Podcast
November 14, 2024
Showing 1 - 10 of 44 results
JAMDA
September 26, 2024
Reduction of Rehospitalization with Addition of Geriatrics/Transitions of Care Consult Service
Older adults are at high risk of rehospitalization after an acute event and at even higher risk of permanently losing an activity of daily living with each hospitalization. This is especially true in those with encephalopathy, delirium, dementia, falls, and failure to thrive. Although it is widely known th...
JAMDA
June 3, 2024
Nursing Home to Emergency Care Transition Form Has Limited Uptake But Improves Documentation
Critical information gaps exist in nursing home–to–emergency department (NH-ED) transfer documentation. Standardization of forms may address these gaps. In a single state, a Continuity of Care Acute Care Transfer (CoC) Form was standardized and mandated to be used for all NH-ED transfers. The objective of ...
JAMDA
April 25, 2024
A Clinical Pharmacist-Led Transitions of Care Program for Veterans with Two Planned Care Transitions (Hospital to Skilled Care and Skilled Care to Home) amid the COVID-19 Pandemic
Transitional care teams have been shown to improve patient safety. We describe a novel transitional care team with a clinical pharmacist as team leader initiated amid the COVID-19 pandemic. The program focused on Veterans with 2 planned transitions of care: hospital to skilled nursing facility (SNF) and fr...
Podcast
March 18, 2024
AMDA On-The-Go | Assisted Living Three-Part Series | Transitions of Care and Challenges in AL (Part 2 of 3)
JAMDA
November 17, 2023
Social Services Post-discharge and Their Association With Readmission in a 2016 Swedish Geriatric Cohort
To describe the social services received by a 2016 Swedish cohort after discharge from inpatient geriatric care and to analyze the association between level of social services post-discharge and 30-day readmission.
JAMDA
October 29, 2023
Challenges in Deprescribing among Older Adults in Post-Acute Care Transitions to Home
Medications with a higher risk of harm or that are unlikely to be beneficial are used by nearly all older patients in home health care (HHC). The objective of this study was to understand stakeholders’ perspectives on challenges in deprescribing these medications for post-acute HHC patients.
JAMDA
October 10, 2023
An Interdisciplinary Videoconference to Improve Transitions of Care and Reduce Readmission, Cost, and Post-Acute Length of Stay in a Teaching and Community Hospital
Coordination of care across health care settings is needed to ensure safe patient transfers. We examined the effects of the ECHO-Care Transitions program (ECHO-CT) on readmissions, skilled nursing facility (SNF) length of stay (LOS), and costs.
JAMDA
August 3, 2023
The Macro Impact of Microtransitions in Post-acute and Long-Term Care
The care transitions concept emerged in medical literature more than 40 years ago, with an exponential rise in publications dedicated to its exploration since that time. It is generally accepted that older patients are particularly vulnerable during care transitions because of complex medical comorbidity, ...
JAMDA
July 11, 2023
Lost in Transition: Missed Opportunities for the 4 Ms to Support Post-Acute Care Transitions
Thousands of health systems have adopted the 4 Ms framework, a set of evidence-based practices specific to older adults, as part of the Age-Friendly Health Systems (AFHS) initiative. However, implementation efforts have largely been setting-specific and approaches to achieve continuity of the 4 Ms during c...
Tools, knowledge, and recognition to improve vaccination rates and protect residents and staff.
