Hospital discharge documentation of a designated clinician for follow-up care and 30-day outcomes in hip fracture and stroke patients discharged to sub-acute care

Outcomes of Patients Discharged to Skilled Nursing Facilities After Acute Care Hospitalizations

(2016) Timo W. Hakkarainen et al.   ANNALS OF SURGERY

Hospital Transfers of Skilled Nursing Facility (SNF) Patients Within 48 Hours and 30 Days After SNF Admission

(2016) Joseph G. Ouslander et al.   Journal of the American Medical Directors Association

Overcoming the Challenges of Unstructured Data in Multisite, Electronic Medical Record-based Abstraction

(2016) Brock Polnaszek et al.   MEDICAL CARE

A Failure to Communicate: A Qualitative Exploration of Care Coordination Between Hospitalists and Primary Care Providers Around Patient Hospitalizations

(2014) Christine D. Jones et al.   JOURNAL OF GENERAL INTERNAL MEDICINE

Generalizing Observational Study Results: Applying Propensity Score Methods to Complex Surveys

(2013) Eva H. DuGoff et al.   HEALTH SERVICES RESEARCH

The Consequences of Poor Communication During Transitions from Hospital to Skilled Nursing Facility: A Qualitative Study

(2013) Barbara J. King et al.   JOURNAL OF THE AMERICAN GERIATRICS SOCIETY

Post-Hospital Syndrome — An Acquired, Transient Condition of Generalized Risk

(2013) Harlan M. Krumholz   NEW ENGLAND JOURNAL OF MEDICINE

Exploring Care Transitions From Patient, Caregiver, and Health-Care Provider Perspectives

(2012) Kevin T. Fuji et al.   Clinical Nursing Research

Physician Follow-Up Visits After Acute Care Hospitalization for Elderly Medicare Beneficiaries Discharged to Noninstitutional Settings

(2011) Caroline Y. Lin et al.   JOURNAL OF THE AMERICAN GERIATRICS SOCIETY

Comparison of the performance of the CMS Hierarchical Condition Category (CMS-HCC) risk adjuster with the charlson and elixhauser comorbidity measures in predicting mortality

(2010) Pengxiang Li et al.   BMC HEALTH SERVICES RESEARCH

The Revolving Door Of Rehospitalization From Skilled Nursing Facilities

(2010) Vincent Mor et al.   HEALTH AFFAIRS

Relationship Between Early Physician Follow-up and 30-Day Readmission Among Medicare Beneficiaries Hospitalized for Heart Failure

(2010) Adrian F. Hernandez   JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION

Potentially Avoidable Hospitalizations of Nursing Home Residents: Frequency, Causes, and Costs

(2010) Joseph G. Ouslander et al.   JOURNAL OF THE AMERICAN GERIATRICS SOCIETY

Are All Readmissions Bad Readmissions?

(2010) Eiran Z. Gorodeski et al.   NEW ENGLAND JOURNAL OF MEDICINE

Transitions of Care Consensus Policy Statement: American College of Physicians, Society of General Internal Medicine, Society of Hospital Medicine, American Geriatrics Society, American College of Emergency Physicians, and Society for Academic Emergency Medicine

(2009) Vincenza Snow et al.   Journal of Hospital Medicine

Do Hierarchical Condition Category Model Scores Predict Hospitalization Risk in Newly Enrolled Medicare Advantage Participants as Well as Probability of Repeated Admission Scores?

(2009) David G. Mosley et al.   JOURNAL OF THE AMERICAN GERIATRICS SOCIETY

A Modification of the Elixhauser Comorbidity Measures Into a Point System for Hospital Death Using Administrative Data

(2009) Carl van Walraven et al.   MEDICAL CARE

Rehospitalizations among Patients in the Medicare Fee-for-Service Program

(2009) Stephen F. Jencks et al.   NEW ENGLAND JOURNAL OF MEDICINE