301: Quality of Information Transfer During Patient Transitions from Skilled Nursing Facility to the Emergency Department

The purpose of this study was to test the effectiveness of nurse-managed transitional care on the quality of care and functional ability of individuals following discharge from subacute units. Registered nurses employed on subacute units in a skilled nursing facility provided the nurse-managed transitional care. Using a quasi-experimental design, data were collected on admission to the subacute unit, at the time of discharge, 1 week following discharge, and 3 months following discharge on 242 treatment and comparison participants. The treatment group participants' overall function and quality of the care environment were significantly higher than the comparison group at 1 week and 3 months following discharge. Participants did not differ significantly on basic activities of daily living or number of readmissions.

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Implementing INTERACT (Intervention to Reduce Avoidable Acute Care Transfer) Distance Learning Curriculum to Reduce Avoidable Acute Care Transfer and Improve the Quality of Care in a Skilled Nursing Facility

Journal of the American Medical Directors Association ◽

10.1016/j.jamda.2011.12.006 ◽

2012 ◽

Vol 13 (3) ◽

pp. B15

Author(s):

Yangping Ye ◽

Alethea Phippis ◽

Sharla Reiman ◽

Debra Carr ◽

...

Keyword(s):

Quality Of Care ◽

Distance Learning ◽

Acute Care ◽

Skilled Nursing Facility ◽

Nursing Facility ◽

Skilled Nursing ◽

Transfer Distance ◽

Care Transfer

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Perceived Benefits, Barriers, and Drivers of Telemedicine From the Perspective of Skilled Nursing Facility Administrative Staff Stakeholders

Journal of Applied Gerontology ◽

10.1177/0733464816651884 ◽

2016 ◽

Vol 37 (1) ◽

pp. 110-120 ◽

Cited By ~ 13

Author(s):

Julia Driessen ◽

Nicholas G. Castle ◽

Steven M. Handler

Keyword(s):

Research Policy ◽

Skilled Nursing Facility ◽

Evidence Base ◽

Administrative Staff ◽

Joint Research ◽

Nursing Facility ◽

Skilled Nursing ◽

Avoidable Hospitalizations ◽

Unique Approach

Potentially avoidable hospitalizations (PAHs) of skilled nursing facility (SNF) patients are common and costly. Telemedicine represents a unique approach to manage and potentially reduce PAHs in SNFs, having been used in a variety of settings to improve coordination of care and enhance access to providers. Nonetheless, broad implementation and use of telemedicine lags in SNFs relative to other health care settings. To understand why, we surveyed SNF administrative staff attending a 1-day telemedicine summit. Participants saw the highest value of telemedicine in improving the quality of care and reducing readmissions. They identified hospital and managed care telemedicine requirements as primary drivers of adoption. The most significant barrier to adoption was the initial investment required. A joint research-policy effort to improve the evidence base around telemedicine in SNFs and introduce incentives may improve adoption and continued use of telemedicine in this setting.

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