%0 Journal Article
%T A Healthcare Pathway to Nirvana? The SNF Transition to Home
%A Wayne S. Saltsman
%J -
%D 2018
%R https://doi.org/10.3390/geriatrics3030054
%X Abstract While the majority of attention and the literature has focused on transitional models out of the acute care setting, transitions from the post-acute setting¡ªespecially from the skilled nursing facility (SNF)¡ªare not well understood. What are the ¡®best practices¡¯, or thoughtful considerations, for a successful transition back to home and the community? Facilitation of a smooth and seamless transition relies on the abilities of the SNF and primary care teams, as well as community agencies, to coordinate care in a patient-centered manner together. This article will focus on this specific transition within the healthcare continuum. View Full-Tex
%K transitions of care
%K skilled nursing
%K advance care planning
%U https://www.mdpi.com/2308-3417/3/3/54