Conditions That Matter

Building Psychiatric Partnerships That Actually Work in Skilled Nursing

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. Connect with the Guests at: * Dr. Majd Alsamman: https://www.nationalpsychllc.com/ [https://www.nationalpsychllc.com/] * Sally Boswell: https://www.adviniacare.com/ [https://www.adviniacare.com/] To learn more, visit: http://www.c2-com.com [http://www.c2-com.com] Connect with the hosts and today's guests at: Sara Maus: https://www.linkedin.com/in/sara-maus-9b4408197/ [https://www.linkedin.com/in/sara-maus-9b4408197/] Dr. Frank Elterman: https://www.linkedin.com/in/frank-elterman-a25a8161/ [https://www.linkedin.com/in/frank-elterman-a25a8161/] Dr. Majd Alsamman: https://www.nationalpsychllc.com/ [https://www.nationalpsychllc.com/] Sally Boswell: https://www.adviniacare.com/ [https://www.adviniacare.com/] Prestige Outpatient Providers: https://www.prestigeoutpatient.com [https://www.prestigeoutpatient.com] Listen to more episodes on Mission Matters: http://missionmatters.com/author/Cyndee-Woolley/ [http://missionmatters.com/author/Cyndee-Woolley/]

The Partnership Equation: What Administrators Really Need from Post-Acute Providers

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/ [https://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/ [https://www.linkedin.com/in/sara-maus-9b4408197/] Dr. Frank Elterman: https://www.linkedin.com/in/frank-elterman-a25a8161/ [https://www.linkedin.com/in/frank-elterman-a25a8161/] Prestige Outpatient Providers: https://www.prestigeoutpatient.com [https://www.prestigeoutpatient.com] Listen to more episodes on Mission Matters: https://missionmatters.com/author/sara-maus-dr-frank-elterman [https://missionmatters.com/author/sara-maus-dr-frank-elterman]

Clinical Documentation That Pays: Optimizing Reimbursement in Post-Acute Care

Join host Sara Maus, Director of Operations and Business Development at Prestige Outpatient Providers, for the premiere episode of Conditions That Matter: A Clinical Focus Series for Post-Acute Success! This brand-new podcast series is created for the Wild West of the post-acute world in Southwest Florida. She's joined by co-host and post-acute legend Dr. Frank Elterman, who has been serving Southwest Florida's post-acute care for nearly a decade and is a partner as well as the Managing Partner and Medical Director of Prestige Providers.  In this introductory episode, Dr. Elterman and Sara discuss clinical focus areas for post-acute optimization and reveal how their team has reduced readmissions by about 30% through strategic communication, provider education, and 24/7 availability. Dr. Elterman provides real examples, including a patient with seizures whose progress was improved with proper medication. Sara and Frank emphasize their mission to partner with nurses, EDs, case managers, caretakers, and colleagues, helping facilities improve star ratings, reduce readmissions, and optimize patient care while keeping their doors open.  Connect with the hosts at: Sara Maus: https://www.linkedin.com/in/sara-maus-9b4408197/ [https://www.linkedin.com/in/sara-maus-9b4408197/] Dr. Frank Elterman: https://www.linkedin.com/in/frank-elterman-a25a8161/ [https://www.linkedin.com/in/frank-elterman-a25a8161/] Prestige Outpatient Providers: https://www.prestigeoutpatient.com [https://www.prestigeoutpatient.com] Listen to more episodes on Mission Matters: https://missionmatters.com/author/sara-maus-dr-frank-elterman [https://missionmatters.com/author/sara-maus-dr-frank-elterman]