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Skilled Nursing Facilities: It Is a Shared Partnership

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Rapid Recovery in Total Joint Arthroplasty

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Abstract

In the changing world of total joint arthroplasty (TJA), fewer patients discharge to skilled nursing facilities (SNFs) than in the past. More efficient perioperative assessment and optimization, improved anesthesia, multimodal pain management, and an emphasis on early mobility have made discharge to SNF unnecessary for the majority of patients undergoing TJA. In addition, discharge to SNF is associated with increased morbidity and cost, making discharge to SNF less favorable. Bundled payments are becoming more prevalent and are significantly impacted by discharge to SNF, making cost even more of a factor. However, certain patient populations need higher levels of care for a safe postsurgical recovery, and SNFs play an important role for these patients. Thus, good relationships with SNFs are critical in order to provide safe and cost-effective care for those patients requiring them.

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Author information

Authors and Affiliations

  1. Duke University Medical Center, Department of Orthopaedic Surgery, Durham, NC, USA

    John R. Steele & Michael P. Bolognesi

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  1. John R. Steele
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  2. Michael P. Bolognesi
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Correspondence to John R. Steele .

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Editors and Affiliations

  1. Northwell Orthopedic Institute, New York, NY, USA

    Giles R. Scuderi

  2. The Orthopaedic Center of New Jersey, Somerset, NJ, USA

    Alfred J. Tria

  3. Hospital for Special Surgery, New York, NY, USA

    Fred D. Cushner

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Steele, J.R., Bolognesi, M.P. (2020). Skilled Nursing Facilities: It Is a Shared Partnership. In: Scuderi, G., Tria, A., Cushner, F. (eds) Rapid Recovery in Total Joint Arthroplasty. Springer, Cham. https://doi.org/10.1007/978-3-030-41223-4_18

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  • DOI: https://doi.org/10.1007/978-3-030-41223-4_18

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-030-41223-4

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