The National Partnership to Improve Dementia Care and Hospital Readmission Among Skilled Nursing Facility Residents. (October 2022)

• Record Type: Journal Article
• Authors: Wang, Sijiu; Temkin-Greener, Helena; Conwell, Yeates; Cai, Shubing
• Is Part Of: Journal of applied gerontology. Volume 41:Number 10(2022)
• Page Start: 2148
• Page End: 2156
• Publication Date: 2022-10
• Subjects: nursing homes -- antipsychotics -- dementia -- hospital readmission -- the national partnership to improve dementia care in nursing homes; Gerontology -- Periodicals; 362.6
• DOI: 10.1177/07334648221102402
• Languages: English
• ISSNs: 0733-4648

Abstract

The National Partnership to Improve Dementia Care in Nursing Homes (i.e., the National Partnership) was launched in March 2012. Using national Medicare, Minimum Data Set, and Nursing Home Compare data in CY 2010–2014, we examined changes in hospital readmissions for older post-acute skilled nursing facility (SNF) residents with Alzheimer's disease or related dementias (ADRD) following the National Partnership. Using residents without ADRD as reference group to control for concurrent policy and SNF quality changes, we estimated linear probability models to examine the relationship between readmissions and the National Partnership for residents with ADRD, and also stratified the analysis by quality of SNFs. We found a decreasing trend in hospital readmissions over time. The risk of readmissions in residents with ADRD decreased additional 0.3 percentage-points (p < .01) after the launch of the National Partnership. This relationship varied across SNFs with different quality, as it was stronger in high-quality compared to low-quality SNFs.