Nearly one-fourth of Medicare beneficiaries discharged from the acute hospital to a skilled nursing facility were readmitted to the hospital within thirty days of discharge. Along with a significant cost to Medicare of $4.34 billion in 2006, these returns contribute to medical errors and emotional exhaustion of beneficiaries and families. (1) The presentation will discuss a strategy to address the prevention of unnecessary transfers, and steps to insure safer transitions when they must be performed. Resources from the new AMDA Clinical Practice Guideline: Transitions of Care in the Long-Term Care Continuum will be presented to accomplish safer transitions.
(1) Mor V, Intrator O, Feng Z, Grabowski D. The revolving door of rehospitalizations from skilled nursing facilities. Health Affairs 2010; 29(1): 57-64.
Understand the perceptions, and accuracy, of the insufficient quality and quantity of information received at the Emergency Department from skilled nursing facility (SNF) admissions.
Explore strategies to reduce the number of residents transferred back to the Emergency Department/Hospital from the SNF.
Institute procedures to insure that those residents who must return to the Emergency Department/Hospital do so with appropriate information to augment patient safety.