Literature DB >> 17355580

Impact of the Medicare Short Stay Transfer Policy on patients undergoing major orthopedic surgery.

John D FitzGerald1, W John Boscardin, Bevra H Hahn, Susan L Ettner.   

Abstract

OBJECTIVE: To examine the impact of the Short Stay Transfer Policy (SSTP) on practice patterns. DATA SOURCES: This study uses data from the Centers for Medicare and Medicaid Services Medicare Provider Analysis and Review (MEDPAR) file, Home Health Standard Analytical File, 1999 Provider of Service file, and data from the 2000 United States Census. STUDY
DESIGN: An interrupted time-series analysis was used to examine the length of stay (LOS) and probability of "early" discharge to post acute care (PAC). DATA COLLECTION: Separate 100 percent samples of all fee-for-service Medicare recipients undergoing either elective joint replacement (JR) surgery or surgical management of hip fracture (FX) between January 1, 1996 and December 31, 2000 were selected. PRINCIPAL
FINDINGS: Prior to implementation of the SSTP. LOS had been falling by 0.37 and 0.30 days per year for JR and FX patients respectively. After implementation of the SSTP, there was an immediate increase in LOS by 0.20 and 0.17 days, respectively. Thereafter, LOS remained flat. The proportion of patients discharged "early" to PAC had been rising by 4.4 and 2.6 percentage points per year for JR and FX patients respectively, to a peak of 28.8 percent and 20.4 percent early PAC utilization in September 1998. Immediately after implementation of the SSTP, there was a 4.3 and 3.0 percentage point drop in utilization of "early" PAC. Thereafter utilization of early PAC increased at a much slower rate (for JR) or remained flat (for FX). There was significant regional variation in the magnitude of response to the policy.
CONCLUSION: Implementation of the SSTP reduced the financial incentive to discharge patients early to PAC. This was accomplished primarily through longer LOS without meaningful change in PAC utilization. With the recent expansion of the SSTP to 29 DRGs (representing 34 percent of all discharges), these findings have important implications regarding patient care.

Entities:  

Mesh:

Year:  2007        PMID: 17355580      PMCID: PMC1955238          DOI: 10.1111/j.1475-6773.2006.00606.x

Source DB:  PubMed          Journal:  Health Serv Res        ISSN: 0017-9124            Impact factor:   3.402


  17 in total

1.  Medicare home health before and after the BBA.

Authors:  N McCall; H L Komisar; A Petersons; S Moore
Journal:  Health Aff (Millwood)       Date:  2001 May-Jun       Impact factor: 6.301

2.  Medicare program; changes to the hospital inpatient prospective payment systems and fiscal year 2000 rates. Department of Health and Human Services (HHS), Health Care Financing Administration (HCFA). Final rule.

Authors: 
Journal:  Fed Regist       Date:  1999-07-30

3.  Adapting a clinical comorbidity index for use with ICD-9-CM administrative databases.

Authors:  R A Deyo; D C Cherkin; M A Ciol
Journal:  J Clin Epidemiol       Date:  1992-06       Impact factor: 6.437

4.  Nursing home transfers and mean length of stay in the prospective payment era.

Authors:  G Kenney; J Holahan
Journal:  Med Care       Date:  1991-07       Impact factor: 2.983

5.  Variations in the use of medical and surgical services by the Medicare population.

Authors:  M R Chassin; R H Brook; R E Park; J Keesey; A Fink; J Kosecoff; K Kahn; N Merrick; D H Solomon
Journal:  N Engl J Med       Date:  1986-01-30       Impact factor: 91.245

6.  Does inappropriate use explain geographic variations in the use of health care services? A study of three procedures.

Authors:  M R Chassin; J Kosecoff; R E Park; C M Winslow; K L Kahn; N J Merrick; J Keesey; A Fink; D H Solomon; R H Brook
Journal:  JAMA       Date:  1987-11-13       Impact factor: 56.272

7.  Use of Medicare services before and after introduction of the prospective payment system.

Authors:  K G Manton; M A Woodbury; J C Vertrees; E Stallard
Journal:  Health Serv Res       Date:  1993-08       Impact factor: 3.402

8.  Inpatient cost of primary total joint arthroplasty.

Authors:  S J Meyers; J D Reuben; D D Cox; M Watson
Journal:  J Arthroplasty       Date:  1996-04       Impact factor: 4.757

9.  Do rehabilitative nursing homes improve the outcomes of care?

Authors:  R L Kane; Q Chen; L A Blewett; J Sangl
Journal:  J Am Geriatr Soc       Date:  1996-05       Impact factor: 5.562

10.  Expansion of Medicare's definition of post-acute care transfers.

Authors:  Jerry Cromwell; Suzanne Donoghue; Boyd H Gilman
Journal:  Health Care Financ Rev       Date:  2002
View more
  11 in total

1.  Patient vs provider characteristics impacting hospital lengths of stay after total knee or hip arthroplasty.

Authors:  Joseph F Styron; Siran M Koroukian; Alison K Klika; Wael K Barsoum
Journal:  J Arthroplasty       Date:  2011-01-28       Impact factor: 4.757

2.  The importance of population-based performance measures.

Authors:  Joseph S Ross; Albert L Siu
Journal:  Health Serv Res       Date:  2007-02       Impact factor: 3.402

3.  The Application of Medicare Data for Musculoskeletal Research in the United States: A Systematic Review.

Authors:  Elham Mahmoudi; Sunitha Malay; Brianna L Maroukis; Tiana Sarsour; Kevin C Chung
Journal:  J Am Acad Orthop Surg       Date:  2019-07-01       Impact factor: 3.020

4.  Changes in regional variation of Medicare home health care utilization and service mix for patients undergoing major orthopedic procedures in response to changes in reimbursement policy.

Authors:  John D FitzGerald; W John Boscardin; Susan L Ettner
Journal:  Health Serv Res       Date:  2009-06-03       Impact factor: 3.402

5.  The Mental Health Parity and Addiction Equity Act Evaluation Study: Impact on Specialty Behavioral Health Care Utilization and Spending Among Carve-In Enrollees.

Authors:  Jessica M Harwood; Francisca Azocar; Amber Thalmayer; Haiyong Xu; Michael K Ong; Chi-Hong Tseng; Kenneth B Wells; Sarah Friedman; Susan L Ettner
Journal:  Med Care       Date:  2017-02       Impact factor: 2.983

6.  Predicting discharge placement and health care needs after lumbar spine laminectomy.

Authors:  Saddam F Kanaan; Hung-Wen Yeh; Russell L Waitman; Douglas C Burton; Paul M Arnold; Neena K Sharma
Journal:  J Allied Health       Date:  2014

7.  Changes in Hospital Referral Patterns to Skilled Nursing Facilities Under the Hospital Readmissions Reduction Program.

Authors:  K Lucy Kim; Li Li; Meng Kuang; Leora I Horwitz; Sunita M Desai
Journal:  Med Care       Date:  2019-09       Impact factor: 2.983

8.  Regional variation in acute care length of stay after orthopaedic surgery total joint replacement surgery and hip fracture surgery.

Authors:  John D Fitzgerald; Haoling H Weng; Nelson F Soohoo; Susan L Ettner
Journal:  J Hosp Adm       Date:  2013

9.  THA with a minimally invasive technique, multi-modal anesthesia, and home rehabilitation: factors associated with early discharge?

Authors:  Dana Christopher Mears; Simon C Mears; Jacques E Chelly; Feng Dai; Katie L Vulakovich
Journal:  Clin Orthop Relat Res       Date:  2009-03-20       Impact factor: 4.176

10.  Use of post-acute care after hospital discharge in urban and rural hospitals.

Authors:  Robert E Burke; Christine D Jones; Eric A Coleman; Jason R Falvey; Jennifer E Stevens-Lapsley; Adit A Ginde
Journal:  Am J Accountable Care       Date:  2017-03-10
View more

北京卡尤迪生物科技股份有限公司 © 2022-2023.