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Avoiding Nursing Home to Hospital Transfers

Rethinking Avoidability

Vogelsmeier, Amy, PhD, RN, FAAN; Popejoy, Lori, PhD, RN, FAAN; Kist, Shari, PhD, RN; Harrell, Riley, BS, MPH (c); Alexander, Greg, PhD, RN, FAAN; Rantz, Marilyn, PhD, RN, FAAN

doi: 10.1097/NCQ.0000000000000409
Departments: Innovations in Quality Improvement in Long-term Care

Sinclair School of Nursing, University of Missouri, Columbia.

Correspondence: Amy Vogelsmeier, PhD, RN, FAAN, Sinclair School of Nursing, University of Missouri, Columbia, MO 65211 (

This project is supported by grant number 1E1CMS331080 from the Centers for Medicare & Medicaid (CMS) Innovations Center and Medicare-Medicaid Coordination Office (, which is focused on improving care and outcomes for Medicare-Medicaid enrollees residing in nursing facilities. The content is solely the responsibility of the authors and does not necessarily represent the official views of the CMS.

The authors acknowledge the gracious participation of 16 nursing homes in the St Louis area, their staff, the APRNs, and other staff of the MOQI Initiative. Without everyone's support and hard work, the advances in this Initiative would not be possible.

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