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The administrators of five hospitals in a major metropolitan area meet monthly. There is a perception...

The administrators of five hospitals in a major metropolitan area meet monthly. There is a perception among them that there has been a decrease in the number of patients being transferred to nursing homes recently. The administrators each ask the health data analysts from their respective health information management departments to provide a report that shows the number of patients discharged to each of the area nursing homes and for each of the past five calendar years. How will the health data analyst go about providing this information to their administrators?

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One of the biggest changes occurring in healthcare is the full-scale shift away from fee-for-service and volume-based measures toward accountable care organizations and quality-based measures.

The discharge of the patient might influence the quality of care as well the response of the patient to the treatment provided by the hospital.At the same time patients might show unwillingness to get discharge from the hospital. Long-term treatment conditions needs more days of hospital stay and this may also decrease the discharge to nursing home. Elderly patients are more likely to choose nursing homes, and the number admissions of such categories are less.

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