CMS Analysis Provides Insight into Skilled Nursing Facility 3-Day Waiver Use in ACOs

Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare

A new CMS analysis describes trends in use and outcomes associated with waiving the 3-day (two nights) stay requirement at an acute care hospital before discharge to a skilled nursing facility (SNF). The 3-day waiver for certain accountable care organizations (ACOs) allows providers to admit patients to certain SNFs directly from the community or after only one to two days in a hospital. The analysis finds shorter SNF lengths of stay and higher rates of discharge-to-home for waiver stays as well as lower or similar rates of adverse outcomes relative to non-waiver stays.

The analysis is a 3-page infographic with very interesting data.

The data includes:

  • Trends in Use of the ACO SNF Waiver, 2014-2019
  • Top 5 Conditions
  • ALOS
  • Discharge to Home or Home Health Care
  • Rates of Adverse Outcomes for SNF Waiver Stays
    • 30-day hospital stay
    • 30-day ED visit
    • 30-day death
    • 30-day any adverse outcome