To the Editor.—
We are writing to share information regarding acute care transfers from our nursing home. This information relates to the article by Sager et al entitled "The Impact of Medicare's Prospective Payment System on Wisconsin Nursing Homes."1The Wisconsin Veterans Home is a 660-bed long-term—care facility with 160 female and 500 male residents who have an average age of 76 years. Ninety percent of acute care transfers are admitted to local community hospitals and 10% to Veterans Administration hospitals. The average length of stay in the community hospitals in 1986 was 6·35 days, which is 1·65 days shorter than Sager et al report. Data concerning these acute care transfers were analyzed for 30-day recidivism, reason for readmission, and mortality.In 1986, the Wisconsin Veterans Home transferred 260 residents (average age, 76 years) to acute care hospitals, for a total of 378 admissions. One hundred seventy-four residents were
Langer E, Drinka P, Voeks S. The Impact of Medicare's Prospective Payment System on Wisconsin Nursing Homes. JAMA. 1987;258(5):611–612. doi:10.1001/jama.1987.03400050053019
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