Auerbach AD, Kripalani S, Vasilevskis EE, et al. Preventability and Causes of Readmissions in a National Cohort of General Medicine Patients. JAMA Intern Med. 2016;176(4):484–493. doi:10.1001/jamainternmed.2015.7863. Article.
Sakaguchi FH, Lenert LA. Improving Continuity of Care via the Discharge Summary. AMIA Annual Symposium Proceedings. 2015;2015:1111-1120. Article.
Boxer RS, Dolansky MA, Bodnar CA, Singer ME, Albert JM, Gravenstein S. A Randomized Trial of Heart Failure Disease Management in Skilled Nursing Facilities: Design and Rationale. Journal of the American Medical Directors Association. 2013;14(9):710.e5-11. doi:10.1016/j.jamda.2013.05.023. Abstract. Article.
Britton, Meredith Campbell et al. Care Transitions Between Hospitals and Skilled Nursing Facilities: Perspectives of Sending and Receiving Providers Joint Commission Journal on Quality and Patient Safety , Volume 43 , Issue 11 , 565 - 572. Article.
Carnahan, Jennifer L. et al. Transitions From Skilled Nursing Facility to Home: The Relationship of Early Outpatient Care to Hospital Readmission, Journal of the American Medical Directors Association. October 2017, Volume 18, Issue 10, Pages 853–859. Abstract. Article.
Dolansky MA, Capone L, Leister E, Boxer RS. Targeting Heart Failure Rehospitalizations in a Skilled Nursing Facility: A Case Report. Heart and Lung. 2016. doi:10.1016/j.hrtlng.2016.05.036. Abstract.
Jacobs B. Reducing Heart Failure Hospital Readmissions from Skilled Nursing Facilities. Professional Case Management. 2011;16(1):18-24. doi:10.1097/NCM.0b013e3181f3f684. Abstract.
Jung M, Yeh AH, Pressler SJ. Heart Failure and Skilled Nursing Facilities: Review of the Literature. Journal of Cardiac Failure. 2012;18(11):854-871. doi:10.1016/j.cardfail.2012.09.006. Abstract.
McHugh, John P. Andrew Foster, Vincent Mor, Renée R. Shield, Amal N. Trivedi, Terrie Wetle, Jacqueline S. Zinn and Denise A. Tyler Reducing Hospital Readmissions Through Preferred Networks Of Skilled Nursing Facilities doi: 10.1377/hlthaff.2017.0211/Health Affairs 36, no.9 (2017):1591-1598. Article.
Nazir A, Dennis ME, Unroe KT. Implementation of a Heart Failure Quality Initiative in a Skilled Nursing Facility: Lessons Learned. Journal of Gerontology Nursing. 2015;41(5):26-33. doi:10.3928/00989134-20141216-01. Abstract.
Nazir A, Smucker WD. Heart Failure in Post-Acute and Long-Term Care: Evidence and Strategies to Improve Transitions, Clinical Care, and Quality of Life. Journal of the American Medical Directors Association. 2015;16(10):825-831. doi:10.1016/j.jamda.2015.05.006. Abstract.
Zhu W, Luo L, Jain T, Boxer RS, Cui L, Zhang GQ. DCDS: A Real-time Data Capture and Personalized Decision Support System for Heart Failure Patients in Skilled Nursing Facilities. AIMIA Annu Symp Proc. 2017 Feb;2015:2100-2109. Abstract. Article.