Abstract
Understanding the nuances and differences between the various types of nursing facilities is essential for good patient management among the various healthcare settings, including the emergency department. In order to establish proper and effective treatment and discharge plans, providers need to know what services are available and what type of care each unique facility setting is able to fulfill. Many providers do not quite realize the many limitations and also the potentials of post-acute and long-term care facilities, and patient care is under optimally coordinated. In an age of fast and multifaceted communication, it is surprising to witness how health delivery can still be quite disjoined at times and bridges to connect this fragmented care can be promptly built with a better understanding of these ever-growing facilities.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Christine Caffrey, CDC Potentially preventable emergency department visits by nursing home residents: Untied States, 2004, NCHS Data Brief, No. 33 (April 2010); http://www.cdc.gov/nchs/data/databriefs/db33.pdf. Accessed Feb 2018.
Huded J, Heitor F. Skilled nursing facilities and post-hospitalization options for older adults. In: Lindquist L, editor. New directions in geriatric medicine. Cham: Springer; 2016.
https://www.medicare.gov/coverage/long-term-care.html. Accessed Feb 2018.
https://www.caring.com/articles/assisted-living-vs-nursing-home-care. Accessed Feb 2018.
Centers for Medicare & Medicaid Services’ (CMS) Nursing Home Data Compendium, 11th Edition 2015; CMS.gov;https://www.cms.gov/Medicare/ProviderEnrollmentandCertification/CertificationandComplianc/Downloads/nursinghomedatacompendium_508-2015.pdf; Accessed Feb 2018. https://www.census.gov/programs-surveys/popest.html. Accessed Feb 2018.
U.S. Centers for Medicare and Medicaid Services, prepared by Abt Associates Inc. Appropriateness of minimum nurse staffing ratios in nursing homes. Report to Congress: Phase II final (Vol. I–III). Baltimore, MD. 2001.
Abt Associates Inc. Nursing home staffing study TEP presentation. Prepared for the CMS Medicare nursing home compare 5-star TEP panel. Durham: Abt Associates; 2011.
Nursing home staffing standards in state statutes and regulations; Charlene Harrington. Ph.D., R.N.; Department of Social and Behavioral Sciences; University of California San Francisco; December 2010. http://theconsumervoice.org/uploads/files/issues/Harrington-state-staffing-table-2010.pdf
Harrington C, Schnelle JF, McGregor M, Simmons SF. The need for higher minimum staffing standards in U.S nursing homes. Health Serv Insights. 2016;9:13–9. https://doi.org/10.4137/HSI.S38994.
Harrington C, Choiniere J, Goldmann M, Jacobsen FF, Lloyd L, McGregor M, Stamatopoulos V, Szebehely M. Nursing home staffing standards and staffing levels in six countries. J Nurs Scholarsh. 2012;44:88–98. https://doi.org/10.1111/j.1547-5069.2011.01430.
Harrington C, Carrillo H, Blank BW, O’Brian T. Nursing facilities, staffing, residents, and facility deficiencies, 2005–10. San Francisco: University of California; 2011.
Lin H. Revisiting the relationship between nurse staffing and quality of care in nursing homes: an instrumental variables approach. J Health Econ. 2014;37:13–24.
http://theconsumervoice.org/betterstaffing. Accessed Feb 2018.
Federal law and regulations on nurse staffing issues; Nursing Home Reform Act of 1987. http://theconsumervoice.org/uploads/files/issues/Federal-Law-Regulations-Final.pdf. Accessed Feb 2018.
OBRA. http://www.ncmust.com/doclib/OBRA87summary.pdf. Accessed Feb 2018.
e-CFR: electronic code of federal regulation, part 483 – https://www.ecfr.gov/cgi-bin/text-idx?tpl=/ecfrbrowse/Title42/42cfr483_main_02.tpl. Accessed Feb 2018.
Dimant J. Roles and responsibilities of attending physicians in skilled nursing facilities. J Am Med Dir Assoc. 4(4):231–43.
http://www.medicare.gov/nursinghomecompare/. Accessed Feb 2018.
Center for Medicare Advocacy, The myth of improved quality in nursing home care: setting the record straight again. April 2014. Thomas, K.
https://www.medicare.gov/nursinghomecompare/Data/Data-Sources.html. Accessed Feb 2018.
https://careconversations.org/skilled-nursing-care-fact-vs-myth. Accessed Feb 2018.
Gastmans C, Milisen K. Use of physical restraint in nursing homes: clinical-ethical considerations. J Med Ethics. 2006;32(3):148–52. https://doi.org/10.1136/jme.2005.012708.
https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/downloads/SCLetter07-22.pdf. Accessed Feb 2018.
Neufeld RR, Libow LS, Foley WJ, Dunbar JM, Cohen C, Breuer B. Restraint reduction reduces serious injuries among nursing home residents. J Am Geriatr Soc. 1999;47:1202–7.
Si M, Neufeld RR, Dunbar J. Removal of bedrails on a short-term nursing home rehabilitation unit. Gerontologist. 1999;39:611–4.
Tinetti ME, Liu YB, Ginter S. Mechanical restraint use and fall related injuries among residents of skilled nursing facilities. Ann Intern Med. 1992;116:369–74.
https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/National-Partnership-to-Improve-Dementia-Care-in-Nursing-Homes.html. Accessed Feb 2018.
Risky antipsychotic drugs still overprescribed in nursing homes, NPR Shots, February 5, 2018. https://www.npr.org/sections/health-shots/2018/02/05/583435517/risky-antipsychotic-drugs-still-overprescribed-in-nursing-homes. Accessed Feb 2018.
https://www.cms.gov/Outreach-and-Education/Outreach/NPC/Downloads/2017-09-07-Dementia-Care-in-Nursing-Homes-Call-Presentation.pdf. Accessed Feb 2018.
https://innovation.cms.gov/initiatives/rahnfr/. Accessed Feb 2018.
Potentially Preventable Emergency Department Visits by Nursing Home Residents: United States, 2004 – NCHS Data Brief, No. 33, April 2010; Christine Caffrey, ph.d., division of health care statistics.
http://news.medill.northwestern.edu/chicago/reducing-emergency-room-visits-among-elderly-patients/. Accessed Feb 2018.
Cohen-Mans eld J, Lipson S. To hospitalize or not to hospitalize? That is the question: an analysis of decision making in the nursing home. Behav Med. 2006;2(2):64–70.
Ouslander JG, Bonner A, Herndon L, Shutes J. The INTERACT quality improvement program: an overview for medical directors and primary care clinicians in long-term care. J Am Med Dir Assoc. 2014;15(3):162–70. https://doi.org/10.1016/j.jamda.2013.12.005.
Ouslander JG, Lamb G, Perloe M, Givens JH, Kluge L, Rutland T, et al. Potentially avoidable hospitalizations in nursing home residents: frequency, causes, and costs. J Am Geriatr Soc. 2010;58(4):627–35.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Heitor, F. (2019). ER Referrals and Hospitalizations from Post-acute and Long-Term Care Facilities. In: Lindquist, L., Dresden, S. (eds) Geriatric Emergencies. Springer, Cham. https://doi.org/10.1007/978-3-030-12414-4_5
Download citation
DOI: https://doi.org/10.1007/978-3-030-12414-4_5
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-12413-7
Online ISBN: 978-3-030-12414-4
eBook Packages: MedicineMedicine (R0)