Targeting heart failure rehospitalizations in a skilled nursing facility: A case report

Implementation of a heart failure quality initiative in a skilled nursing facility: lessons learned.

Skilled nursing facilities (SNFs) are organizations that represent complex adaptive systems, offering barriers to the implementation of quality improvement (QI) initiatives. The current article describes the authors' efforts to use the approach of reflective adaptive process to implement a new model of care (i.e., the Skilled Heart Unit Program) for effective heart failure (HF) care in one SNF....

Skilled Nursing Facility Use and Hospitalizations in Heart Failure: A Community Linkage Study.

OBJECTIVES To examine the effect of skilled nursing facility (SNF) use on hospitalizations in patients with heart failure (HF) and to examine predictors of hospitalization in patients with HF admitted to a SNF. PATIENTS AND METHODS Olmsted County, Minnesota, residents with first-ever HF from January 1, 2000, through December 31, 2010, were identified, and clinical data were linked to SNF util...

Heart Failure Management in Skilled Nursing Facilities

CORRINE Y. JURGENS, PhD, RN, FAHA, CHAIR, SARAH GOODLIN, MD, CO-CHAIR, MARY DOLANSKY, PhD, RN, CO-CHAIR, ALI AHMED, MD, MPH, FAHA, GREGG C. FONAROW, MD, FAHA, REBECCA BOXER, MD, ROSS ARENA, PhD, PT, FAHA, LENORE BLANK, NP, HARLEAH G. BUCK, PhD, RN, CHPN, KERRY CRANMER, MD, JEROME L. FLEG, MD, FAHA, RACHEL J. LAMPERT, MD, TERRY A. LENNIE, PhD, RN, FAHA, JOANN LINDENFELD, MD, FAHA, ILEANA L. PI~ ...

High Intensity Intervals And Gait Training For A Patient With Heart Failure And Parkinson Disease In A Skilled Nursing Facility: A Case Report

Heart failure patients in skilled nursing facilities: evidence needed.

The observational study by Allen and colleagues1 in this issue of Circulation: Heart Failure reports disturbing results about adverse outcomes for vulnerable patients with heart failure (HF) who are discharged from hospitals to skilled nursing facilities (SNFs). Data collected as part of the Get With the Guidelines-HF program were linked with claims files from the Centers for Medicare & Medicai...