Keep 'Em Inward The Hospitals!
Wednesday, November 18, 2020
Well, speaking of twists inwards the commons story, banking company represent out this op-ed in the Boston Globe, suggesting that patients should pass to a greater extent than fourth dimension inwards hospitals earlier going on to post-acute assist elsewhere. Excerpts:
[O]ur question shows that a major root of the waste materials [in wellness assist spending] comes later a patient is released from the hospital. Hospitals that discharge patients to expensive skilled nursing facilities are raising costs together with reducing assist quality.
We . . . detect that for those patients in that place is a substantial create goodness to receiving higher spending spell in the hospital: Being treated at a infirmary that provides to a greater extent than aggressive treatments together with accrues high levels of spending at the fourth dimension of the wellness emergency leads to most a 10 portion reduction inwards the likelihood of decease compared to beingness treated at a low-spending hospital.
It turns out that what is actually going on is excessive purpose of skilled nursing facilities post-hospital discharge. Patients who become to hospitals that convey a high charge per unit of measurement of discharge into SNFs are much to a greater extent than probable to give-up the ghost than those who are transported to hospitals that send their patients domicile instead. ... [H]ospitals that purpose SNFs to a greater extent than than average are non providing practiced plenty assist to their patients. These findings confirm what has been suspected past times many: Coordination of assist send infirmary discharge is a main root of waste materials inwards the wellness assist system, of both coin together with lives.
Our findings advise that, at a minimum, the existing arrangement should too rail infirmary purpose of expensive post-acute assist together with penalize them for it simply every bit they are penalized for a high readmission rate.
[O]ur question shows that a major root of the waste materials [in wellness assist spending] comes later a patient is released from the hospital. Hospitals that discharge patients to expensive skilled nursing facilities are raising costs together with reducing assist quality.
We . . . detect that for those patients in that place is a substantial create goodness to receiving higher spending spell in the hospital: Being treated at a infirmary that provides to a greater extent than aggressive treatments together with accrues high levels of spending at the fourth dimension of the wellness emergency leads to most a 10 portion reduction inwards the likelihood of decease compared to beingness treated at a low-spending hospital.
It turns out that what is actually going on is excessive purpose of skilled nursing facilities post-hospital discharge. Patients who become to hospitals that convey a high charge per unit of measurement of discharge into SNFs are much to a greater extent than probable to give-up the ghost than those who are transported to hospitals that send their patients domicile instead. ... [H]ospitals that purpose SNFs to a greater extent than than average are non providing practiced plenty assist to their patients. These findings confirm what has been suspected past times many: Coordination of assist send infirmary discharge is a main root of waste materials inwards the wellness assist system, of both coin together with lives.
Our findings advise that, at a minimum, the existing arrangement should too rail infirmary purpose of expensive post-acute assist together with penalize them for it simply every bit they are penalized for a high readmission rate.