Skilled Nursing Facility

Scientific Articles

Recent Articles (Added 8/21):

Boxer RS, Dolansky MA, Chaussee EL, et al. A Randomized Controlled Trial of Heart Failure Disease Management vs Usual Care in Skilled Nursing Facilities [published online ahead of print, 2021 Jun 16]. J Am Med Dir Assoc. 2021;S1525-8610(21)00506-5. doi:10.1016/j.jamda.2021.05.023. Abstract. 

Prior Articles:

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. AbstractArticle

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. AbstractArticle.

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 Association17(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 Association18(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.

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. AbstractArticle

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.