SGIM-AMDA-AGS Consensus Best Practice Recommendations for Transitioning Patients’ Healthcare from Skilled Nursing Facilities to the Community

Lee A. Lindquist*, Rachel K. Miller, Wayne S. Saltsman, Jennifer Carnahan, Theresa A. Rowe, Alicia I. Arbaje, Nicole Werner, Kenneth Boockvar, Karl Steinberg, Shahla Baharlou

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

19 Scopus citations

Abstract

We assembled a cross-cutting team of experts representing primary care physicians (PCPs), home care physicians, physicians who see patients in skilled nursing facilities (SNF physicians), skilled nursing facility medical directors, human factors engineers, transitional care researchers, geriatricians, internists, family practitioners, and three major organizations: AMDA, SGIM, and AGS. This work was sponsored through a grant from the Association of Subspecialty Physicians (ASP). Members of the team mapped the process of discharging patients from a skilled nursing facility into the community and subsequent care of their outpatient PCP. Four areas of process improvement were identified, building on the prior work of the AMDA Transitions of Care Committee and the experiences of the team members. The team identified issues and developed best practices perceived as feasible for SNF physician and PCP practices to accomplish. The goal of these consensus-based recommended best practices is to provide a safe and high-quality transition for patients moving between the care of their SNF physician and PCP.

Original languageEnglish (US)
Pages (from-to)199-203
Number of pages5
JournalJournal of general internal medicine
Volume32
Issue number2
DOIs
StatePublished - Feb 1 2017

Funding

The development of this manuscript was supported by the Society of General Internal Medicine and grant funding from the Association of Subspecialty Physicians. The SGIM Council, AMDA, and AGS have reviewed this manuscript and support the statements and recommendations. We appreciate the assistance of Kay Ovington, Leslie Dunne, and Shana Donchatz in this project. These consensus best practice recommendations were presented at the 2016 annual meetings of AMDA, AGS, and SGIM.

ASJC Scopus subject areas

  • Internal Medicine

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