Missed Opportunities for Rehabilitation: Improving Care Transitions Between Hospital & Community

Presented by Jason Falvey, PT, DPT, GCS, PhD

Meet Your Instructor

  • Jason Falvey, PT, DPT, GCS, PhD
    Jason Falvey, PT, DPT, GCS, PhD

    Jason Falvey is a post-doctoral fellow at Yale University. His research training focuses on disability and recovery for older adults after acute hospitalization, and how physical function contributes to hospital readmission risk. He received his PhD in Rehabilitation Science from the University of Colorado, Anschutz Medical Campus in 2018. He previously received a dual BS and DPT from Husson University in Bangor, Maine. Jason is particularly interested in how rehabilitation utilization after an acute hospitalization impacts trajectories of functional recovery, risk for readmission, and downstream health care utilization. He also has worked with long-term care providers to evaluate optimal measurement of physical function, and relationships between function and hospital utilization. Prior to his matriculation in the PhD program, Jason obtained his board certification in geriatric physical therapy in 2013 and worked as a home health therapist and rehabilitation director of a home health agency in Cheyenne, Wyoming. Jason maintains an active social media presence on Twitter (@JRayFalvey) and is a frequent podcast guest for topics related to geriatrics and health care policy.

Learning Objectives

  • Describe current evidence on the relationship between physical function and hospital readmissions
  • Describe the frequency of community breakdowns which may occur between hospital settings and community clinics
  • List three strategies for improving quality of care transitions for older adults with functional disability leaving hospital settings


1:00pm-1:20pm Chapter 1: Physical Function & Hospital Readmissions: Overview
1:20pm-1:45pm Chapter 2: The Black Box of Post-Hospital Rehabilitation Care
1:45pm-2:00pm Question & Answer Session