Nurse Practitioner-Led Care Transitions Program: Medication Management From Skilled Nursing Facility to Home

Abstract

Transitions of care are high risk for patients, particularly for the geriatric population transitioning from a skilled nursing facility to home. Medication events during care transitions are common, often resulting in adverse patient outcomes. This report synthesizes available research on skilled nursing facility-to-home transitions, shares practices from a current nurse practitioner-led transitional care program, provides case examples, outlines best practice recommendations, and identifies future research and education needs.