Effects of a post-acute care management program on subsequent acute care utilization for hospitalized patients discharged to skilled nursing facilities.
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| Název: | Effects of a post-acute care management program on subsequent acute care utilization for hospitalized patients discharged to skilled nursing facilities. |
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| Autoři: | Armstrong D; Care Management, JPS Health Network, 1500 South Main Street, Fort Worth, TX, 76104, United States., Agovi AM; Center for Epidemiology & Healthcare Delivery Research, JPS Health Network, 1500 South Main Street, Fort Worth, TX, 76104, United States. mmensah@jpshealth.org., Gehr AW; Center for Epidemiology & Healthcare Delivery Research, JPS Health Network, 1500 South Main Street, Fort Worth, TX, 76104, United States., Cvitanovich M; Cook Children's Health Care System, Fort Worth, TX, 76104, United States., McNamara-Pittler E; Center for Epidemiology & Healthcare Delivery Research, JPS Health Network, 1500 South Main Street, Fort Worth, TX, 76104, United States., Goodier N; Clinical Integration, Nursing Administration, JPS Health Network, 1500 South Main Street, Fort Worth, TX, 76104, United States., Hasty K; Care Management, JPS Health Network, 1500 South Main Street, Fort Worth, TX, 76104, United States., Govea A; Care Management, JPS Health Network, 1500 South Main Street, Fort Worth, TX, 76104, United States., Woods M; Care Management, JPS Health Network, 1500 South Main Street, Fort Worth, TX, 76104, United States., Ojha RP; Center for Epidemiology & Healthcare Delivery Research, JPS Health Network, 1500 South Main Street, Fort Worth, TX, 76104, United States. |
| Zdroj: | BMC health services research [BMC Health Serv Res] 2026 Jan 07. Date of Electronic Publication: 2026 Jan 07. |
| Publication Model: | Ahead of Print |
| Způsob vydávání: | Journal Article |
| Jazyk: | English |
| Informace o časopise: | Publisher: BioMed Central Country of Publication: England NLM ID: 101088677 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1472-6963 (Electronic) Linking ISSN: 14726963 NLM ISO Abbreviation: BMC Health Serv Res Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: London : BioMed Central, [2001- |
| Competing Interests: | Declarations. human ethics and consent to participate: This study was reviewed by the North Texas Regional Institutional Review Board and determined to be exempt from full review (IRB #2022 − 107). The requirement for informed consent was waived by the Institutional Review Board. All study procedures were conducted in accordance with the ethical standards of the Declaration of Helsinki. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests. |
| References: | Coleman EA, Boult C, American Geriatrics Society Health Care Systems C. Improving the quality of transitional care for persons with complex care needs. J Am Geriatr Soc Apr. 2003;51(4):556–7. https://doi.org/10.1046/j.1532-5415.2003.51186.x. The Medicare Payment Advisory Commission. Section 8: Post-Acute Care. Accessed August 12. 2024. https://www.medpac.gov/wp-content/uploads/2024/07/July2024_MedPAC_DataBook_SEC.pdf. Rodriguez A, Edelen MO, McMullen TL, et al. Who receives post-acute care? Characteristics of National population and field test sample. J Am Geriatr Soc Apr. 2022;70(4):991–1000. https://doi.org/10.1111/jgs.17649. Burke RE, Whitfield EA, Hittle D, et al. Hospital readmission from Post-Acute care facilities: risk Factors, Timing, and outcomes. J Am Med Dir Assoc Mar 1. 2016;17(3):249–55. https://doi.org/10.1016/j.jamda.2015.11.005. Mor V, Intrator O, Feng Z, Grabowski DC. The revolving door of rehospitalization from skilled nursing facilities. Health Aff (Millwood) Jan-Feb. 2010;29(1):57–64. https://doi.org/10.1377/hlthaff.2009.0629. King BJ, Gilmore-Bykovskyi AL, Roiland RA, Polnaszek BE, Bowers BJ, Kind AJ. The consequences of poor communication during transitions from hospital to skilled nursing facility: a qualitative study. J Am Geriatr Soc Jul. 2013;61(7):1095–102. https://doi.org/10.1111/jgs.12328. Valverde PA, Ayele R, Leonard C, Cumbler E, Allyn R, Burke RE. Gaps in hospital and skilled nursing facility responsibilities during transitions of care: a comparison of hospital and SNF clinicians’ perspectives. J Gen Intern Med Aug. 2021;36(8):2251–8. https://doi.org/10.1007/s11606-020-06511-9. Agarwal D, Werner RM. Effect of hospital and Post-Acute care provider participation in accountable care organizations on patient outcomes and medicare spending. Health Serv Res Dec. 2018;53(6):5035–56. https://doi.org/10.1111/1475-6773.13023. Austin EJ, Neukirch J, Ong TD, et al. Development and implementation of a complex health system intervention targeting transitions of care from hospital to Post-acute care. J Gen Intern Med. Feb 2021;36(2):358–65. https://doi.org/10.1007/s11606-020-06140-2. Kim LD, Kou L, Hu B, Gorodeski EZ, Rothberg MB. Impact of a connected care model on 30-Day readmission rates from skilled nursing facilities. J Hosp Med Apr. 2017;12(4):238–44. https://doi.org/10.12788/jhm.2710. Colucciello NA, Kowalkowski MA, Kooken M, Wardi G, Taylor SP. Passing the SNF test: A secondary analysis of a sepsis transition intervention trial among patients discharged to Post-Acute care. J Am Med Dir Assoc May. 2023;24(5):742–e7461. https://doi.org/10.1016/j.jamda.2023.02.009. Schubert A, Patterson M, Sumrall WD, et al. Perioperative population management for primary hip arthroplasty reduces hospital and postacute care utilization while maintaining or improving care quality. J Clin Anesth Feb. 2021;68:110072. https://doi.org/10.1016/j.jclinane.2020.110072. Dadosky A, Overbeck H, Barbetta L, et al. Telemanagement of heart failure patients across the Post-Acute care continuum. Telemed J E Health May. 2018;24(5):360–6. https://doi.org/10.1089/tmj.2017.0058. Suissa S. Single-arm trials with historical controls: study designs to avoid Time-related biases. Epidemiol Jan. 2021;32(1):94–100. https://doi.org/10.1097/EDE.0000000000001267. Seeger JD, Davis KJ, Iannacone MR, et al. Methods for external control groups for single arm trials or long-term uncontrolled extensions to randomized clinical trials. Pharmacoepidemiol Drug Saf Nov. 2020;29(11):1382–92. https://doi.org/10.1002/pds.5141. Ip S, Paulus JK, Balk EM, Dahabreh IJ, Avendano EE, Lau J. Role of single group studies in agency for healthcare research and quality comparative effectiveness reviews. AHRQ Methods for Effective Health Care; 2013. Benchimol EI, Smeeth L, Guttmann A, et al. The reporting of studies conducted using observational Routinely-collected health data (RECORD) statement. PLoS Med. 2015;12(10):e1001885. https://doi.org/10.1371/journal.pmed.1001885. Agency for Healthcare Research and Quality. Emergency Severity Index (ESI): a triage tool for emergency department. Agency for Healthcare Research and Quality. Accessed April 29. 2024. https://www.ahrq.gov/patient-safety/settings/emergency-dept/esi.html. Smith MJ, Mansournia MA, Maringe C, et al. Introduction to computational causal inference using reproducible Stata, R, and python code: A tutorial. Stat Med Jan. 2022;30(2):407–32. https://doi.org/10.1002/sim.9234. Greifer N, Stuart EA. Matching methods for confounder adjustment: an addition to the epidemiologist’s toolbox. Jan. 2022;14(1):118–29. https://doi.org/10.1093/epirev/mxab003. Wang A, Nianogo RA, Arah OA. G-computation of average treatment effects on the treated and the untreated. BMC Med Res Methodol Jan. 2017;9(1):3. https://doi.org/10.1186/s12874-016-0282-4. Greenland S, Pearl J, Robins JM. Causal diagrams for epidemiologic research. Epidemiol Jan. 1999;10(1):37–48. Emergency Severity Index (ESI): a triage tool for emergency department. Agency for Healthcare Research and Quality. Accessed April 29. 2024. https://www.ahrq.gov/patient-safety/settings/emergency-dept/esi.html. Snowden JM, Rose S, Mortimer KM. Implementation of G-computation on a simulated data set: demonstration of a causal inference technique. Am J Epidemiol Apr. 2011;1(7):731–8. https://doi.org/10.1093/aje/kwq472. Fuglesten BJ, Cubanski J, Neuman T. Amid the COVID-19 Pandemic, Medicare spending on skilled nursing facilities increased more than 4% despite an overall decline in utilization. KFF (Kaiser Family Foundation). Updated July 20, 2022. Accessed June 13, 2025. https://www.kff.org/medicare/issue-brief/amid-the-covid-19-pandemic-medicare-spending-on-skilled-nursing-facilities-increased-more-than-4-despite-an-overall-decline-in-utilization/. Medicare Payment Advisory Commission (MedPAC). Chapter 6: Skilled Nursing Facility Services. In Report to the Congress: Medicare Payment Policy. 2024. March 2024. Accessed October 9, 2025. https://www.medpac.gov/wp-content/uploads/2024/03/Mar24_Ch6_MedPAC_Report_To_Congress_SEC.pdf. Jiang HJBM. Clinical Conditions With Frequent, Costly hospital readmissions by payer, 2020. Agency for healthcare research and quality (AHRQ). Accessed July 16, 2025. https://hcup-us.ahrq.gov/reports/statbriefs/SB307-508.pdf. Butler AM, Burcu M, Christian JB, et al. Noninterventional studies in the COVID-19 era: methodological considerations for study design and analysis. J Clin Epidemiol Jan. 2023;153:91–101. https://doi.org/10.1016/j.jclinepi.2022.11.011. Moore A, Lima JC, Patel S, Junge-Maughan L, Dufour AB, Lipsitz L. Jan. An interdisciplinary videoconference to improve transitions of care and reduce readmission, Cost, and post-acute length of stay in a teaching and community hospital. J Am Med Dir Assoc. 2024;25(1):84 e1-84 e7. https://doi.org/10.1016/j.jamda.2023.09.001. Rosen BT, Halbert RJ, Hart K, Diniz MA, Isonaka S, Black JT. The enhanced care program: impact of a care transition program on 30-day hospital readmissions for patients discharged from an acute care facility to skilled nursing facilities. J Hosp Med. Apr 1. 2018;13(4):229–236. https://doi.org/10.12788/jhm.2852. Barnighausen T, Oldenburg C, Tugwell P, et al. Quasi-experimental study designs series-paper 7: assessing the assumptions. J Clin Epidemiol Sep. 2017;89:53–66. https://doi.org/10.1016/j.jclinepi.2017.02.017. Rothbard S, Etheridge JC, Murray EJ. A tutorial on applying the difference-in-differences method to health data. Curr Epidemiol Rep. 2023:1–11. Westreich D, Cole SR. Invited commentary: positivity in practice. Am J Epidemiol Mar. 2010;15(6):674–7. https://doi.org/10.1093/aje/kwp436. discussion 678 – 81. Petersen ML, Porter KE, Gruber S, Wang Y, van der Laan MJ. Diagnosing and responding to violations in the positivity assumption. Stat Methods Med Res Feb. 2012;21(1):31–54. https://doi.org/10.1177/0962280210386207. America’s Essential Hospitals. The Crucial Role of Skilled Nursing Facilities in Reducing Hospital Readmissions. Accessed October 21. 2025. https://essentialhospitals.org/the-crucial-role-of-skilled-nursing-facilities-in-reducing-hospital-readmissions/. |
| Contributed Indexing: | Keywords: Care transitions; Healthcare utilization; Post-acute care; Readmissions; Skilled nursing facility |
| Entry Date(s): | Date Created: 20260108 Latest Revision: 20260108 |
| Update Code: | 20260108 |
| DOI: | 10.1186/s12913-025-13944-7 |
| PMID: | 41501817 |
| Databáze: | MEDLINE |
| Abstrakt: | Declarations. human ethics and consent to participate: This study was reviewed by the North Texas Regional Institutional Review Board and determined to be exempt from full review (IRB #2022 − 107). The requirement for informed consent was waived by the Institutional Review Board. All study procedures were conducted in accordance with the ethical standards of the Declaration of Helsinki. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests. |
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| ISSN: | 1472-6963 |
| DOI: | 10.1186/s12913-025-13944-7 |
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