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.
✅ 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
What do you get when you combine a company with a commodity business model, that out of desperation massively overpays for another company that has a commodity business model? $10...
July 27, 2022
The “stupid” model for health care venture capital investing is alive and well. Everside health, which operates primary care clinics and has grown by acquiring other failing health care businesses,...
July 26, 2022
Apparently not even a cute name can save you if you have a stupid business. I constantly bemoan the mis-application of capital and health care is Exhibit A. Olive, another...
July 26, 2022
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