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Bouncebacks from SNFs: How one health system is making progress

Today's Hospitalist

Like many health care systems, OSF HealthCare—now with 17 hospitals throughout Illinois and Michigan—has found that bouncebacks from SNFs are the single biggest slice of that system’s preventable readmissions. “We went from working with about 25 nursing homes to now being in between 75 to 80 nursing homes.”

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How State and Local Agencies on Aging Help Older Adults: Susan DeMarois, Greg Olsen, and Lindsey Yourman

GeriPal

Started as a direct case manager, worked in a variety of different places including the state legislature and I’ve been with the state office now since 2006. Really, to be a bridge between whether it’s a health plan on the healthcare side, Greg mentioned a hospital discharge, which is so common. Eric: And Susan?

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Guiding an Improved Dementia Experience (GUIDE) Model: A Podcast with Malaz Boustani and Diane Ty

GeriPal

This model will give participating programs a per-member-per-month payment to offer care management, care coordination, and other services such as caregiver training, disease education, and respite. Malaz: One day I was in internal medicine residency and I had to take care of a patient who was admitted from a nursing home with dementia.