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An All-Payer View of Hospital Discharge to Postacute Care

How many hospital patients are discharged to post acute care? According to a new report from the Agency for Healthcare Research and Quality, nearly 8 million hospital inpatients — 22.3% of all hospital discharges in 2013 — required continued post acute care, such as skilled nursing, rehabilitation, home care, or palliative care. Home health agencies accounted for 50% of the discharges to post acute care, while another 40% were for skilled nursing.

Medicare patients had the highest rate of hospital discharges going to post acute care — 41.7%. Total hip/knee replacement was the most common condition/procedure for post acute care [PAC]. Over 70% of all total hip/knee replacement patients went to PAC, and they accounted for nearly 10% of all discharges to PAC.

Hospital stays were nearly twice as long and costly for discharges to post acute care when compared to routine discharges.

Source: Tian W. An all-payer view of hospital discharge to postacute care, 2013. HCUP [Healthcare Cost and Utilization Project] Statistical Brief #205, May 2016. http://www.hcup-us.ahrq.gov/reports/statbriefs/sb205-Hospital-Discharge-Postacute-Care.pdf

Posted by AHA Resource Center (312) 422-2050, rc@aha.org

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