Recent Articles (Added 12/19):
Middleton A, Downer B, Haas A, Lin YL, Graham JE, Ottenbacher KJ. Functional Status Is Associated With 30-Day Potentially Preventable Readmissions Following Skilled Nursing Facility Discharge Among Medicare Beneficiaries. J Am Med Dir Assoc. 2018 Apr;19(4):348-354. Abstract. Article
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.
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.
Burke RE, Hess E, Barón AE, Levy C, Donzé JD. Predicting Potential Adverse Events During a Skilled Nursing Facility Stay: A Skilled Nursing Facility Prognosis Score. J Am Geriat Soc. 2018 May;66(5):930-936. Abstract. Article.
Burke, RE, Whitfield, E. A., Hittle, D., Min, S. J., Levy, C., Prochazka, A. V., Coleman, E. A., Schwartz, R., … Ginde, A. A. (2015). Hospital Readmission From Post-Acute Care Facilities: Risk Factors, Timing, and Outcomes. Journal of the American Medical Directors Association, 17(3), 249-55. Article.
Campbell Britton M, Hodshon B, Chaudhry SI, (2018). Implementing a Warm Handoff Between Hospital and Skilled Nursing Facility Clinicians. Journal of Patient Safety, August 9, 2018 - Volume Publish Ahead of Print - Issue - p doi: 10.1097/PTS.00000000000005. Abstract.
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.
Flanagan NM, Rizzo VM, James GD, Spegman A, Barnawi NA. Predicting Risk Factors for 30-Day Readmissions Following Discharge From Post-Acute Care. Prof Case Manag. 2018 May/Jun;23(3):139-146. 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.
Jones, C. D., Cumbler, E., Honigman, B., Burke, R. E., Boxer, R. S., Levy, C., Coleman, E. A., … Wald, H. L. (2016). Hospital to Post-Acute Care Facility Transfers: Identifying Targets for Information Exchange Quality Improvement. Journal of the American Medical Directors Association, 18(1), 70-73. Article.
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.
Sakaguchi FH, Lenert LA. Improving Continuity of Care via the Discharge Summary. AMIA Annual Symposium Proceedings. 2015;2015:1111-1120. Article.
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.