An inevitable focus of efforts to reduce health care spending is the care of those categories of patients who have high costs, particularly those who do so year after year. One such category is nursing home residents. A Statistical Brief from the Agency for Healthcare Research and Quality examines hospitalizations and transitions back to nursing homes for the elderly. (AHRQ Brief) The Brief is based on data from 2009. People over 65 represent almost 90% of the nursing home population and account for over a third of all hospital admissions. Many of these people have cognitive difficulties and transitions from one care setting to another may be particularly destabilizing for them. A focus on care transitions is one of the core facets of programs to improve coordination across settings in the hope of improving quality and lowering costs. While elderly nursing home residents have a lower rate of hospitalization, 204 per 1000 versus 311 per 1000 for community dwelling seniors, their length of stay was longer at 6.4 days versus 5.2 days and their stay ended in death much more frequently, 8.1% of the time versus 3.8%. The most common reason for hospitalization for the nursing home residents was infection, almost 30% of hospitalizations versus 16% for admissions from the community. This may reflect poor care in the nursing home. Other common reasons were stroke, heart disease and respiratory problems. Most nursing home residents were discharged back to the nursing home, but some went to the community, presumably a home. And some small percent of hospitalizations from the community resulted in discharge to a nursing home.
Nursing Home and Hospital Use by the Elderly
By Kevin RocheFebruary 20, 2013Commentary
✅ Subscribe via Email
About this Blog
The Healthy Skeptic is a website about the health care system, and is written by Kevin Roche, who has many years of experience working in the health industry. Mr. Roche is available to assist health care companies through consulting arrangements through Roche Consulting, LLC and may be reached at [email protected].
Healthy Skeptic Podcast
This is an outstanding report on total global drug spending and trends, with projections out to 2025. It helps you understand this important area of health care, which does much...
June 1, 2021
MedPAC 2019 Report to Congress
June 18, 2019
Another example of over-priced companies trying to find some way to survive in the post-epidemic financial world. Transcarent, which does something, somehow to “access high quality, affordable care” is buying...
March 6, 2023
In an attempt to swiftly revive two floundering health care companies, a PE firm has announced the merger and recapitalization of Revive Health and SwiftMD. You know they are...
January 30, 2023
Investors have not yet learned their lesson, as Pearl Health gathers a new round of $75 million in capital for its business of supporting physicians who want to participate in...
January 30, 2023
Access ACO Care Management Chronic Disease Comparative Effectiveness Consumer Directed Health Consumers Devices Disease Management Drugs EHRs Elder Care End-of-Life Care FDA Financings Genomics Government Health Care Costs Health Care Quality Health Care Reform Health Insurance Health Insurance Exchange HIT HomeCare Hospital Hospital Readmissions Legislation M&A Malpractice Meaningful Use Medicaid Medical Care Medicare Medicare Advantage Mobile Pay For Performance Pharmaceutical Physicians Providers Regulation Repealing Reform Telehealth Telemedicine Wellness and Prevention Workplace
March 27, 2023
Why You Can’t Trust People Who Make Up Stuff About Vax Safety
A couple of studies offer a far better explanation for heart issues in athletes and…
March 25, 2023
Coronamonomania Lives Forever, Part 201
Tired of March Madness? A boringly refreshing dip into some CV-19 research summaries is recommended.
March 24, 2023
The CDC Is a Font of Methodological and Statistical Error
Several times in the last three years I and others have pointed out serious flaws…