Questions raised about discharges in long-term care hospitals
Healthcare Auditing Weekly, April 15, 2008
Short-stay outliers in long-term care hospitals (LTCH) decreased between fiscal year 2003 and FY 2006, but discharge patterns raise concerns that patients are inappropriately placed in LTCHs or discharged based on financial incentives, according to an OIG audit.
Short-stay outliers are LTCH stays that end before they reach five-sixths of the average length of stay for the patient’s diagnosis. From FY 2003 through FY 2006, LTCHs discharged over a third of short-stay outlier patients at least 10 days before they reached the short-stay outlier threshold. During the same period, LTCHs also discharged short-stay outlier patients to acute care facilities more frequently than other LTCH patients.
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