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