Improving care transitions in nursing homes

Generations

Volumn 36, Issue 4, 2012, Pages 78-85

  Toles, Mark ^a   Young, Heather M ^b   Ouslander, Joseph ^c  

^a DUKE UNIVERSITY   (United States)

^b UNIVERSITY OF CALIFORNIA   (United States)

^c FLORIDA ATLANTIC UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

EID: 84873890373     PISSN: 07387806     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (25)

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3. Berwick, D. M. 2009. "What 'Patient-Centered' Should Mean: Confessions of an Extremist." Health Affairs 28(4): w555-65
4. Coleman, E. A. 2003. "Falling Through the Cracks: Challenges and Opportunities for Improving Transitional Care for Persons with Continuous Complex Care Needs." Journal of the American Geriatrics Society 51(4): 549-55
5. Coleman, E. A., et al. 2004. "Posthospital Care Transitions: Patterns, Complications, and Risk Identification." Health Services Research 39(5): 1449-65
6. Desai, R., et al. 2011. "Medication Errors During Patient Transitions into Nursing Homes: Characteristics and Association with Patient Harm." The American Journal of Geriatric Pharmacotherapy 9(6): 413-22
7. Doupe, M., et al. 2011. "Nursing Home Adverse Events: Further Insight into Highest Risk Periods. Journal of the American Medical Directors Association 12(6): 467-74
8. Golden, A. G., et al. 2010. "Care Management's Challenges and Opportunities to Reduce the Rapid Rehospitalization of Frail Community-Dwelling Older Adults." The Gerontologist 50(4): 451-8
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10. Kane, R. L., et al. 2003. "The Effect of Evercare on Hospital Use." Journal of the American Geriatrics Society 51(10): 1427-34
11. Konetzka, R. T., Spector, W., and Limcangco, M. R. 2008. "Reducing Hospitalizations from Long-Term Care Settings." Medical Care Research and Review 65(1): 40-66
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14. Maslow, K., and Ouslander, J. G. 2012. "Measurement of Potentially Preventable Hospitalizations." White paper prepared for the Long-Term Quality Alliance. www.ltqa. org/wp-content/themes/ltqaMain/ custom/images/ PreventableHospi talizations-021512-2.pdf. Retrieved September 15, 2012
15. Meador, R., et al. 2011. "Going Home: Identifying and Overcoming Barriers to Nursing Home Discharge." Care Management Journals 12(1): 2-11
16. Minnesota Department of Health. 2012. Case Mix Review Data: Nursing Home Length of Stay Calendar Years 2002-2009. www. health.state.mn.us. (Copy of report on file with author Mark Toles.)
17. Mor, V., et al. 2010. "The Revolving Door of Rehospitalization from Skilled Nursing Facilities." Health Affairs 29(1): 57-64
18. Murtaugh, C. M., and Litke, A. 2002. "Transitions Through Postacute and Long-Term Care Settings: Patterns of Use and Outcomes for a National Cohort of Elders." Medical Care 40(3): 227-36
19. National Transitions of Care Coalition. 2010. "Improving Transitions of Care." www.ntocc. org/Portals/0/PDF/Resources/ NTOCCIssueBriefs.pdf. Retrieved September 15, 2012
20. Naylor, M. D., et al. 2011. "The Care Span: The Importance of Transitional Care in Achieving Health Reform." Health Affairs 30(4): 746-54
21. Newcomer, R., Kang, T., and Graham, C. 2006. "Outcomes in a Nursing Home Transition Case-Management Program Targeting New Admissions." The Gerontologist 46(3): 385-90
22. Ouslander, J. G., et al. 2011. "Interventions to Reduce Hospitalizations from Nursing Homes: Evaluation of the INTERACT II Collaborative Quality Improvement Project." Journal of the American Geriatrics Society 59(4): 745-53
23. Snow, V., et al. 2009. "Transitions of Care Consensus Policy Statement: American College of Physicians, Society of General Internal Medicine, Society of Hospital Medicine, American Geriatrics Society, American College of Emergency Physicians, and Society for Academic Emergency Medicine." Journal of General Internal Medicine 24(8): 971-6
24. Toles, M., et al. 2012. "Staff Interaction Strategies That Optimize Delivery of Transitional Care in a Skilled Nursing Facility: A Multiple Case Study." Family and Community Health 35(4): 334-44
25. Wang, H. E., et al. 2011. "Emergency Department Visits by Nursing Home Residents in the United States." Journal of the American Geriatrics Society 59(10): 1864-72