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Dr. Mark Toles
Mentee: Martha Grace Cromeens

Mark Toles, PhD, RN

Assistant Professor

Phone: (919) 966-5684
Specialty Area: Gerontology, Psychiatric/Mental Health, Systems/Policy/Informatics

Office: 5104

Mark Toles, PhD, RN is an assistant professor with expertise in services to promote safe transitions in care for older adults as they transfer between settings and providers of healthcare. His prior studies have used epidemiological and case study approaches to describe health outcomes and services for transitioning older adults. In his current research, Dr. Toles is testing the feasibility and acceptability of “Connect-Home,” a transitional care intervention for older adults as they transition from skilled nursing facilities to home. Dr. Toles is also a co-investigator in studies of the Transitional Care Model and clinical trials of interventions to improve the quality of care in nursing homes.

Teaching: N 962 Systematic Literature Review & Developing Specific Aims
  • 2013    Gordon H. DeFriese Career Development in Aging Research Award
  • 2012    Visiting Scholar, University of Pennsylvania School of Nursing
  • 2011    Distinguished Dissertation Award, Duke University School of Nursing
  • 2007    Fabulous Fifty Nurses of Hawaii, Awarded by the State of Hawaii
  • Transitional care of older adults
  • Psychiatric nursing
  • Outcomes research

Selected Publications

  • Toles, M., Moriarty, H., Coburn, K., Marcantonio, S., Hanlon, A., Mauer, E., Fisher, P., O’Connor, M., Ulrich, C., & Naylor, M. D. (in press). Managing chronic illness: Nursing contact and participant enrollment in a Medicare care coordination demonstration program. Journal of Applied Gerontology.
  • Hall, R.K., Toles, M., Massing, M., Jackson, E., Peacock-Hinton, S., O’Hare, A.M. and Colón-Emeric, C. (2015). Utilization of acute-care among patients with ESRD discharged home from skilled nursing facilities. Clinical Journal of the American Nephrology Society, 10(3), 428-34.
  • Anderson, R. A., Toles, M., Corazzini, K., McDaniel, R. R., Colon-Emeric, C. (2014, published online first Jun 5). Local interaction strategies and capacity for better care in nursing homes: a multiple case study. BMC Health Services Research, 14(1), 244. Open access:
  • Toles, M., Anderson, R.A., Massing, M., Naylor, M., Peacock-Hinton, S., Jackson, E., Colón-Emeric, C. (2014). Restarting the cycle: incidence and predictors of acute-care use after nursing home discharge. Journal of the American Geriatrics Society, 62(1), 79-85.
  • Toles, M., Young, H. & Ouslander, J. (2013). What can be done about care transitions in nursing homes? Generations: Journal of the American Society on Aging, 36(4), 78-85.
  • Toles, M., Barroso, J., Colón-Emeric, C., Corazzini, K., McConnell, E. & Anderson, R.A. (2012). Staff interaction strategies that optimize delivery of transitional care in a skilled nursing facility: a multiple case study. Family and Community Health, 35(4), 334-344.


  • 2014-2017 National Center for Advancing Translational Sciences, National Institutes of Health, Grant #: 1KL2TR001109. Project Title: Connect-Home: Transitional Care in Nursing Homes. Role: PI

Past (selected)

  • 2013-2015 University of Pennsylvania School of Nursing, NewCourtland Center for Transitions and Health, Small Grant Program. Project Title: Mapping Care Transitions among Long Term Services and Supports Recipients. Role: Co-PI
  • 2011-2013 T32NR009356, University of Pennsylvania School of Nursing, the Training Program in Individualized Care for At Risk Older Adults. Project Title: Variations in Transitional Care in Skilled Nursing Facilities. Role: PI
  • 2011-2013 John A. Hartford Foundation/Atlantic Philanthropies Claire M. Fagin Postdoctoral Fellowship Project Title: Variations in Transitional Care in Skilled Nursing Facilities. Role: PI