TY  - BOOK
AU  - Rahman,Momotazur
AU  - Norton,Edward C.
AU  - Grabowski,David C.
ED  - National Bureau of Economic Research.
TI  - Do Hospital-Owned Skilled Nursing Facilities Provide Better Post-Acute Care Quality?
T2  - NBER working paper series
PY  - 2016///
CY  - Cambridge, Mass.
PB  - National Bureau of Economic Research
N1  - August 2016; Hardcopy version available to institutional subscribers
N2  - As hospitals are increasingly held accountable for patients' post-discharge outcomes under new payment models, hospitals may choose to acquire skilled nursing facilities (SNFs) to better manage these outcomes. This raises the question of whether patients discharged to hospital-based SNFs have better outcomes. In unadjusted comparisons, hospital-based SNF patients have much lower Medicare utilization in the 180 days following discharge relative to freestanding SNF patients. We solved the problem of differential selection into hospital-based and freestanding SNFs by using differential distance from home to the nearest hospital with a SNF relative to the distance from home to the nearest hospital without a SNF as an instrument. We found that hospital-based SNF patients spent roughly 5 more days in the community and 6 fewer days in the SNF in the 180 days following their original hospital discharge with no significant effect on mortality or hospital readmission
UR  - https://www.nber.org/papers/w22515
UR  - http://dx.doi.org/10.3386/w22515
ER  -