In Episode 4 of Conditions That Matter: A Clinical Focus Series for Post-Acute Success, Dr. Frank Elterman, Medical Director, and Sara Maus, Director of Operations at Prestige Outpatient Providers, tackle one of the most overwhelming moments families face: finding the right level of care after a hospital stay.

As Sara notes, "some of the most important health care decisions families make happen after the hospital stay, not inside the hospital itself." This episode is a practical guide to navigating the post-acute journey, designed, in Dr. Elterman's words, to be "less focused on the buildings themselves... and more for the families."

Together they unpack the difference between rehabilitation and long-term care, and demystify the settings families encounter: skilled nursing facilities, assisted living, memory care, inpatient rehab facilities (IRFs), long-term acute care hospitals (LTCHs), and continuing care communities. Dr. Elterman explains how insurance shapes length of stay, why the "three midnight" inpatient rule matters, and why the newest or most beautiful building isn't always the best choice.

Most importantly, they share the questions every family should ask before a loved one is discharged, from weekend therapy coverage to staffing stability and star ratings. As Sara puts it, "Asking questions isn't being difficult. It's being an advocate."

Whether you're a healthcare professional guiding a transition or a family member making a decision for someone you love, this conversation offers clarity, confidence, and hope.

Connect with the hosts at:

Sara Maus: https://www.linkedin.com/in/sara-maus-9b4408197/
Dr. Frank Elterman: https://www.linkedin.com/in/frank-elterman-a25a8161/
Prestige Outpatient Providers: https://www.prestigeoutpatient.com

Listen to more episodes on Mission Matters:
https://missionmatters.com/author/sara-maus-dr-frank-elterman

What does it actually take to build strong psychiatric support inside a skilled nursing facility? In this episode of Conditions That Matter: A Clinical Focus Series for Post-Acute Success, hosts Dr. Frank Elterman and Sara Maus are joined by a panel of clinical and operational leaders to tackle one of the most pressing challenges in post-acute care today.

Dr. Majd Alsamman, Medical Director of National Psychiatry LLC and supervising physician of the psychiatric mental health nurse practitioner team, shares his clinical perspective on medication management, antipsychotic reduction, GDR compliance, and what makes psychiatric care truly effective in skilled nursing settings.

Joining from Advinia Care Naples are Executive Director Sally Boswell and Director of Admissions Juan Villafranca, who share what they're seeing on the ground — higher-acuity and younger residents, the impact of behavioral health on admission decisions, and what separates a psych provider who shows up from one who truly partners with a facility.

Together, the group explores why continuity, trust-building, and responsiveness are the real differentiators — and how the right psychiatric partnership becomes part of the operational foundation of a facility.

About the Guests

• Dr. Majd Alsamman serves as Medical Director of National Psychiatry LLC and supervising physician of the psychiatric mental health nurse practitioner team serving facilities throughout the region. He brings years of experience in both hospital and post-acute psychiatry, playing a critical role in ensuring care delivered in partner facilities is thoughtful, collaborative, and aligned with the realities of skilled nursing.
• Sally Boswell serves as Executive Director of Advinia Care Naples. With two decades of post-acute leadership experience since 2005, her depth of knowledge and steady leadership style have helped shape strong operational teams and consistent outcomes within her building.
• Juan Villafranca serves as Director of Admissions at Advinia Care Naples. With five years in the post-acute industry, he brings a sharp focus on admissions, growth, and relationship building, offering a fresh perspective on how facilities are evolving and adapting in today's environment.

• Dr. Majd Alsamman: https://www.nationalpsychllc.com/
• Sally Boswell: https://www.adviniacare.com/

To learn more, visit:
http://www.c2-com.com

Connect with the hosts and today's guests at:
Sara Maus: https://www.linkedin.com/in/sara-maus-9b4408197/
Dr. Frank Elterman: https://www.linkedin.com/in/frank-elterman-a25a8161/
Dr. Majd Alsamman: https://www.nationalpsychllc.com/
Sally Boswell: https://www.adviniacare.com/
Prestige Outpatient Providers: https://www.prestigeoutpatient.com

Listen to more episodes on Mission Matters:
http://missionmatters.com/author/Cyndee-Woolley/

The second episode of Conditions That Matter: A Clinical Focus Series for Post-Acute Success brings together hosts Dr. Frank Elterman and Sara Maus with special guest Vincent Petrosini—a healthcare leader with nearly 40 years of clinical experience who has served as nursing home administrator, executive director, director of nursing, floor nurse, and CEO.

This roundtable discussion tackles the real challenges facing post-acute care today. Petrosini shares how residents are much sicker than years ago, reimbursement rates have dropped, and regulatory oversight has tripled. The conversation explores critical disconnects between administrators and providers, emphasizing that successful partnerships require providers to understand both patient care and the business side of healthcare.

Dr. Elterman reveals how their team reduced 30-day readmissions by 18% over a six-month period through structured handoff processes, same-day medication reviews, and 72-hour follow-up calls. The group discusses medication reconciliation challenges, including how hospital discharge summaries often contain incomplete or inaccurate information that can lead to preventable readmissions.

Petrosini emphasizes the power of communication, explaining his facility's welcome meeting approach where the entire care team sits down with residents to set realistic expectations and goals. From preventing unnecessary hospitalizations to knowing when to call providers versus handling issues in-house, this episode delivers actionable strategies for building strong partnerships that drive quality outcomes and strengthen referral networks in the post-acute world.

About the Guest

Vincent Petrosini—a healthcare leader with nearly 40 years of clinical experience who has served as nursing home administrator, executive director, director of nursing, floor nurse, and CEO.

Connect with Vincent at: www.linkedin.com/in/vincent-petrosini-dnp-msn-acrn-fnp-c-ne-bc-cdp-lnha-941babb1/

Connect with the hosts at:

Sara Maus: https://www.linkedin.com/in/sara-maus-9b4408197/
Dr. Frank Elterman: https://www.linkedin.com/in/frank-elterman-a25a8161/
Prestige Outpatient Providers: https://www.prestigeoutpatient.com

Listen to more episodes on Mission Matters:
https://missionmatters.com/author/sara-maus-dr-frank-elterman