AMDA White Paper: Improving Care Transitions from NF to Community

This is a good paper for our clients in Long-Term Care medicine:

http://www.amda.com/governance/whitepapers/transitions_of_care.cfm#top

Discusses:

• Need for better care transitions
• Barriers to effective transitions
• Identifying/Communicating with Primary Care Physician (PCP)
• Patient Follow-up Post-Transition
• Medication Management
• Barriers created by current reimbursement system