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Comment & Response
January 2018

What Exactly Is an “SNF-ist?”

Author Affiliations
  • 1Geriatrics, Extended Care and Rehabilitation, Department of Veterans Affairs, Canandaigua VA Medical Center, Canandaigua, New York
  • 2Division of Geriatrics/Aging, Department of Medicine, University of Rochester School of Medicine and Dentistry, Rochester, New York
  • 3Hospice and Palliative Care, VA Eastern Colorado Healthcare System, Department of Veterans Affairs, Denver, Colorado
  • 4Division of Health Care Policy & Research, University of Colorado Anschutz Medical Campus, Aurora
  • 5Department of Geriatrics, Florida State University College of Medicine, Tallahassee
JAMA Intern Med. 2018;178(1):153-154. doi:10.1001/jamainternmed.2017.7212

To the Editor In their Research Letter published in a recent issue of JAMA Internal Medicine, Teno and colleagues1 present important new information on the extent of medical practice in US nursing homes (NHs). Teno and colleagues1 refer to clinicians who submit Medicare claims under nursing home codes as “SNF-ists.” This terminology could be misleading because the “ist” implies that these individuals possess a high degree of subspecialty training akin to organ-specific specialists (ie, cardiologists, gastroenterologists). An important distinction is that a practitioner is not trained to provide highly specialized care simply by virtue of practicing extensively in a single care setting.

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