title: A community-wide effort to reduce hospital utilization by patients requiring nursing home placement.
abstract: Described is an effort by health care providers to reduce hospital utilization by increasing admissions to skilled nursing facilities from hospitals. For a 6-month period, there were increased admissions from hospitals to nursing homes and a reduced number of hospital nonacute patients who required long-term care placement. Eventually, however, the nursing homes shifted their admission patterns to accept more persons from non-hospital settings. As a result, admissions from hospitals declined and the number of nonacute patients in hospitals increased.
authors.forename: R J
authors.initials: RJ
authors.lastname: Lagoe
mesh_terms: D000368:Aged; D006761:Hospitals / Q000706:statistics & numerical data*; D006801:Humans; D008484:Medicaid; D009518:New York; D010343:Patient Admission / Q000706:statistics & numerical data; D010865:Pilot Projects; D012866:Skilled Nursing Facilities / Q000706:statistics & numerical data*; D014164:Transfer Agreement; D014481:United States; D014600:Utilization Review