Addressing Population Health Care Transitions by Utilizing Swing Bed Post-Acute Care

In 2019, over 2500 acute care hospitals were subject to readmission penalties (Nelson, 2019). SGCMH has a swing bed hospital-based program for Transitional Care (skilled nursing). SGCMH has developed an innovative care model, standardized triage process, and collaboration with select tertiary care centers to transition patients into a short-term skilled nursing program. The Transitional Care goal is to address needs of patients discharged from acute care but are not ready to go home. Acuity is often too great for nursing homes or discharge to home.