Hospitalizations pose significant risks for frail older adults including exposure to infection, delirium and functional loss. Hospitalizations are costly, particularly when an individual is unnecessarily hospitalized at the end of life. Nursing home staff who know the person living in the nursing home are best able to preserve continuity of care for the person which is important to quality of life and quality of care.
Reducing hospitalizations aligns with MedPAC, Medicaid Managed Care, Medicare Managed Care and CMS, all of whom have called for measuring long stay hospitalization rates. Nearly half of AHCA members focus principally on serving a long stay population (less than 100 admissions per year).