Abstract
Background: Social service staff may play a key role in helping post-acute care patients in skilled nursing facilities return home, yet few studies quantify how social service staff contribute to better patient outcomes. Method: A quasi-experimental statistical approach, regression discontinuity, was used among newly-admitted, Medicare post-acute care patients (65+) to examine the relationship between higher qualifications of social service workers and various discharge outcomes. National data (2011-2015) were drawn from the Online Survey Certification and Reporting system, the Certification and Survey Provider Enhanced Reports, and the Minimum Data Set. Findings: Patients in facilities with a greater proportion of more qualified social service staff (qualified social workers vs. paraprofessionals) had better discharge outcomes. Post-acute care patients were more likely to be discharged home within 30 days, compared to being re-hospitalized or remaining in the facility. Conclusion: Policymakers and providers should support efforts to increase the qualifications of social service staff.
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