What's in a Number: Do Transfer Rates Reflect Nursing Home Quality?

In a geographically diverse sample of CLC transfers, independent clinical experts' judgments of transfer decision appropriateness, quality of care for acute decline, and quality of chronic care differ from a claims-based potentially avoidable hospitalizations measure. Findings underscore the need for nuanced clinical consideration of hospitalization metrics for assessing quality and for understanding which aspects of care should be addressed to safely reduce NH transfers to hospitals.

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Publication Details

Journal
Journal of the American Geriatrics Society
Published
2026-02-24
DOI
https://doi.org/10.1111/jgs.70349
Primary Topic
Primary Care and Health Outcomes
Type
article
Field-Weighted Citation Impact
0.00
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article

What's in a Number: Do Transfer Rates Reflect Nursing Home Quality?

Orna K. Intrator, Sarah Tubbesing, Joseph G. Ouslander, Arti Tayade et al.
Journal of the American Geriatrics Society
Primary Care and Health Outcomes
article

What's in a Number: Do Transfer Rates Reflect Nursing Home Quality?

Orna K. Intrator, Sarah Tubbesing, Joseph G. Ouslander, Arti Tayade, Ciaran S. Phibbs, Hiroshi Gotanda, Amy Mochel, Kim W. House, Rebecca S. Boxer, Debra Saliba, Seema Joshi, Roee Gutman, Kisa A. Hilliard, Vincent Mor, D. Berlowitz, Margaret Baumann, Heather D'Adamo, Linda Sohn
article en

Abstract

In a geographically diverse sample of CLC transfers, independent clinical experts' judgments of transfer decision appropriateness, quality of care for acute decline, and quality of chronic care differ from a claims-based potentially avoidable hospitalizations measure. Findings underscore the need for nuanced clinical consideration of hospitalization metrics for assessing quality and for understanding which aspects of care should be addressed to safely reduce NH transfers to hospitals.

Journal of the American Geriatrics Society
Cedars-Sinai Medical Center (US), RAND Corporation (US), Rhode Island Department of Health (US), University of Massachusetts Lowell (US), Emory University (US), University of California, Los Angeles (US), Illinois College (US), Brown University (US), Providence VA Medical Center (US), Atlanta Medical Center (US), University of Illinois Chicago (US), Palo Alto Veterans Institute for Research (US), VA Puget Sound Health Care System (US), James J. Peters VA Medical Center (US), Colmery-O'Neil VA Medical Center (US), Jesse Brown VA Medical Center (US), Dwight D. Eisenhower VA Medical Center (US), Department of Health Services (NP), VA Greater Los Angeles Healthcare System (US), Florida Atlantic University (US), University of California, Davis (US), Stanford University (US), Icahn School of Medicine at Mount Sinai (US)
Openalex Percentile: Top 47%
Primary Care and Health Outcomes
DOISourceOpenAlex
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