https://abs.twimg.com/emoji/v2/... draggable="false" alt="🚨" title="Polizeiautos mit drehendem Licht" aria-label="Emoji: Polizeiautos mit drehendem Licht">Check out our study in @BMJ_Qual_Saf:

Differences in transitional care processes among high-performing & low-performing hospital-SNF pairs using a rapid ethnographic approachhttps://abs.twimg.com/emoji/v2/... draggable="false" alt="🧵" title="Thread" aria-label="Emoji: Thread">

@BBurkeMD @RomeAyele @EGalenbeck @vaequity @NCSP_Penn @SeaDenCOIN @PennNCTH https://qualitysafety.bmj.com/content/early/2020/09/20/bmjqs-2020-011204">https://qualitysafety.bmj.com/content/e...

2/Hospital readmission from skilled nursing facilities (SNFs) are https://abs.twimg.com/emoji/v2/... draggable="false" alt="💸" title="Geld mit Flügeln" aria-label="Emoji: Geld mit Flügeln">, yet best practices for https://abs.twimg.com/emoji/v2/... draggable="false" alt="⬇️" title="Pfeil nach unten" aria-label="Emoji: Pfeil nach unten"> are unclear. So we used a rapid ethnographic approach to understand how hospitals prepare patients for SNFs & explore diffs btwn hospital-SNF pairs w high/low 30-day readmission rates.

3/Using a rapid ethnographic approach we identified 5 major processes for preparing patients to be discharged for post-acute care:
https://abs.twimg.com/emoji/v2/... draggable="false" alt="🔎" title="Nach rechts zeigende Lupe" aria-label="Emoji: Nach rechts zeigende Lupe"> Recognizing need
https://abs.twimg.com/emoji/v2/... draggable="false" alt="👥" title="Silhouette von Büsten" aria-label="Emoji: Silhouette von Büsten">Deciding level of care
https://abs.twimg.com/emoji/v2/... draggable="false" alt="📍" title="Runde Reißzwecke" aria-label="Emoji: Runde Reißzwecke">Selecting provider
https://abs.twimg.com/emoji/v2/... draggable="false" alt="🤝" title="Handschlag" aria-label="Emoji: Handschlag">Negotiating patient fit
https://abs.twimg.com/emoji/v2/... draggable="false" alt="🔗" title="Link Symbol" aria-label="Emoji: Link Symbol">Coordinating care
https://qualitysafety.bmj.com/content/early/2020/09/20/bmjqs-2020-011204">https://qualitysafety.bmj.com/content/e... @BMJ_Qual_Saf

4/One of the neat ways we identify the process used by hospitals to prepare patients for discharge to SNFs was through process mapping! This approach allowed us to identify common themes of the process & differences btwn performance types.

https://qualitysafety.bmj.com/content/early/2020/09/20/bmjqs-2020-011204
https://qualitysafety.bmj.com/content/e... href="https://twitter.com/qualityscholar">@qualityscholar

@qualityscholar" title="4/One of the neat ways we identify the process used by hospitals to prepare patients for discharge to SNFs was through process mapping! This approach allowed us to identify common themes of the process & differences btwn performance types. https://qualitysafety.bmj.com/content/e... href="https://twitter.com/qualityscholar">@qualityscholar" class="img-responsive" style="max-width:100%;"/>

5/ During each stage, we found that high-performing sites differed from low by focusing on:
https://abs.twimg.com/emoji/v2/... draggable="false" alt="1⃣" title="Tastenkappe Ziffer 1" aria-label="Emoji: Tastenkappe Ziffer 1">Earlier, ongoing, systematic identification of high-risk
patients
https://abs.twimg.com/emoji/v2/... draggable="false" alt="2⃣" title="Tastenkappe Ziffer 2" aria-label="Emoji: Tastenkappe Ziffer 2">Discussing the PAC decisions as a team-based
iterative process
https://abs.twimg.com/emoji/v2/... draggable="false" alt="3⃣" title="Tastenkappe Ziffer 3" aria-label="Emoji: Tastenkappe Ziffer 3">Anticipating barriers with knowledge of SNF needs

6/Last, we linked each process for preparing patients for SNF to target points & interventions based. One area I found surprising was that high performers emphasized the importance of early identification and matching care to goals.

https://qualitysafety.bmj.com/content/early/2020/09/20/bmjqs-2020-011204">https://qualitysafety.bmj.com/content/e...