13. Diabetes Care in the Hospital, Nursing Home, and Skilled Nursing Facility

Diabetes Care ◽  
2014 ◽  
Vol 38 (Supplement_1) ◽  
pp. S80-S85 ◽  
Author(s):  
Keyword(s):  
Nursing Home ◽  
Diabetes Care ◽  
Skilled Nursing Facility ◽  
Nursing Facility ◽  
Skilled Nursing ◽  
Hospital Nursing

scholarly journals Choosing the Best and Scrambling for the Rest: Hospital–Nursing Home Relationships and Admissions to Post-Acute Care

2018 ◽  
Vol 38 (4) ◽  
pp. 479-498 ◽  
Author(s):  
Renée Shield ◽  
Ulrika Winblad ◽  
John McHugh ◽  
Emily Gadbois ◽  
Denise Tyler
Keyword(s):  
Skilled Nursing Facility ◽  
Care Needs ◽  
Nursing Facility ◽  
Term Care ◽  
Skilled Nursing ◽  
Referral Rates ◽  
Hospital Nursing ◽  
Complex Patients ◽  
Hospital Referral ◽  
Complex Care Needs

Objective: We explored post–Affordable Care Act hospital and skilled nursing facility (SNF) perspectives in discharge and admission practices. Method: Interviews were conducted with 138 administrative personnel in 16 hospitals and 25 SNFs in eight U.S. markets and qualitatively analyzed. Results: Hospitals may use prior referral rates and patients’ geographic proximity to SNFs to guide discharges. SNFs with higher hospital referral rates often use licensed nurses to screen patients to admit more preferred patients. While SNFs with lower hospital referral rates use marketing strategies to increase admissions, these patients are often less preferred due to lower reimbursement or complex care needs. Conclusion: An unintended consequence of increased hospital-SNF integration may be greater disparity. SNFs with high hospital referral rates may admit well-reimbursed or less medically complex patients than SNFs with lower referral rates. Without policy remediation, SNFs with lower referral rates may thus care for more medically complex long-term care patients.

scholarly journals Effects of skilled nursing facility structure and process factors on medication errors during nursing home admission

2014 ◽  
Vol 39 (4) ◽  
pp. 340-351 ◽  
Author(s):  
Sandi J. Lane ◽  
Jennifer L. Troyer ◽  
Jacqueline A. Dienemann ◽  
Sarah B. Laditka ◽  
Christopher M. Blanchette
Keyword(s):  
Nursing Home ◽  
Medication Errors ◽  
Skilled Nursing Facility ◽  
Nursing Home Admission ◽  
Nursing Facility ◽  
Skilled Nursing ◽  
Process Factors

scholarly journals Skilled Nursing Facility Admissions of Nursing Home Residents with Advanced Dementia

2013 ◽  
Vol 61 (10) ◽  
pp. 1645-1650 ◽  
Author(s):  
Jane L. Givens ◽  
Susan L. Mitchell ◽  
Sylvia Kuo ◽  
Pedro Gozalo ◽  
Vince Mor ◽  
...  
Keyword(s):  
Nursing Home ◽  
Skilled Nursing Facility ◽  
Nursing Home Residents ◽  
Advanced Dementia ◽  
Nursing Facility ◽  
Skilled Nursing

Movers and Shapers

2017 ◽  
Author(s):  
Muriel R. Gillick
Keyword(s):  
Nursing Home ◽  
Skilled Nursing Facility ◽  
Early Discharge ◽  
Nursing Facility ◽  
Skilled Nursing ◽  
Nursing Home Administrators ◽  
Drug Companies ◽  
Patient’S Experience ◽  
Regional Medical ◽  
Physician Prescribing

Nursing home administrators, physicians, hospitals, drug companies, and Medicare are among the major influences on the patient’s experience of skilled nursing facility (SNF) care. Administrators are concerned with selecting patients with high levels of Medicare reimbursement; physicians tend to regard SNF care as low status and unrewarding; hospitals use the SNF as a safety valve allowing for early discharge; drug companies work with regional medical distributors to influence physician prescribing; and Medicare tries to promote quality by using an elaborate system of quality indicators, mandating state inspections or surveys, and reimbursing care so as to encourage maximal use of physical therapy.

scholarly journals Using Serologic Testing to Assess the Effectiveness of Outbreak Control Efforts, Serial Polymerase Chain Reaction Testing, and Cohorting of Positive Severe Acute Respiratory Syndrome Coronavirus 2 Patients in a Skilled Nursing Facility

2020 ◽  
Author(s):  
Amy V Dora ◽  
Alexander Winnett ◽  
Jennifer A Fulcher ◽  
Linda Sohn ◽  
Feliza Calub ◽  
...  
Keyword(s):  
Polymerase Chain Reaction ◽  
Nursing Home ◽  
Severe Acute Respiratory Syndrome ◽  
Skilled Nursing Facility ◽  
Rt Pcr ◽  
Chain Reaction ◽  
Nursing Facility ◽  
Skilled Nursing ◽  
Polymerase Chain Reaction Testing ◽  
Polymerase Chain

Abstract We characterized serology following a nursing home outbreak of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) where residents were serially tested by reverse-transcription polymerase chain reaction (RT-PCR) and positive residents were cohorted. When tested 46–76 days later, 24 of 26 RT-PCR–positive residents were seropositive; none of the 124 RT-PCR–negative residents had confirmed seropositivity, supporting serial SARS-CoV-2 RT-PCR testing and cohorting in nursing homes.

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