SGIM-AMDA-AGS Consensus Best Practice Recommendations for Transitioning Patients’ Healthcare from Skilled Nursing Facilities to the Community

摘要: We assembled a cross-cutting team of experts representing primary care physicians (PCPs), home physicians, who see patients in skilled nursing facilities (SNF physicians), facility medical directors, human factors engineers, transitional researchers, geriatricians, internists, family practitioners, and three major organizations: AMDA, SGIM, AGS. This work was sponsored through grant from the Association Subspecialty Physicians (ASP). Members mapped process discharging into community subsequent their outpatient PCP. Four areas improvement were identified, building on prior AMDA Transitions Care Committee experiences members. The identified issues developed best practices perceived as feasible for SNF physician PCP to accomplish. goal these consensus-based recommended is provide safe high-quality transition moving between