1. Baker B, et al. Skilled nursing facility 30-day all-cause readmission measure (SNFRM) NQF #2510: all-cause risk-standardized readmission measure; April 2019. https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/SNF-VBP/Downloads/SNFRM-TechReportSupp-2019-.pdf
2. Centers for Medicare and Medicaid Services. Hospital Readmissions Reduction Program (HRRP). https://www.cms.gov/Medicare/Medicare-Fee-for-Service Payment/AcuteInpatientPPS/Readmissions-Reduction-Program. Accessed June 2021.
3. Centers for Medicare and Medicaid Services. SNF PPS payment model research. https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/SNFPPS/therapyresearch. Accessed June 2021.
4. Ouslander J, et al. Root cause analyses of transfers of skilled nursing facility patients to acute hospitals: lessons learned for reducing unnecessary hospitalizations. J Am Med Dir Assoc. 2016;17:256–62.
5. Denson S, et al. Age friendly healthcare delivery: the 4Ms #93. https://www.geriatricfastfacts.com/fast-facts/age-friendly-healthcare-delivery-4ms. Accessed June 2021.