Clinical & Financial Impact

Outcomes & Readmissions

Evidence-based comparison of IRF vs. SNF outcomes and the financial impact of avoidable readmissions.

The "Revolving Door" Effect
30-Day Readmission Rates: IRF vs. SNF (Local Market Data)
StrokeHip FractureLower Extremity Joint Replacement0%4%8%12%16%
  • IRF Readmission Rate
  • SNF Readmission Rate

Critical Insight

Stroke patients discharged to SNF are 63% more likely to be readmitted within 30 days compared to those discharged to IRF.

Mortality Reduction
-12%vs. SNF

Lower mortality rate for IRF patients at 2-year follow-up.

Avg. Cost of Readmission
$15,200

Direct cost per avoidable readmission to the acute hospital.

Functional Gain
+28 ptsFIM Score

Higher functional independence at discharge for IRF patients.

Case Study: Acute Ischemic Stroke
72-year-old male, moderate left-sided hemiparesis, NIHSS 8
Oasis Point Outcome
Outcome
Discharged Home (Oasis Point)
Therapy Intensity
3 hours/day (PT/OT/SLP)
Readmission
None at 90 days
Total Cost
$24,500 (Episode)
SNF Outcome
Outcome
Readmitted to Acute (Day 19)
Therapy Intensity
45 mins/day (PT only)
Readmission
Readmitted for Aspiration Pneumonia
Total Cost
$38,200 (Episode + Readmission)

Analysis: The SNF patient received 1/4th the therapy intensity, leading to slower swallow recovery and subsequent aspiration pneumonia readmission.

Case Study: Hip Fracture (Complex)
81-year-old female, comorbidities: diabetes, mild CHF
Oasis Point Outcome
Outcome
Discharged to Assisted Living (Oasis Point)
Therapy Intensity
3 hours/day + Daily Physician Rounds
Readmission
None
Total Cost
$21,800
SNF Outcome
Outcome
Long-Term Nursing Home Placement
Therapy Intensity
1 hour/day (3x week)
Readmission
None, but failed to return to baseline
Total Cost
$32,400 (Extended SNF Stay)

Analysis: Lack of daily physician oversight in SNF resulted in poor diabetic management, delaying wound healing and preventing return to baseline mobility.

Leakage Impact Calculator
Estimated financial and clinical impact of current SNF leakage by physician
Physician
Current SNF Leakage
Est. Avoidable Readmissions
Potential Savings
Dr. Sarah Chen
Neurology
45 pts
6
$91,200
Dr. Michael Ross
Orthopedics
62 pts
8
$121,600
Dr. Emily White
Internal Medicine
38 pts
5
$76,000