The Downstream Financial Effects of a Nursing Home Practice on an Academic Medical Center
To determine the financial impact of a nursing home practice on an academic medical center.
Retrospective cohort design.
Middle-sized Midwestern community with fee-for-service Medicare population.
One hundred seventy-six nursing home residents followed by faculty and residents of a medical school department of family and community medicine.
Billings and collections for professional and hospital services delivered by the academic medical center during fiscal year 1998.
One hundred forty-four patient-years of service resulted in over $1 million in billed charges. For every $1 billed by family medicine, consulting physicians billed $2 and the hospital billed $10. This amounted to over $4000 per patient per year in reimbursement. This practice generated a wide variety of clinical problems (37 different diagnosis–related groups (DRGs) for the 61 admissions to the hospital).
There is a significant downstream financial effect of a nursing home practice on an academic health center. For this and other reasons, this practice may be worthy of institutional support.
& Lawhorne, L. W.
(2001). The Downstream Financial Effects of a Nursing Home Practice on an Academic Medical Center. Journal of the American Medical Directors Association, 2 (5), 203-206.