OPTIMISTIC transition visits: A model to improve hospital to nursing facility transfers

Arif Nazir, Kathleen Unroe, Bryce Buente, Greg Sachs, Gregory Arling

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Transitions to and from hospitals and nursing facilities (NFs) expose patients to lapses in care due to miscommunication. Potential consequences of these breakdowns in communication include medication errors, poor follow-up care after transitions, and rehospitalization. In 2012, the Centers for Medicare & Medicaid Services decided to fund an initiative made up of seven projects to reduce potentially avoidable hospital transfers. One of the these projects, the Optimizing Patient Transfers, Impacting Medical Quality, and Improving Symptoms: Transforming Institutional Care (OPTIMISTIC) project, implements registered nurses and nurse practitioners to assist with and close gaps in transitions of care for NF patients. The authors provide an overview of the transition visit model and a preliminary analysis of the outcomes of their interventions.

Original languageEnglish (US)
Pages (from-to)31-36
Number of pages6
JournalAnnals of Long-Term Care
Volume24
Issue number7
StatePublished - Jul 1 2016

Fingerprint

Patient Transfer
Nursing
Medication Errors
Aftercare
Nurse Practitioners
Medicaid
Financial Management
Medicare
Nurses
Communication

Keywords

  • Medication reconciliation
  • Nursing home transfers
  • Quality improvement
  • Transitional care

ASJC Scopus subject areas

  • Gerontology
  • Geriatrics and Gerontology

Cite this

OPTIMISTIC transition visits : A model to improve hospital to nursing facility transfers. / Nazir, Arif; Unroe, Kathleen; Buente, Bryce; Sachs, Greg; Arling, Gregory.

In: Annals of Long-Term Care, Vol. 24, No. 7, 01.07.2016, p. 31-36.

Research output: Contribution to journalArticle

@article{cc751f02f5ff457594f462ce7fa3452c,
title = "OPTIMISTIC transition visits: A model to improve hospital to nursing facility transfers",
abstract = "Transitions to and from hospitals and nursing facilities (NFs) expose patients to lapses in care due to miscommunication. Potential consequences of these breakdowns in communication include medication errors, poor follow-up care after transitions, and rehospitalization. In 2012, the Centers for Medicare & Medicaid Services decided to fund an initiative made up of seven projects to reduce potentially avoidable hospital transfers. One of the these projects, the Optimizing Patient Transfers, Impacting Medical Quality, and Improving Symptoms: Transforming Institutional Care (OPTIMISTIC) project, implements registered nurses and nurse practitioners to assist with and close gaps in transitions of care for NF patients. The authors provide an overview of the transition visit model and a preliminary analysis of the outcomes of their interventions.",
keywords = "Medication reconciliation, Nursing home transfers, Quality improvement, Transitional care",
author = "Arif Nazir and Kathleen Unroe and Bryce Buente and Greg Sachs and Gregory Arling",
year = "2016",
month = "7",
day = "1",
language = "English (US)",
volume = "24",
pages = "31--36",
journal = "Annals of Long-Term Care",
issn = "1070-1370",
publisher = "HMP Communications LLP",
number = "7",

}

TY - JOUR

T1 - OPTIMISTIC transition visits

T2 - A model to improve hospital to nursing facility transfers

AU - Nazir, Arif

AU - Unroe, Kathleen

AU - Buente, Bryce

AU - Sachs, Greg

AU - Arling, Gregory

PY - 2016/7/1

Y1 - 2016/7/1

N2 - Transitions to and from hospitals and nursing facilities (NFs) expose patients to lapses in care due to miscommunication. Potential consequences of these breakdowns in communication include medication errors, poor follow-up care after transitions, and rehospitalization. In 2012, the Centers for Medicare & Medicaid Services decided to fund an initiative made up of seven projects to reduce potentially avoidable hospital transfers. One of the these projects, the Optimizing Patient Transfers, Impacting Medical Quality, and Improving Symptoms: Transforming Institutional Care (OPTIMISTIC) project, implements registered nurses and nurse practitioners to assist with and close gaps in transitions of care for NF patients. The authors provide an overview of the transition visit model and a preliminary analysis of the outcomes of their interventions.

AB - Transitions to and from hospitals and nursing facilities (NFs) expose patients to lapses in care due to miscommunication. Potential consequences of these breakdowns in communication include medication errors, poor follow-up care after transitions, and rehospitalization. In 2012, the Centers for Medicare & Medicaid Services decided to fund an initiative made up of seven projects to reduce potentially avoidable hospital transfers. One of the these projects, the Optimizing Patient Transfers, Impacting Medical Quality, and Improving Symptoms: Transforming Institutional Care (OPTIMISTIC) project, implements registered nurses and nurse practitioners to assist with and close gaps in transitions of care for NF patients. The authors provide an overview of the transition visit model and a preliminary analysis of the outcomes of their interventions.

KW - Medication reconciliation

KW - Nursing home transfers

KW - Quality improvement

KW - Transitional care

UR - http://www.scopus.com/inward/record.url?scp=85032021924&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85032021924&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:85032021924

VL - 24

SP - 31

EP - 36

JO - Annals of Long-Term Care

JF - Annals of Long-Term Care

SN - 1070-1370

IS - 7

ER -