{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T01:41:13Z","timestamp":1773798073038,"version":"3.50.1"},"reference-count":48,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2020,4,28]],"date-time":"2020-04-28T00:00:00Z","timestamp":1588032000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"National Institute on Aging, Claude D. Pepper Older Americans Independence Center","award":["TS, 3P30AG028741"],"award-info":[{"award-number":["TS, 3P30AG028741"]}]},{"name":"US Department of Health and Human Services, Centers for Medicare & Medicaid Services","award":["1C1CMS331334-01-00"],"award-info":[{"award-number":["1C1CMS331334-01-00"]}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVES<\/jats:title>\n                    <jats:p>For patients who require frequent and intensive therapy services after hospitalization, rehabilitation is predominantly provided in skilled nursing facilities (SNFs). Delivering post\u2010acute rehabilitation in patients\u02bc homes offers a potential alternative. Our aim was to describe and evaluate services and functional outcomes and then identify factors associated with the provision of a 30\u2010day post\u2010acute care (PAC) bundle of rehabilitation, medical, and social services provided via the Rehabilitation at Home (RaH) program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DESIGN<\/jats:title>\n                    <jats:p>Single\u2010arm retrospective review of patients participating in the RaH program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>SETTING<\/jats:title>\n                    <jats:p>Multidisciplinary home\u2010based delivery of PAC in Manhattan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PARTICIPANTS<\/jats:title>\n                    <jats:p>Individuals 18\u2009years or older residing in a specified catchment area and qualifying for SNF\u2010based rehabilitation services from October 2015 to September 2017.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>A total of 237 patients participated in RaH over 264 episodes of care. Participants were predominantly older than 85\u2009years (57%; mean = 84.2; standard deviation [SD] = 10.0\u2009years) and of non\u2010Hispanic white (70%) race and ethnicity. Most were admitted after hospitalization (88.2%) for 117 different diagnostic related groups. Average length of stay in RaH was 14.2 (SD = 6.5) days with patients receiving 1.83 (SD = 2.22) medical provider, 1.67 (SD = 1.58) nursing, and 5.24 (SD = 1.05) physical therapist visits weekly. Most of the patients fully or almost fully met their goals for bed mobility (65%), bed transfer (69%), chair transfer (67%), and ambulation (64%) with the majority achieving moderate or considerable (61%) global functional improvement. Achieving moderate or considerable global improvement was negatively associated with dementia diagnosis (odds ratio [OR] = .23; 95% confidence interval [CI] = .08\u2010.71) and positively associated with higher baseline ambulation (OR = 5.51; 95% CI = 2.22\u201013.66). At 30\u2009days, 87.3% of participants were living in the community.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>Delivering SNF\u2010level post\u2010acute rehabilitation care in patients\u02bc homes for a broad range of diagnoses is feasible and associated with functional improvement. This approach may help older adults maintain living status in the community. J Am Geriatr Soc 68:1584\u20101593, 2020.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.16474","type":"journal-article","created":{"date-parts":[[2020,4,28]],"date-time":"2020-04-28T08:48:58Z","timestamp":1588063738000},"page":"1584-1593","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Implementation of\n                    <scp>Post\u2010Acute<\/scp>\n                    Rehabilitation at Home: A Skilled Nursing\n                    <scp>Facility\u2010Substitutive<\/scp>\n                    Model"],"prefix":"10.1111","volume":"68","author":[{"given":"Matthew R.","family":"Augustine","sequence":"first","affiliation":[{"name":"Department of Medicine Icahn School of Medicine at Mount Sinai  New York New York USA"},{"name":"Geriatric Research Education and Clinical Center James J. Peters VA Medical Center  Bronx New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claire","family":"Davenport","sequence":"additional","affiliation":[{"name":"Department of Geriatrics and Palliative Medicine Icahn School of Medicine at Mount Sinai  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine A.","family":"Ornstein","sequence":"additional","affiliation":[{"name":"Department of Geriatrics and Palliative Medicine Icahn School of Medicine at Mount Sinai  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mitchell","family":"Cuan","sequence":"additional","affiliation":[{"name":"Department of Geriatrics and Palliative Medicine Icahn School of Medicine at Mount Sinai  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pamela","family":"Saenger","sequence":"additional","affiliation":[{"name":"Department of Geriatrics and Palliative Medicine Icahn School of Medicine at Mount Sinai  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Lubetsky","sequence":"additional","affiliation":[{"name":"Department of Geriatrics and Palliative Medicine Icahn School of Medicine at Mount Sinai  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alex","family":"Federman","sequence":"additional","affiliation":[{"name":"Department of Medicine Icahn School of Medicine at Mount Sinai  New York New York USA"},{"name":"Department of Geriatrics and Palliative Medicine Icahn School of Medicine at Mount Sinai  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda V.","family":"DeCherrie","sequence":"additional","affiliation":[{"name":"Department of Medicine Icahn School of Medicine at Mount Sinai  New York New York USA"},{"name":"Department of Geriatrics and Palliative Medicine Icahn School of Medicine at Mount Sinai  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bruce","family":"Leff","sequence":"additional","affiliation":[{"name":"Division of Geriatrics, Department of Medicine, School of Medicine Johns Hopkins University  Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Albert L.","family":"Siu","sequence":"additional","affiliation":[{"name":"Geriatric Research Education and Clinical Center James J. 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