Subacute care is a comprehensive inpatient level of care for a person with an acute illness, injury, or exacerbation of a disease process who require frequent assessments and procedures that is more cost-effective than acute care.
Postacute care is a noncomprehensive care that comes after acute care. It provides services to patients needing additional support following discharge from a hospital such as rehabilitation and nursing. It also improves transition from the hospital to the community. It can be inpatient or outpatient.
Measuring rate of readmission gives us an opportunity to improve the quality of care and save taxpayer dollars. The rate of readmissions are compared to national rate. Rates of readmission show the percentage of patients who were hospitalized again for a condition that might have been prevented. Readmissions are assessed within 30 days of discharge and the data comes from Medicare enrollment and claims data
It is important to monitor because it helps rate the quality of patient care at that facility. falls are the most common cause of nonfatal injuries for people older than 65 years therefore it is important to have fall prevention measures at every LTCH so monitoring patients who fell at these facilities will help rate the quality of the nursing care at that facility.
“a ratio calculated by dividing the amount Medicare spent per patient for an episode of care initiated at this LTCH by the median (or middle) amount Medicare spent per episode of care nationally”.
What do these mean:
A ratio equal to the national average means there is no difference from the national average
A ratio that is more than the national average means the facility average is above the national average
A ratio that is less than the national average means the facility average is less than the national average
The US News create rehabilitation scorecard by using ratings from rehabilitation specialists. A hospital’s Rehabilitation rating is based on the expert opinion of surveyed physicians. Ranked hospitals had to be cited/recommended by an average of at least 5 percent of the rehabilitation specialists who responded to U.S. News physician surveys in 2017, 2018 and 2019.