Snoqualmie Valley Hospital Swing Bed Program

1. Snoqualmie Valley Hospital Swing Bed Program Presented by: Rodger McCollum, Sue Mocker and David Speikers

2. Mission and Vision

3. Critical Access Hospitals & Medicare • Medicare law allows the establishment of a Medicare rural hospital flexibility program designated as Critical Access Hospitals (CAH). CAH’s must provide: • 24-hour emergency care services • Provide no more than 25 beds for both acute inpatient care and Swing Beds for the sub-acute skilled nursing level of care.

4. Swing Bed Program • The development of our Swing Bed program was accomplished with the active involvement from each discipline: • Nursing • Social Work • Rehabilitation – OT, PT, Speech and Language, Recreation • Pharmacy • Hospitalist

5. Swing Bed ProgramPatient Days Trend

6. Most FrequentAdmitting Diagnoses--2010

7. SNOQUALMIE VALLEY HOSPITAL Patient Age Ranges--2010

8. Putting Principle to Practice • Swing Bed programs benefit the patient and the community by allowing local patients to return to their community hospital for nursing and rehabilitation services.

9. Rehabilitation Gym

10. Pet Therapy

11. Recreational Therapy (Wii)

12. Horticulture

13. Community Reintegration (Snoqualmie Falls)

14. Community Impact • David Speikers • Commissioner for King County Public Hospital District No.4

15. Patient Perspective • Sue Mocker • Snoqualmie Valley Hospital Programs Coordinator

16. Swing Bed Benefits • Increases Medicare’s share in the coverage of routine (Adults & Peds) costs • Increases Medicare’s share in administrative and overhead costs • Increases Medicare’s share in the coverage of ancillary costs

17. Post Acute Care Transfer Discharge Policy • Medicare may reduce the payment for certain DRGs to PPS hospitals that “early” discharge patients to a post acute setting including: • Skilled Nursing Facility (DS 03) • Home with home health plan of care (DS 06) • Psych, Rehab & LTC hospitals and units (DS 63, 65 & 62)

18. Post Acute Care Transfer Discharge Policy • Swing Beds are not considered Skilled Nursing Facilities under this policy • PPS hospitals discharging to a Swing Bed program must use discharge status 61 (Swing Bed program) and not 66 (Critical Access Hospital) • When discharging a patient to a Swing Bed unit, DRG reimbursement will not be reduced.

19. Estimated Population Growth in WA Increase of 144% Increase of 250%

20. Contact Information • Main Hospital: (425) 831-2300 • Social Work Office: (425) 831-2398 • Nursing Station: (425) 831-2311 • Swing Bed Referrals: (425)831-3401