Abstract

In orthopedic surgery and other surgical specialties, reliance on long term facility care is increasing and this fact is partly explained by the increase in life expectancy as well as the recent implementation of bundled payment reimbursement. Nursing homes are currently pivotal in the care of the orthopedic patient and the quality of care these facilities provide help in preventing possible complications that might affect surgical patients. The main challenge presented to these institutions is that of the high hospitalization rate of nursing home residents [1-4]. The article addresses the problem through a review that defines it further and elaborates on its potential ramifications. The latest evidence is presented with regards to providing practical solutions that will save significant resources and make the healthcare system as efficient as possible in delivering the best and most comprehensive care to our communities.