Implementation of a Geriatrics-Focused Orthopaedic and Hospitalist Fracture Program Decreases Perioperative Complications and Improves Resource Utilization.

Objective: To evaluate whether the implementation of a geriatrics-focused orthopaedic and hospitalist comanagement program can improve perioperative outcomes and decrease resource utilization.

Design: A retrospective chart review study was conducted before and after the implementation of a geriatrics-focused orthopaedic and hospitalist comanagement program, based on the American Geriatrics Society (AGS) AGS CoCare:Ortho.

Setting: A large urban, academic tertiary center, located in the greater New York metropolitan area.

Medication reconciliation in continuum of care transitions: a moving target.

Objective: To study medication discrepancies in clinical transitions across a large health care system.

Design: Randomized chart review of electronic medical records and paper chart medication reconciliation lists across 3 transitions of care.

Settings And Participants: Subacute patient medication records were reviewed through 3 transition care points at a large health care system, including hospital admission to discharge (time I), hospital discharge to skilled nursing facility (SNF; time II) and SNF admission to discharge home or long term care (LTC; time III).