Journal of General Internal Medicine

, Volume 32, Issue 2, pp 199–203

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
Perspective

DOI: 10.1007/s11606-016-3850-8

Cite this article as:
Lindquist, L.A., Miller, R.K., Saltsman, W.S. et al. J GEN INTERN MED (2017) 32: 199. doi:10.1007/s11606-016-3850-8

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.

Copyright information

© Society of General Internal Medicine 2016

Authors and Affiliations

  • Lee A. Lindquist
    • 1
  • Rachel K. Miller
    • 2
  • Wayne S. Saltsman
    • 3
  • Jennifer Carnahan
    • 4
  • Theresa A. Rowe
    • 1
  • Alicia I. Arbaje
    • 5
  • Nicole Werner
    • 6
  • Kenneth Boockvar
    • 7
    • 8
    • 9
  • Karl Steinberg
    • 10
  • Shahla Baharlou
    • 7
  1. 1.Division of General Internal Medicine and GeriatricsNorthwestern University Feinberg School of MedicineChicagoUSA
  2. 2.Division of Geriatric MedicineUniversity of Pennsylvania School of MedicinePhiladelphiaUSA
  3. 3.Lahey Hospital and Medical CenterBurlingtonUSA
  4. 4.Indiana University Center for Aging Research, Regenstrief Institute, Inc.IndianapolisUSA
  5. 5.Johns Hopkins University Division of Geriatric Medicine and GerontologyBaltimoreUSA
  6. 6.Department of Industrial and Systems EngineeringUniversity of Wisconsin-MadisonMadisonUSA
  7. 7.Brookdale Department of Geriatrics and Palliative MedicineIcahn School of Medicine at Mount SinaiNew YorkUSA
  8. 8.Geriatrics Research Education and Clinical CenterJames J Peters VA Medical CenterBronxUSA
  9. 9.Research Institute on Aging, The New Jewish HomeNew YorkUSA
  10. 10.California State University Institute for Palliative CareSan MarcosUSA

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