For the long-term care operator who still thinks rehospitalizations are really just a worry for hospitals, it's time to think again. Researchers are narrowing in on why nursing homes don't always do what they're asked to by referring hospitals.
In the early days of hospitalist medicine, we described the period between hospital discharge and follow-up at the skilled nursing facility, long-term care acute care hospital or a primary care physician as the infamous "Black Hole.
I recently attended the National Transition of Care Coalition Summit in Washington. It was an eye-opener.