Four promising practices reduce the risk that Medicare beneficiaries admitted to a skilled nursing facility (SNF) following hospitalization will stay for 100 or more days. The practices, found through a review of practices used in four states with lower than average rates of long SNF stays, focus on identifying populations at-risk for long stays, ensuring placement at high-quality SNFs, enhancing preadmission screening, and reducing barriers to community transition. The four promising practices to divert new SNF residents from long-term SNF stays are as follows: Identify at-risk residents and provide support for community transitions and . . .
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