skilled nursing facility (SNF)
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Introduction
A facility staffed by nurses, providing a higher level of care than a nursing home. Intravenous therapy & wound dressing changes are generally available.
Notes
- Medicare part A does not pay for skilled nursing facility without a qualifying hospitalization (see Medicare part A & 3-day hospital stay rule)[6]
- Medicaid covers what Medicare does not (see Medicaid)[2]
- skilled nursing facility performance measures not consistently associated with hospital readmission or death[1]
- 23% admitted to SNF rehospitalized with with 30 days[2]
- patients may alternatively be discharged from hospital to long-term acute care hospital (LTAC)
- occupational therapists & physical therapists can predict which patients can have successful skilled nursing facility (SNF) to home discharges
- medical providers & social workers can not[2][4][5]
- structured handoff tool for transition from hospital to SNF can decrease wait time for receipt of controlled medications & intravenous antibiotics & time to medication administration[6]
More general terms
Additional terms
References
- ↑ 1.0 1.1 Neuman MD et al. Association between skilled nursing facility quality indicators and hospital readmissions. JAMA 2014 Oct 15; 312:1542 PMID: https://www.ncbi.nlm.nih.gov/pubmed/25321909
- ↑ 2.0 2.1 2.2 2.3 Geriatric Review Syllabus, 9th edition (GRS9) Medinal-Walpole A, Pacala JT, Porter JF (eds) American Geriatrics Society, 2016
Geriatric Review Syllabus, 11th edition (GRS11) Harper GM, Lyons WL, Potter JF (eds) American Geriatrics Society, 2022 - ↑ Makam AN, Nguyen OK, Xuan L et al. Factors associated with variation in long-term acute care hospital vs skilled nursing facility use among hospitalized older adults. JAMA Intern Med 2017 Feb 5 PMID: https://www.ncbi.nlm.nih.gov/pubmed/29404575
- ↑ 4.0 4.1 Simning A, Caprio T, Seplaki CL et al. Rehabilitation providers'prediction of the likely success of the SNF-to-home transition differs by discipline. J Am Med Dir Assoc. 2019;20(4):492-496 PMID: https://www.ncbi.nlm.nih.gov/pubmed/30630726 PMCID: PMC6451879 Free PMC article https://www.jamda.com/article/S1525-8610(18)30664-9/fulltext
- ↑ 5.0 5.1 Gardner RL, Pelland K, Youssef R et al. Reducing hospital readmissions through a skilled nursing facility discharge intervention: a pragmatic trial. J Am Med Dir Assoc. 2020;21(4):508-512 PMID: https://www.ncbi.nlm.nih.gov/pubmed/31812334 https://www.jamda.com/article/S1525-8610(19)30704-2/fulltext
- ↑ 6.0 6.1 6.2 Baluyot A, McNeill C, Wiers S. Improving communication from hospital to skilled nursing facility through standardized hand-off: a quality improvement project. Patient Safety. 2022;4(4):18-25. https://psnet.ahrq.gov/issue/improving-communication-hospital-skilled-nursing-facility-through-standardized-hand-quality
- ↑ Medicare.gov Skilled nursing facility (SNF) care. https://www.medicare.gov/coverage/skilled-nursing-facility-snf-care