Enhanced Collaboration Drives Improved Post-Acute Care at Centers Health Care
A new partnership model between hospitals and skilled nursing facilities is demonstrating positive results in patient care and outcomes, according to Dr. Matthew Glenn, MD, MS, onsite physician at Amsterdam Nursing Home and Boro Park Center, both part of the Centers Health Care network. This approach, centered around consistent, integrated physician presence, is proving to be a notable advancement over traditional hospital-skilled nursing facility collaborations.
The initiative began at Boro Park Center, where the partnership has already served over 1,000 patients. Notably, the facility has achieved a discharge goal rate exceeding both state and national averages. Dr. Glenn attributes this success to daily collaboration between the nursing staff,therapists,and the onsite physician,fostering improved interaction and quicker responses to resident condition changes. This has translated into tangible gains in functional recovery and a reduction in hospital readmissions. Residents and their families benefit from direct access to a rehabilitation physician with expertise in both acute and long-term care.
Building on this success, the partnership expanded to Amsterdam nursing Home, where Dr.Glenn also serves as the onsite physician.
What distinguishes this collaboration from many others is the level of integration. Unlike models relying on visiting physicians or consultations, Dr. Glenn and his team actively participate in morning rounds, facilitating real-time discussions about patient progress and allowing for immediate adjustments to treatment plans. This collaborative surroundings cultivates trust and shared accountability among all care providers.
The presence of an onsite physician also provides valuable support to the nursing and therapy staff at Amsterdam Nursing Home. It offers immediate access to clinical guidance on complex cases,assisting with medication management,goal setting,and symptom assessment,ultimately bolstering confidence and improving clinical decision-making.
Looking forward, Dr. Glenn anticipates sustained improvements in resident outcomes, including enhanced functional abilities, fewer hospital readmissions, and an improved quality of life. He believes the partnership is redefining expectations for residents, establishing a proactive, team-based approach focused on rehabilitation excellence.
Dr. Glenn predicts that the post-acute care landscape in 2026 will be shaped by value-based care and increased coordination between hospitals and skilled nursing facilities. He emphasizes that having physicians onsite is crucial for bridging the gap between these settings, enabling faster clinical decisions, improved communication with hospital teams, and smoother care transitions. The ultimate goal is to deliver measurable outcomes, utilize resources efficiently, and adapt to evolving technologies and regulations within the post-acute care sector.
Centers Health Care operates 42 skilled nursing,rehabilitation,and senior care facilities throughout the Northeast. More information can be found at www.centershealthcare.com.