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. 2020 Apr/Jun;35(2):158-164.
doi: 10.1097/NCQ.0000000000000413.

Reengineering Skilled Nursing Facility Discharge: Analysis of Reengineered Discharge Implementation

Lori L Popejoy  1 , Bonnie J Wakefield, Amy A Vogelsmeier, Colleen M Galambos, Alexandria M Lewis, Diane Huneke, Greg Petroski, David R Mehr
Affiliations

Reengineering Skilled Nursing Facility Discharge: Analysis of Reengineered Discharge Implementation

Lori L Popejoy et al. J Nurs Care Qual. 2020 Apr/Jun.

Abstract

Background: There is a need to adopt evidence-based approaches to discharge planning in the skilled nursing facility (SNF) short stay population.

Purpose: This article describes implementation of the Reengineered Discharge (RED) process in SNFs and makes recommendations for its future implementation.

Methods: The methods included a pre- and postanalysis of an 18-month RED implementation with a contemporaneous comparison of 4 Midwestern SNFs randomly assigned to 2 different RED implementation strategies. The Standard facilities received less implementation than Enhanced facilities.

Results: Standard SNFs made more improvements and were more satisfied with the improved process than Enhanced SNFs. Field notes revealed that corporate willingness to make process changes impacted the Standard group's capacity for change; both groups were heavily influenced by external forces, and turnover was an impediment to RED implementation.

Conclusion: This research revealed that discharge processes are similar across settings and that evidence-based programs such as RED can be adapted to the SNF setting.

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Conflict of interest statement

Disclosure: The authors declare no conflicts of interest.

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References

    1. Mor V, Intrator O, Feng Z, Grabowski DC. The revolving door of rehospitalization from skilled nursing facilities. Health Aff. 2010; 29(1): 57–64. Doi 10.1377/hlthaff.2009.0629 - DOI - PMC - PubMed
    1. New Quality Measures on Nursing Home Compare. https://www.cmsgov/Newsroom/MediaReleaseDatabase/Press-releases/2016-Pre... Accessed June 29, 2017.
    1. Popejoy LL, Marek KD, Scott-Cawiezell J. Patterns and problems associated with hip fracture transitions for older adults. J Gerontol Nurs. 2013; 39(9): 43–52. doi: 10.3928/00989134-20130620-01 - DOI - PubMed
    1. Committee on the Future Health Care Workforce for Older Americans. Board on Health Care Services, Institute of Medicine Retooling for an aging America: building the health care workforce, 2008. Washington, D.C.: National Academies Press; Retrieved from https://www.nap.edu/read/12089/ Accessed January 2, 2018 - PubMed
    1. Bodenheimer T Coordinating care--a perilous journey through the health care system. N Engl J Med. 2008; 358 (10):1064–1071. - PubMed

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