberth, Janice C Probst, Kevin Bennett, Swann A Adams
PURPOSE: The purpose of this study was to examine rural-urban differences in utilization and expenditures in the last 6 months of life for patients with breast, lung, or colorectal cancer. METHODS: The study used a 5% sample of the 2013 Medicare Research Identifiable Files to study utilization and expenditures for beneficiaries with breast, lung, or colorectal cancer during the last 6 months before death (n = 6,214). End of life expenditures were calculated as the sum of total Medicare expenditures for inpatient, outpatient, physician, home health, hospice, and skilled nursing facility costs during the last 6 months of life...
April 15, 2018: Journal of Rural Health
https://www.readbyqxmd.com/read/29656399/differences-between-skilled-nursing-facilities-in-risk-of-subsequent-long-term-care-placement
#2
James S Goodwin, Shuang Li, Addie Middleton, Kenneth Ottenbacher, Yong-Fang Kuo
OBJECTIVES: To determine how the risk of subsequent long-term care (LTC) placement varies between skilled nursing facilities (SNFs) and the SNF characteristics associated with this risk. DESIGN: Population-based national cohort study with participants nested in SNFs and hospitals in a cross-classified multilevel model. SETTING: SNFs (N=6,680). PARTICIPANTS: Fee-for-service Medicare beneficiaries (N=552,414) discharged from a hospital to a SNF in 2013...
April 14, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29649611/predictors-of-adverse-discharge-disposition-in-adult-spinal-deformity-and-associated-costs
#3
Peter G Passias, Gregory W Poorman, Cole A Bortz, Rabia Qureshi, Bassel G Diebo, Justin C Paul, Samantha R Horn, Frank A Segreto, Alexandra Pyne, Cyrus M Jalai, Virginie Lafage, Shay Bess, Frank J Schwab, Hamid Hassanzadeh
BACKGROUND CONTEXT: With advances in the understanding of adult spinal deformity (ASD), more complex osteotomy and fusion techniques are being implemented with increasing frequency. Patients undergoing ASD corrections infrequently require extended acute care, longer inpatient stays, and are discharged to supervised care. Given the necessity of value-based health care, identification of clinical indicators for adverse discharge disposition in ASD surgeries is paramount. PURPOSE: On nationwide and surgeon-created databases, identify predictors of adverse discharge disposition after ASD surgeries and view corresponding differences in charges...
April 9, 2018: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29618112/critical-care-in-the-military-health-system-a-survey-based-summary-of-critical-care-services
#4
Jason J Nam, Christopher J Colombo, Cristin A Mount, Elizabeth A Mann-Salinas, Ferdinand Bacomo, Adam W Bostick, Konrad Davis, James K Aden, Kevin K Chung, Mary S McCarthy, Jeremy C Pamplin
Introduction: Critical care is an important component of in-patient and combat casualty care, and it is a major contributor to U.S. healthcare costs. Regular exposure to critically ill and injured patients may directly contribute to wartime skills retention for military caregivers. Data describing critical care services in the Military Health System (MHS), however, is lacking. This study was undertaken to describe MHS critical care services, their resource utilization, and differences in care practices amongst military treatment facilities (MTFs)...
March 29, 2018: Military Medicine
https://www.readbyqxmd.com/read/29616500/effect-of-obesity-on-postacute-outcomes-of-skilled-nursing-facility-residents-with-hip-fracture
#5
Cyrus M Kosar, Kali S Thomas, Pedro L Gozalo, Jessica A Ogarek, Vincent Mor
OBJECTIVES: To examine the effect of obesity (body mass index (BMI)≥30.0 kg/m2 ) on outcomes of older adults admitted to skilled nursing facilities (SNFs) for hip fracture postacute care (PAC). DESIGN: Retrospective cohort study. SETTING: U.S. Medicare- and Medicaid-certified SNFs from 2008 to 2015. PARTICIPANTS: Medicare fee-for-service beneficiaries discharged to a SNF after hospitalization for hip fracture (N=586,683; n=82,768 (14...
April 3, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29615441/a-discrete-choice-experiment-to-determine-facility-based-delivery-services-desired-by-women-and-men-in-rural-ethiopia
#6
Nancy K Beam, Gezehegn Bekele Dadi, Sally H Rankin, Sandra Weiss, Bruce Cooper, Lisa M Thompson
OBJECTIVES: Despite global efforts to increase facility-based delivery (FBD), 90% of women in rural Ethiopia deliver at home without a skilled birth attendant. Men have an important role in increasing FBD due to their decision-making power, but this is largely unexplored. This study aimed to determine the FBD care attributes preferred by women and men, and whether poverty or household decision-making are associated with choice to deliver in a facility. SETTING AND PARTICIPANTS: We conducted a cross-sectional discrete choice experiment in 109 randomly selected households in rural Ethiopia in September-October 2015...
April 3, 2018: BMJ Open
https://www.readbyqxmd.com/read/29614148/clinical-inquiries-how-well-do-polst-forms-assure-that-patients-get-the-end-of-life-care-they-requested
#7
Jordan Collier, Gary Kelsberg, Sarah Safranek
Quite well, for cardiopulmonary resuscitation (CPR). Most patients (91%-100%) who select "do not resuscitate" (DNR) on their physician's orders for life-sustaining treatment (POLST) forms are allowed a natural death without attempted CPR across a variety of settings (community, skilled nursing facilities, emergency medical services, and hospice). Few patients (6%) who select "comfort measures only" die in the hospital, whereas more (22%) who choose "limited interventions," and still more (34%) without a POLST form, die in the hospital (strength of recommendation [SOR]: B, large, consistent cross-sectional and cohort studies)...
April 2018: Journal of Family Practice
https://www.readbyqxmd.com/read/29611719/early-hospital-readmissions-following-an-acute-exacerbation-of-copd-in-the-nationwide-readmissions-database
#8
David M Jacobs, Katia Noyes, Jiwei Zhao, Walter Gibson, Timothy F Murphy, Sanjay Sethi, Heather M Ochs-Balcom
RATIONALE: Understanding the causes and factors related to readmission for an acute exacerbation of chronic obstructive pulmonary disease (AECOPD) within a nationwide database including all payers and ages can provide valuable input for the development of generalizable readmission reduction strategies. OBJECTIVES: To determine the rates, causes, and predictors for early (3-, 7-, and 30-day) readmission in patients hospitalized with AECOPD in the United States utilizing the Nationwide Readmission Database (NRD) following the initiation of the Hospital Readmissions Reduction Program (HRRP) but prior to its expansion to COPD...
April 3, 2018: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/29611457/medicare-bundled-payments-for-post-acute-care-characteristics-and-baseline-performance-of-participating-skilled-nursing-facilities
#9
Xi Cen, Helena Temkin-Greener, Yue Li
Medicare bundled payment models have focused on post-acute care as a key component of improving the efficiency and quality of health care. This study investigated the characteristics and baseline performance of skilled nursing facilities (SNFs) that participated in Medicare Bundled Payments for Care Improvement Initiative Model 3. As of July 2016, 657 SNFs participated in 7,932 episodes in risk-bearing phase. Our retrospective analyses found that larger facilities, higher occupancy rate, chain affiliation, better five-star overall rating, and higher market competition for SNF care were associated with increased likelihood of enrolling in clinical episodes in Model 3, whereas not-for-profit ownership, higher adjusted staffing levels, higher percentage of Medicaid residents, and rural location were associated with reduced likelihood of participation in Bundled Payments for Care Improvement...
April 1, 2018: Medical Care Research and Review: MCRR
https://www.readbyqxmd.com/read/29606685/en-route-critical-care-transfer-from-a-role-2-to-a-role-3-medical-treatment-facility-in-afghanistan
#10
Amanda M Staudt, Shelia C Savell, Kimberly A Biever, Jennifer D Trevino, Krystal K Valdez-Delgado, Mithun Suresh, Jennifer M Gurney, Stacy A Shackelford, Joseph K Maddry, Elizabeth A Mann-Salinas
BACKGROUND: En route care is the transfer of patients requiring combat casualty care within the US military evacuation system. No reports have been published about en route care of patients during transfer from a forward surgical facility (role 2) to a combat support hospital (role 3) for comprehensive care. OBJECTIVE: To describe patients transferred from a role 2 to a role 3 US military treatment facility in Afghanistan. METHODS: A retrospective review of data from the Joint Trauma System Role 2 Database was conducted...
April 2018: Critical Care Nurse
https://www.readbyqxmd.com/read/29606684/en-route-care-provided-by-us-navy-nurses-in-iraq-and-afghanistan
#11
Virginia S Blackman, Benjamin D Walrath, Lauren K Reeves, Alejandra G Mora, Joseph K Maddry, Zsolt T Stockinger
BACKGROUND: US Navy nurses provide en route care for critically injured combat casualties without having a formal program for training, utilization, or evaluation. Little is known about missions supported by Navy nurses. OBJECTIVES: To characterize the number and types of patients transported and skill sets required by Navy nurses during 2 combat support deployments. METHODS: All interfacility casualty transfers between 2 separate facilities in Iraq and Afghanistan were assessed...
April 2018: Critical Care Nurse
https://www.readbyqxmd.com/read/29604380/informal-caregiver-challenges-for-advanced-cancer-patients-during-end-of-life-care-in-johannesburg-south-africa-and-distinctions-based-on-place-of-death
#12
Daniel S O'Neil, Holly G Prigerson, Keletso Mmoledi Cpn, Mfanelo Sobekwa, Mpho Ratshikana-Moloko, Jacob M Tsitsi, Herbert Cubasch, Michelle L Wong, Jones Ao Omoshoro-Jones, Paul E Sackstein, Craig D Blinderman, Judith S Jacobson, Maureen Joffe, Paul Ruff, Alfred I Neugut, Charmaine L Blanchard
CONTEXT: In sub-Saharan Africa, late diagnosis with cancer is common. Many dying patients rely on family members for care; little is known about the challenges African informal caregivers face. OBJECTIVES: To better understand the challenges of informal caregivers at the end-of-life in South Africa, both at home and in inpatient facilities. METHODS: We included advanced cancer patients and caregivers from a public hospital in Johannesburg, South Africa...
March 28, 2018: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/29602261/post-acute-care-use-after-major-head-and-neck-oncologic-surgery-with-microvascular-reconstruction
#13
Harman S Parhar, Brent A Chang, J Scott Durham, Donald W Anderson, Richard E Hayden, Eitan Prisman
OBJECTIVES: Post-acute care (PAC) centers, such as skilled nursing facilities, unskilled nursing facilities, lower acuity hospitals, and rehabilitation centers, serve to optimize recovery after acute care hospitalization. We aimed to identify factors associated with PAC utilization among patients undergoing head and neck cancer surgery with microvascular reconstruction because it may be helpful for patient decision making, discharge planning, and resource allocation. METHODS: Retrospective linked analysis of the 2011 to 2015 National Surgical Quality Improvement Program...
March 30, 2018: Laryngoscope
https://www.readbyqxmd.com/read/29601425/predicting-risk-factors-for-30-day-readmissions-following-discharge-from-post-acute-care
#14
Nina M Flanagan, Victoria M Rizzo, Gary D James, Adele Spegman, Najla A Barnawi
PURPOSE OF STUDY: The specific aims of this descriptive study were to (1) examine the relationships between individual-level determinants of health using standard care admission assessments of residents admitted to a skilled nursing facility (SNF) and those residents readmitted to the hospital within 30 days from discharge from the same SNF; (2) identify and describe the risk factors of the residents readmitted to the hospital within 30 days; and (3) use the findings to inform and refine current practice to target the mutable risk factors correlated with 30-day hospital readmission...
May 2018: Professional Case Management
https://www.readbyqxmd.com/read/29601083/analysis-of-episodes-of-care-in-medicare-beneficiaries-newly-diagnosed-with-alzheimer-s-disease
#15
Rezaul K Khandker, Christopher M Black, Lin Xie, M Furaha Kariburyo, Baishali M Ambegaonkar, Onur Baser, Huseyin Yuce, Howard Fillit
OBJECTIVES: To study transitions between healthcare settings and quantify the cost burdens associated with different combinations of transitions during a 6-month period before initial Alzheimer's disease (AD) diagnosis so as to investigate how using an episode-of-care approach to payment for specific disease states might apply in AD. DESIGN: A retrospective observational cohort study. SETTING: United States. PARTICIPANTS: A random sample of 8,995 individuals aged 65 to 100 with a diagnosis of AD (International Classification of Diseases, Ninth Revision, Clinical Modification code 331...
March 30, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29595584/discharge-patterns-for-ischemic-and-hemorrhagic-stroke-patients-going-from-acute-care-hospitals-to-inpatient-and-skilled-nursing-rehabilitation
#16
Ickpyo Hong, Amol Karmarkar, Winston Chan, Yong-Fang Kuo, Trudy Mallinson, Kenneth J Ottenbacher, James Goodwin, Clark R Andersen, Timothy A Reistetter
OBJECTIVE: To explore variation in acute care use of inpatient (IRF) and skilled nursing (SNF) rehabilitation following ischemic and hemorrhagic stroke. DESIGN: A secondary analysis of Medicare claims data linked to IRF and SNF assessment files (2013-2014). RESULTS: The sample included 122,084 stroke patients discharged to IRF or SNF from 3,677 acute hospitals. Of the acute hospitals, 3,649 discharged patients with an ischemic stroke (range 1-402 patients/hospital, median=15) compared to 1,832 acute hospitals that discharged patients with hemorrhagic events (range 1-73 patients/hospital, median=4)...
March 28, 2018: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/29595550/changing-neonatal-nurses-perceptions-of-caring-for-infants-experiencing-neonatal-abstinence-syndrome-and-their-mothers-an-evidenced-based-practice-opportunity
#17
Kobi Brooke Tobin
BACKGROUND: Neonatal intensive care units (NICUs) are caring for an increasing number of infants born with neonatal abstinence syndrome (NAS). The literature identifies the need for education for NICU nurses on NAS including skills for interacting with the mother with substance use disorder. PURPOSE: An evidence-based practice project was developed to offer an educational presentation targeting these topics to 206 NICU participants (93% registered nurses, 1% licensed vocational nurses, and 6% nursing assistants) at a level IV NICU...
April 2018: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/29595367/lessons-learned-from-the-implementation-of-a-medically-enhanced-residential-treatment-mert-model-integrating-intravenous-antibiotics-and-residential-addiction-treatment
#18
Honora Englander, Talitha Wilson, Devin Collins, Elena Phoutrides, Melissa Weimer, P Todd Korthuis, Jessica Calcagni, Christina Nicolaidis
BACKGROUND: Hospitalizations for severe infections associated with substance use disorder (SUD) are increasing. People with SUD often remain hospitalized for many weeks instead of completing intravenous antibiotics at home; often, they are denied skilled nursing facility admission. Residential SUD treatment facilities are not equipped to administer intravenous antibiotics. We developed a medically enhanced residential treatment (MERT) model integrating residential SUD treatment and long-term IV antibiotics as part of a broader hospital-based addiction medicine service...
March 29, 2018: Substance Abuse
https://www.readbyqxmd.com/read/29587869/perspectives-of-health-professionals-on-the-best-care-settings-for-pediatric-trauma-casualties-a-qualitative-study
#19
Raya Madar, Bruria Adini, David Greenberg, Yehezkel Waisman, Avishay Goldberg
BACKGROUND: Critically-injured children are frequently treated by providers who lack specialty pediatric training in facilities that have not been modified for the care of children. We set out to understand the attitudes and perspectives of policy makers, and senior nursing and medical managers in the Israeli healthcare system, concerning the provision of medical care to pediatric trauma casualties in emergency departments. METHODS: We conducted semi-structured interviews with 17 health professionals from medical centers across Israel and the Ministry of Health...
March 28, 2018: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/29569005/impact-of-post-discharge-disposition-on-risk-and-causes-of-readmission-following-liver-and-pancreas-surgery
#20
Qinyu Chen, Katiuscha Merath, Griffin Olsen, Fabio Bagante, Jay J Idrees, Ozgur Akgul, Jordan Cloyd, Carl Schmidt, Mary Dillhoff, Eliza W Beal, Susan White, Timothy M Pawlik
BACKGROUND: The relationship between the post-discharge settings and the risk of readmission has not been well examined. We sought to identify the association between discharge destinations and readmission rates after liver and pancreas surgery. METHODS: The 2013-2015 Medicare-Provider Analysis and Review (MEDPAR) database was reviewed to identify liver and pancreas surgical patients. Patients were subdivided into three groups based on discharge destination: home/self-care (HSC), home with home health assistance (HHA), and skilled nursing facility (SNF)...
March 22, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
keyword
keyword
20786
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"