McCarthy EP, Ogarek JA, Loomer L, et al. - This study intended to evaluate the change in hospital transfer rates among nursing home residents with advanced illnesses, such as dementia, congestive heart failure (CHF), and chronic obstructive pulmonary disease (COPD), from 2011 to 2017—before and after the introduction of national initiatives to reduce hospitalizations. Researchers conducted a cross-sectional study, nationwide Minimum Data Set (MDS) assessments between January 1, 2011, and December 31, 2016 (with the follow-up for transfer rates until December 31, 2017), were applied to distinguish annual inception cohorts of long-stay (>100 days) nursing home residents who had recently progressed to the advanced stages of dementia, CHF, or COPD. The data were investigated between October 24, 2018, and October 3, 2019. The outcomes of this study indicated that that concurrent with new initiatives aimed at reducing hospitalizations, hospital transfers decreased between 2011 and 2017, among nursing home residents with advanced illnesses without increased mortality rates. In this population, opportunities remain to additional decrease in unnecessary hospital transfers and enhance goal-directed care for those residents who opt to forgo hospitalization.