IMPACT multiple principal investigator Vincent Mor, PhD recently co-authored an article in Journal of American Medical Association (JAMA) Network Open sharing results of a cross-sectional analysis of Medicare beneficiaries.
The JAMA Network Open article shares a cross-sectional analysis of more than 2 million Medicare beneficiaries hospitalized between 2017 and 2019. The analysis revealed that persons with Alzheimer’s Disease and Related Dementia were more likely to be discharged to lower-quality Skilled Nursing Facilities (SNF) after accounting for discharging hospital, residential neighborhood, and other characteristics (e.g., post-acute care specialization) of all SNFs available at discharge. Results were consistent in analyses stratified by race and ethnicity, payer source, and primary diagnosis.
The article was also covered in McKnight’s to emphasize how the study results show that regulatory and payment changes are “badly needed” to improve the care process and support direct care staff working with dementia patients.
The McKnight article emphasized how the results should cause policymakers to consider incentivizing nursing homes to take patients with Alzheimer’s disease and related dementias (ADRD). The study data showed that these patients often end up in low-quality facilities after a hospital stay. Mor and his colleagues suggested that improving nursing home quality for patients with ADRD will require focused funding efforts to provide quality care.
