A Health Podyssey Robert Burke on The Impact of Value-Based Purchasing Programs on Skilled Nursing Facilities
Jun 24, 2025
In this discussion, Robert Burke, a hospitalist and associate professor at the University of Pennsylvania, delves into his recent research on value-based purchasing programs for skilled nursing facilities. He highlights the crucial transition from hospitals to these facilities and addresses the emotional toll on older adults during this shift. Burke reveals that many quality improvement efforts show limited impact on patient outcomes, often resulting in penalties for facilities instead of incentives. He also uncovers significant gaps in communication that hinder program effectiveness.
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Skilled Nursing Facilities Dual Role
- Skilled nursing facilities combine short-term rehab and long-term care in the same buildings.
- Patients often face confusion and disappointment due to this dual role.
Low Community Discharge Rates
- Community discharge rate shows only about 55% of nursing home patients return home within 100 days.
- This metric reveals a harsh reality contrary to common patient expectations.
Overview of SNF VBP Program
- The SNF Value-Based Purchasing Program uses 30-day readmission rates to assign financial incentives.
- Incentives range from a 2% penalty to a 3% bonus, based on performance or improvement.