The Patient Driven Payment Model (PDPM) was implemented in U.S. skilled nursing facilities (SNFs) in October 2019, shortly before COVID-19. This new payment model aimed to reimburse SNFs for patients' nursing needs rather than the previous model which reimbursed based on the volume of therapy received. Through 156 semi-structured interviews with 40 SNF administrators from July 2020 to December 2021, this qualitative study clarifies the impact of COVID-19 on the administration of PDPM at SNFs. Interview data were analyzed using modified grounded theory and thematic analysis. Our findings show that SNF administrators shifted focus from management of the PDPM to COVID-19-related delivery of care adaptations, staff shortfalls, and decreased admissions. As the pandemic abated, administrators re-focused their attention to PDPM. Policy makers should consider the continued impacts of the pandemic at SNFs, particularly on delivery of care, admissions, and staffing, on the ability of SNF administrators to administer a new payment model.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1177/10775587241233018 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Antinuclear antibodies and progression of quantitative interstitial lung changes: The Multi-Ethnic Study of Atherosclerosis (MESA)-Lung Study.
Respir Med
January 2025
Columbia University Medical Center, New York, NY, United States.
Antinuclear antibodies (ANA) are often found in ILD; whether ANA is associated with radiographic progression of quantitive interstital lung changes is unknown. We performed longitudinal analyses of adults in the Multi-Ethnic Study of Atherosclerosis using linear mixed effects models with random intercept and slope to evaluate whether baseline ANA was associated with change in the amount of lung with high attenuation areas on CT (HAAs, percentage of imaged lung with -600 to -250 HU). In 6,638 subjects with 17,293 CT scans over 18 years, 741 (11%) were ANA positive.
View Article and Find Full Text PDFDevelopment and validation of a scoring system for predicting disease activity in treatment-naïve patients with relapsing-remitting multiple sclerosis.
Mult Scler Relat Disord
January 2025
Neurology department, Cairo University, Cairo, Egypt.
Background: Relapsing-remitting MS (RRMS) exhibits significant heterogeneity and different treatment responses. Up to date, there is no international consensus on defining disease activity which foretells potential prognosis. This study aims to develop and validate a "Scoring System for Disease Activity Prognosis in Treatment-Naïve RRMS Patients" (DAPS-RRMS) to help guiding treatment decisions.
View Article and Find Full Text PDFMolecular classification of endometrial cancers (EC) and association with relapse-free survival (RFS) and overall survival (OS) outcomes: Ancillary analysis of GOG-0258.
Gynecol Oncol
January 2025
Duke University, Durham, NC, United States of America. Electronic address:
Purpose: Determine if molecular classification using mismatch repair (MMR) and p53 protein expression predicts recurrence-free survival (RFS) and overall survival (OS) in endometrial cancer (EC) patients treated with chemotherapy and radiation (CRT) versus chemotherapy (CT).
Methods: GOG-0258, a phase III randomized trial (NCT00942357), compared CRT to CT. Immunohistochemistry assessed MMR and p53 status.
People's Attitude and Perception of the Pandemic on Twitter: A Case Study of COVID-19 in India.
Cureus
December 2024
Department of Civil Engineering, Mepco Schlenk Engineering College, Sivakasi, IND.
Background Understanding the attitudes and perceptions of the general population is necessary for organizing health promotion initiatives. During outbreaks, social media has a significant impact on creating social perceptions. This study aims to identify and examine the emotions expressed and topics of discussion among Indian citizens related to COVID-19 third wave, from the messages posted on Twitter using text mining techniques.
View Article and Find Full Text PDFMyofascial System and Physical Exercise: A Narrative Review on Stiffening (Part II).
Cureus
December 2024
Rehabilitation Medicine, Spine Center, Bologna, ITA.
In the past two decades, interest in the fascial system has exponentially increased, particularly manual treatment and stretching exercises. The fascia's fundamental role remains the transmission of tensions, although this function can be impaired due to excessive or reduced stiffness. This second part of the work outlines the basic principles concerning the importance of appropriate and balanced fascial stiffness for correct postural and functional maintenance of the human body.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!