Programs

Skilled Nursing Facilities (SNF) Alliance

Promoting education, communication, and collaboration among hospitals, skilled nursing facilities, and post-acute care providers to improve care transitions, patient outcomes, and reduce hospital readmission.

The Nexus Montgomery Skilled Nursing Facility Alliance (the SNF Alliance) is focused on patients as they transition out of an inpatient setting and into their period of recovery at a skilled nursing facility and ultimately home. Ensuring these transitions are well managed and the patient is connected with the right on-going care in a timely manner is essential for the best outcomes for patients and prevents costly hospital readmissions.

Facilitated by Nexus Montgomery, the SNF Alliance is made up of 36 facilities in Montgomery and Prince Georges County. The participating SNFs and Nexus Montgomery hospitals collaborate on the understanding that reduced readmissions and improved patient outcomes require improvements on both sides of the transition. The SNF Alliance provides a venue for sharing knowledge and experience, collaborative problem solving, piloting improvements to optimize patient care, and implementing best practices.

Nexus Montgomery provides data management and analysis for facilities participating in the SNF Alliance. Through this data driven process, Nexus Montgomery also works individually with SNFs to engage with their data to understand their individual facility drivers for readmissions and to test and implement interventions to improve outcomes.

Regional Partners

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Adventist HealthCare
Shady Grove Medical Center


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Holy Cross Germantown Hospital


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Adventist HealthCare
Washington Adventist Hospital


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MedStar Montgomery Medical Centar


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Holy Cross Hospital


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Suburban Hospital


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