Decline in Skilled Nursing Volume Leveling Off

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Recent analysis of Northeast Ohio data highlighted in The Center for Health Affairs' latest Key Indicators Report suggests that the steady declines in skilled nursing volume have begun to level off.

Over the last decade skilled nursing facility days and discharges have seen a steep decline. A variety of factors, such as regulatory changes, shifts in patient preferences and operational adjustments to promote hospital efficiency, have contributed to this trend. However, recent analysis of Northeast Ohio data highlighted in the latest Key Indicators Report suggests that the steady declines in skilled nursing volume have begun to level off.

Also noted in the report is that while skilled nursing volume has trended downward, average length of stay for skilled nursing has been relatively stable – and even increased in recent years. Skilled nursing care has become increasingly important for many hospitals as a strategy to reduce unnecessary readmissions. Recently released research from Health Services Research found that hospital readmissions correlate more strongly with overall availability of primary care doctors and the quality of skilled nursing facility care in a given area than any other socioeconomic factor.

The Key Indicators Report provides analysis of the hospital market based on Volume Statistics data. More information on skilled nursing facility volume trends is available by contacting George Jeney via email or at 216.255.3666.


As the leading advocate for Northeast Ohio hospitals, The Center for Health Affairs provides members with vital services and resources aimed at enhancing the region’s healthcare community. The Center delivers on this goal by focusing its efforts on areas that benefit from a regional approach: Healthcare Workforce; Emergency Preparedness; Public Policy & Advocacy; Finance & Reimbursement; and Community Initiatives. With a rich history as the Northeast Ohio hospital association, dating back to 1916, The Center serves as the collective voice of hospitals and the source for Northeast Ohio hospital and healthcare information. As leaders, we continuously scan the periphery, looking for opportunities to enhance the region’s workforce, better prepare our hospitals for an emergency, and increase the region’s wage index. And because of our business affiliation with CHAMPS Healthcare, we have the resources to provide a broad level of professional services to our members. The Center, located in downtown Cleveland, is proud to advocate on behalf of 38 acute-care hospitals and two long-term acute-care hospitals in six counties. For more, visit

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Deanna Moore
since: 09/2010
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The Center for Health Affairs
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