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Swinging into Success: Strategies for Boosting Swing Bed Admissions in Critical Access Hospitals



Critical access hospitals (CAHs) play a vital role in delivering healthcare to rural communities. Swing beds, a unique feature of CAHs, allow them to seamlessly transition patients from acute care to post-acute skilled nursing services within the same facility. This continuity of care is crucial for patient recovery and can also benefit the financial viability of rural hospitals. However, increasing swing bed admissions requires careful planning and strategic implementation. Here are some key strategies to consider:


1. Streamline Identification and Referral:

  • Early identification: Train staff to identify potential swing bed candidates early in their acute care stay. Look for patients who require ongoing skilled nursing care but wouldn't benefit from a traditional SNF setting.

  • Clear referral criteria: Develop clear and objective criteria for determining swing bed eligibility. This ensures transparency and consistency in decision-making.

  • Build relationships with referral sources: Partner with local physicians, home health agencies, and tertiary care facilities to facilitate timely referrals and smooth transitions.

2. Enhance Patient Education and Outreach:

  • Inform patients and families: Educate patients and their families about swing bed services as a viable option for continued care. Highlight the benefits of staying in a familiar environment and receiving personalized attention.

  • Community outreach: Utilize local media, community events, and patient education sessions to increase awareness of swing bed services in your community.

3. Optimize Staffing and Resources:

  • Cross-training: Invest in cross-training staff to provide skilled nursing care within the swing bed program. This flexibility ensures adequate staffing levels and reduces reliance on agency personnel.

  • Dedicated therapy services: Offer comprehensive rehabilitation services, including physical, occupational, and speech therapy, to enhance patient recovery and expedite discharge.

  • Invest in technology: Utilize technology to improve communication, collaboration, and documentation within the swing bed program. This can include electronic health records, telehealth platforms, and patient engagement tools.

4. Address Reimbursement and Regulatory Challenges:

  • Stay informed: Remain updated on Medicare swing bed regulations and reimbursement policies. Adapt your program accordingly to maximize financial sustainability.

  • Data-driven decisions: Track key metrics like admission rates, length of stay, and readmission rates to identify areas for improvement and demonstrate program effectiveness.

  • Advocate for policy changes: Work with local and national organizations to advocate for policies that support and strengthen swing bed programs in rural healthcare settings.

By implementing these strategies, CAHs can optimize their swing bed programs, improve patient outcomes, and enhance their financial stability. Remember, success hinges on collaboration, communication, and a commitment to providing high-quality, patient-centered care.


Additional Tips:

  • Consider conducting patient satisfaction surveys to gather feedback and identify areas for improvement.

  • Partner with other CAHs to share best practices and resources.

  • Utilize available grant funding opportunities to support program development and expansion.

Increasing swing bed admissions in CAHs requires a multi-faceted approach. By focusing on patient needs, optimizing operations, and staying informed about regulatory changes, rural hospitals can leverage this valuable program to improve care delivery and ensure their long-term success.


Need help growing your swing bed program? E-mail info@wrightcareconsulting.org or call 806-680-4172 to schedule a consultation.

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