Approximately 25% of persons admitted to a skilled nursing facility are re-admitted to the
hospital within 30 days at an annual cost of $4.3 billion. 1 Besides the financial burden …

Nursing home (NH) residents represent a population of particularly frail older adults with
multiple comorbid illnesses, high prevalence of physical disabilities, and/or cognitive …

Dr. Ouslander and colleagues' study 1 in this issue is on a subject near and dear to all of our
hearts in long-term care; namely, how to reduce unnecessary hospitalizations and …

Several decades ago, the introduction of the prospective payment system by diagnosis-
related groups created a tremendous incentive for hospitals to shorten length of stay …

THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS) Hospital Readmissions
Reduction Program initiated a seismic shift in US hospitals' attitudes toward coordinating …

Elderly residents of long-term care facilities are often afflicted with multiple medical,
psychological, and social problems resulting in frequent transfers to the acute care hospital …

I t is widely recognized that vulnerable patients and care-givers attempting to navigate the
transition from hospital to home are likely to encounter a stressful period fraught with a high …

As per Benjamin Franklin,“By failing to prepare, you are preparing to fail.” Who would have
thought that words spoken more than 200 years ago would so aptly apply today to the …

Although hospital readmissions have been a problem for at least the past 5 decades, they
are now receiving more attention than ever before. Starting with the 2007 Medicare Payment …

The scenario is a familiar one. A nurse from the skilled nursing facility calls you because one
of your patients is not doing well.“Should I send her to the hospital?” Although …