Improving care transitions in nursing homes

Mark Toles, Heather M Young, Joseph Ouslander

Research output: Contribution to journalArticlepeer-review

13 Scopus citations


Nursing homes have emerged as vital settings for services to ensure necessary and effective care transitions for older adults. This article proposes three strategies to improve the quality of care transitions in nursing homes: establish responsive care-teams to focus care on the needs and preferences of residents and families; enhance resources to identify, evaluate and manage acute changes in health to reduce preventable hospital transfers; and, enhance residents' and family caregivers' capacity to coordinate and continue care at home to reduce medical complications during transitions from nursing homes to home.

Original languageEnglish (US)
Pages (from-to)78-85
Number of pages8
Issue number4
StatePublished - Dec 1 2012

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Public Health, Environmental and Occupational Health
  • Life-span and Life-course Studies


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