Project ReEngineered Discharge (RED) lowers hospital readmissions of patients discharged from a skilled nursing facility.

PubWeight™: 1.67‹?› | Rank: Top 3%

🔗 View Article (PMID 23608528)

Published in J Am Med Dir Assoc on April 20, 2013

Authors

Randi E Berkowitz1, Zachary Fang, Benjamin K I Helfand, Richard N Jones, Robert Schreiber, Michael K Paasche-Orlow

Author Affiliations

1: Commonwealth Care Alliance, Boston, MA. Electronic address: rberkowitz@commonwealthcare.org.

Articles citing this

Reducing hospital readmission rates: current strategies and future directions. Annu Rev Med (2013) 1.49

Project ACHIEVE - using implementation research to guide the evaluation of transitional care effectiveness. BMC Health Serv Res (2016) 1.48

The Interventions to Reduce Acute Care Transfers (INTERACT) quality improvement program: an overview for medical directors and primary care clinicians in long term care. J Am Med Dir Assoc (2014) 0.99

Utilization of acute care among patients with ESRD discharged home from skilled nursing facilities. Clin J Am Soc Nephrol (2015) 0.95

The Affordable Care Act, Accountable Care Organizations, and Mental Health Care for Older Adults: Implications and Opportunities. Harv Rev Psychiatry (2015) 0.84

Transitions of care and long-term surveillance after vascular surgery. Semin Vasc Surg (2015) 0.77

Exploring Transitional Care: Evidence-Based Strategies for Improving Provider Communication and Reducing Readmissions. P T (2015) 0.76

Implementation and adaptation of the Re-Engineered Discharge (RED) in five California hospitals: a qualitative research study. BMC Health Serv Res (2017) 0.75

The Paradox of Scarcity in a Land of Plenty: Meeting the Needs of Older Adults with Mental Health and Substance Use Disorders. Generations (2014) 0.75

Another option in reducing hospital readmissions from skilled nursing facilities: Project RED (ReEngineered Discharge). J Am Med Dir Assoc (2013) 0.75

Transitional care of older adults in skilled nursing facilities: A systematic review. Geriatr Nurs (2016) 0.75

Transitional care in skilled nursing facilities: a multiple case study. BMC Health Serv Res (2016) 0.75

Transitions From Skilled Nursing Facility to Home: The Relationship of Early Outpatient Care to Hospital Readmission. J Am Med Dir Assoc (2017) 0.75

Articles by these authors

The clinical course of advanced dementia. N Engl J Med (2009) 9.54

A reengineered hospital discharge program to decrease rehospitalization: a randomized trial. Ann Intern Med (2009) 9.45

Health literacy, health inequality and a just healthcare system. Am J Bioeth (2007) 8.19

Cognitive trajectories after postoperative delirium. N Engl J Med (2012) 4.69

Chronic musculoskeletal pain and the occurrence of falls in an older population. JAMA (2009) 4.18

Survival and comfort after treatment of pneumonia in advanced dementia. Arch Intern Med (2010) 3.72

Video decision support tool for advance care planning in dementia: randomised controlled trial. BMJ (2009) 3.55

3D-CAM: derivation and validation of a 3-minute diagnostic interview for CAM-defined delirium: a cross-sectional diagnostic test study. Ann Intern Med (2014) 3.34

Delirium and Long-term Cognitive Trajectory Among Persons With Dementia. Arch Intern Med (2012) 3.27

Derivation and validation of a preoperative prediction rule for delirium after cardiac surgery. Circulation (2008) 3.06

DNA-based self-assembly of chiral plasmonic nanostructures with tailored optical response. Nature (2012) 2.72

Health literacy: an overlooked factor in understanding HIV health disparities. Am J Prev Med (2007) 2.51

The MOBILIZE Boston Study: design and methods of a prospective cohort study of novel risk factors for falls in an older population. BMC Geriatr (2008) 2.42

Randomized trial of a delirium abatement program for postacute skilled nursing facilities. J Am Geriatr Soc (2010) 2.38

Healthcare and lifestyle practices of healthcare workers: do healthcare workers practice what they preach? JAMA Intern Med (2013) 2.29

Advanced dementia research in the nursing home: the CASCADE study. Alzheimer Dis Assoc Disord (2006) 2.24

Association between psychomotor activity delirium subtypes and mortality among newly admitted post-acute facility patients. J Gerontol A Biol Sci Med Sci (2007) 2.13

The overlap syndrome of depression and delirium in older hospitalized patients. J Am Geriatr Soc (2009) 2.12

Empowering patients who have specific learning disabilities. JAMA (2013) 1.98

Association between delirium resolution and functional recovery among newly admitted postacute facility patients. J Gerontol A Biol Sci Med Sci (2006) 1.98

Development and assessment of a composite score for memory in the Alzheimer's Disease Neuroimaging Initiative (ADNI). Brain Imaging Behav (2012) 1.97

Outcomes of older people admitted to postacute facilities with delirium. J Am Geriatr Soc (2005) 1.94

Hypertension, orthostatic hypotension, and the risk of falls in a community-dwelling elderly population: the maintenance of balance, independent living, intellect, and zest in the elderly of Boston study. J Am Geriatr Soc (2011) 1.88

Issues in conducting epidemiologic research among elders: lessons from the MOBILIZE Boston Study. Am J Epidemiol (2008) 1.83

Reliability of a structured assessment for nonclinicians to detect delirium among new admissions to postacute care. J Am Med Dir Assoc (2006) 1.83

Delirium: an independent predictor of functional decline after cardiac surgery. J Am Geriatr Soc (2010) 1.82

A role for the immunological synapse in lineage commitment of CD4 lymphocytes. Nature (2004) 1.77

Ten-year effects of the advanced cognitive training for independent and vital elderly cognitive training trial on cognition and everyday functioning in older adults. J Am Geriatr Soc (2014) 1.74

Novel risk markers and long-term outcomes of delirium: the successful aging after elective surgery (SAGES) study design and methods. J Am Med Dir Assoc (2012) 1.73

Persistent delirium predicts greater mortality. J Am Geriatr Soc (2009) 1.66

High quality care and ethical pay-for-performance: a Society of General Internal Medicine policy analysis. J Gen Intern Med (2009) 1.65

Effects of an automated telephone support system on caregiver burden and anxiety: findings from the REACH for TLC intervention study. Gerontologist (2003) 1.62

Identifying indicators of important diagnostic features of delirium. J Am Geriatr Soc (2012) 1.57

The mechanisms linking health literacy to behavior and health status. Am J Health Behav (2010) 1.57

Analysis of differential item functioning in the depression item bank from the Patient Reported Outcome Measurement Information System (PROMIS): An item response theory approach. Psychol Sci Q (2009) 1.56

Multidrug-resistant gram-negative bacteria in a long-term care facility: prevalence and risk factors. J Am Geriatr Soc (2008) 1.55

Randomized controlled trial of a video decision support tool for cardiopulmonary resuscitation decision making in advanced cancer. J Clin Oncol (2012) 1.50

Optimizing the tracking of falls in studies of older participants: comparison of quarterly telephone recall with monthly falls calendars in the MOBILIZE Boston Study. Am J Epidemiol (2010) 1.50

The cognitive reserve hypothesis: a longitudinal examination of age-associated declines in reasoning and processing speed. Dev Psychol (2009) 1.47

The effect of speed-of-processing training on depressive symptoms in ACTIVE. J Gerontol A Biol Sci Med Sci (2009) 1.46

The English are healthier than the Americans: really? Int J Epidemiol (2015) 1.45

Telephone interview for cognitive status: Creating a crosswalk with the Mini-Mental State Examination. Alzheimers Dement (2009) 1.45

A randomized controlled trial of an automated exercise coach for older adults. J Am Geriatr Soc (2013) 1.42

Hospitalization in community-dwelling persons with Alzheimer's disease: frequency and causes. J Am Geriatr Soc (2010) 1.39

Numeracy and communication with patients: they are counting on us. J Gen Intern Med (2008) 1.38

Delirium symptoms in post-acute care: prevalent, persistent, and associated with poor functional recovery. J Am Geriatr Soc (2003) 1.37

Delirium among newly admitted postacute facility patients: prevalence, symptoms, and severity. J Gerontol A Biol Sci Med Sci (2003) 1.37

A tale of two methods: chart and interview methods for identifying delirium. J Am Geriatr Soc (2014) 1.37

The persistence of depressive symptoms in older workers who experience involuntary job loss: results from the health and retirement survey. J Gerontol B Psychol Sci Soc Sci (2006) 1.35

The validity and reliability of scales for the evaluation of end-of-life care in advanced dementia. Alzheimer Dis Assoc Disord (2006) 1.35

Effect of blood pressure and diabetes mellitus on cognitive and physical functions in older adults: a longitudinal analysis of the advanced cognitive training for independent and vital elderly cohort. J Am Geriatr Soc (2005) 1.34

Adverse outcomes after hospitalization and delirium in persons with Alzheimer disease. Ann Intern Med (2012) 1.33

Expert panel on weight loss surgery: executive report update. Obesity (Silver Spring) (2009) 1.33

Opposing effects of toll-like receptor (TLR3) signaling in tumors can be therapeutically uncoupled to optimize the anticancer efficacy of TLR3 ligands. Cancer Res (2010) 1.31

Using computer agents to explain medical documents to patients with low health literacy. Patient Educ Couns (2009) 1.30

Health literacy and 30-day postdischarge hospital utilization. J Health Commun (2012) 1.30

The nonlinear relationship between gait speed and falls: the Maintenance of Balance, Independent Living, Intellect, and Zest in the Elderly of Boston Study. J Am Geriatr Soc (2011) 1.29

A novel aging phenotype of slow gait, impaired executive function, and depressive symptoms: relationship to blood pressure and other cardiovascular risks. J Gerontol A Biol Sci Med Sci (2009) 1.29

Impaired executive function is associated with delirium after coronary artery bypass graft surgery. J Am Geriatr Soc (2006) 1.29

Risk factors for hospitalization among community-dwelling primary care older patients: development and validation of a predictive model. Med Care (2008) 1.29

Risk factors for delirium at discharge: development and validation of a predictive model. Arch Intern Med (2007) 1.29

A life course model of cognitive activities, socioeconomic status, education, reading ability, and cognition. J Am Geriatr Soc (2011) 1.27

Independent vascular and cognitive risk factors for postoperative delirium. Am J Med (2007) 1.27

Improving decision making at the end of life with video images. Med Decis Making (2009) 1.26

Cognitive decline in the elderly: an analysis of population heterogeneity. Age Ageing (2011) 1.25

The Caregiver Vigilance Scale: application and validation in the Resources for Enhancing Alzheimer's Caregiver Health (REACH) project. Am J Alzheimers Dis Other Demen (2003) 1.24

Speed of processing training protects self-rated health in older adults: enduring effects observed in the multi-site ACTIVE randomized controlled trial. Int Psychogeriatr (2009) 1.24

Cognitive function in normal-weight, overweight, and obese older adults: an analysis of the Advanced Cognitive Training for Independent and Vital Elderly cohort. J Am Geriatr Soc (2006) 1.22

Impact of health literacy on depressive symptoms and mental health-related: quality of life among adults with addiction. J Gen Intern Med (2006) 1.21

Factor structure of the National Alzheimer's Coordinating Centers uniform dataset neuropsychological battery: an evaluation of invariance between and within groups over time. Alzheimer Dis Assoc Disord (2011) 1.19

Vav proteins control MyD88-dependent oxidative burst. Blood (2006) 1.19

Calibration and validation of an innovative approach for estimating general cognitive performance. Neuroepidemiology (2014) 1.19

Acquisition of multidrug-resistant gram-negative bacteria: incidence and risk factors within a long-term care population. Infect Control Hosp Epidemiol (2010) 1.19

Measuring depression in nursing home residents with the MDS and GDS: an observational psychometric study. BMC Geriatr (2005) 1.18

A randomized controlled trial of a goals-of-care video for elderly patients admitted to skilled nursing facilities. J Palliat Med (2012) 1.18

Distance dependence of single-fluorophore quenching by gold nanoparticles studied on DNA origami. ACS Nano (2012) 1.17

The ACTIVE cognitive training interventions and the onset of and recovery from suspected clinical depression. J Gerontol B Psychol Sci Soc Sci (2009) 1.17

Health literacy measurement: an inventory and descriptive summary of 51 instruments. J Health Commun (2014) 1.16

Measurement differences in depression: chronic health-related and sociodemographic effects in older Americans. Psychosom Med (2008) 1.15

Health literacy and physical and psychological wellbeing in Japanese adults. Patient Educ Couns (2009) 1.14

A Randomized Controlled Trial of a CPR and Intubation Video Decision Support Tool for Hospitalized Patients. J Gen Intern Med (2015) 1.14

The ACTIVE cognitive training trial and predicted medical expenditures. BMC Health Serv Res (2009) 1.14

Center for Epidemiologic Studies-Depression Scale (CES-D) item response bias found with Mantel-Haenszel method was successfully replicated using latent variable modeling. J Clin Epidemiol (2007) 1.14

Maximizing clinical research participation in vulnerable older persons: identification of barriers and motivators. J Am Geriatr Soc (2008) 1.13

Phenomenological subtypes of delirium in older persons: patterns, prevalence, and prognosis. Psychosomatics (2009) 1.13

Asthma 1-2-3: a low literacy multimedia tool to educate African American adults about asthma. J Community Health (2009) 1.13

Usability of conversational agents by patients with inadequate health literacy: evidence from two clinical trials. J Health Commun (2010) 1.11

Health literacy: communication strategies to improve patient comprehension of cardiovascular health. Circulation (2009) 1.10

Development and validation of a brief cognitive assessment tool: the sweet 16. Arch Intern Med (2010) 1.08

Assessing end-of-life preferences for advanced dementia in rural patients using an educational video: a randomized controlled trial. J Palliat Med (2011) 1.08

Process quality indicators targeting cognitive impairment to support quality of care for older people with cognitive impairment in emergency departments. Acad Emerg Med (2015) 1.07

Characteristics associated with delirium persistence among newly admitted post-acute facility patients. J Gerontol A Biol Sci Med Sci (2004) 1.07

Structural quality indicators to support quality of care for older people with cognitive impairment in emergency departments. Acad Emerg Med (2015) 1.07

Parallel but not equivalent: challenges and solutions for repeated assessment of cognition over time. J Clin Exp Neuropsychol (2012) 1.07

Using video images to improve the accuracy of surrogate decision-making: a randomized controlled trial. J Am Med Dir Assoc (2009) 1.05

The implications of health literacy on patient-provider communication. Arch Dis Child (2007) 1.05

Post-discharge hospital utilization among adult medical inpatients with depressive symptoms. J Hosp Med (2010) 1.05

The Demographic Assessment for Health Literacy (DAHL): a new tool for estimating associations between health literacy and outcomes in national surveys. J Gen Intern Med (2008) 1.05

Improving disposition outcomes for patients in a geriatric skilled nursing facility. J Am Geriatr Soc (2011) 1.04