Posts Tagged ‘average length of stay’

Measuring Outcomes Between Hospitals and Long-Term Care Facilities

August 5th, 2014 by Patricia Donovan

As part of its efforts to construct a care coordination network of skilled nursing facilities (SNFs), Summa Health System evaluated outcomes between its hospitals and the long-term care (LTC) facilities it works with, explains Carolyn Holder, manager of transitional care for Summa Health System.

To measure outcomes between hospitals and LTC facilities, we utilized data sent from the Summa Health System database. We found data outcome measures through our own database about these facilities that are working with us. We do limit by group differences. They are depicted by greater than one standard deviation. If they do have low admissions, we did not include them in the comparison. We have many members who don’t have a significant number of admissions to the hospitals, but are still participating in the care coordination network, which is very profound. It shows the dedication to the work regarding improving quality.

Other data that we will include in this measure is the comparison of readmissions, average length of stay (ALOS), percent of admissions and discharges. We have 31-day readmits and a number of one- to seven-day readmissions. We look at the case mix index for the patients we get from these facilities. This data is blinded; there are codes on the report card chosen by the facilities so we could do a comparison but not have that information shared among the competing agencies themselves.

We do the report twice a year because it is an intensive one for our quality department to prepare. The facilities are listed with the number of admissions to Summa, and the number of discharges to that facility for skilled and intermediate care facilities (ICF) level of care. We did an average so that we could compare it to the group itself. If they are doing well, they are better than the mean. If they are in that target area, they are lower in this area in comparison to the large group.

Since we began this initiative in 2003, the ALOS has fluctuated over time. It was still at 7.2 for the full year. Since we do not own these facilities, all we have provided the facilities so far is this data set. We do not have data coming back from the facilities to us with some of these measures, but that is the next task for the group to work on.

Excerpted from Accountable Care Strategies to Improve Hospital-SNF Care Transitions.