We provide a full range of services to help you manage transitions between different healthcare settings — such as from the hospital to home, or from the hospital to a rehabilitation facility and from rehab facility to home. Transition services include:

• Medication review and management. Our specialists will regularly review the medications you take and update your health records. We also offer expert medication management services designed to help you stay safe and healthy by preventing duplicate prescriptions and reducing the risk of harmful drug interactions.
• Treatment of multiple chronic illnesses. Our geriatric medicine specialists have the expertise to safely and effectively treat multiple chronic health conditions — such as diabetes, high blood pressure and high cholesterol — in older adults.
• Physical function assessment and treatment. We offer expert assessment of your physical function and recommendations for effective treatments. We also provide referrals for specialty care if needed.
• Palliative care. Our geriatric medicine specialists have advanced training in palliative care and offer supportive therapies to help you manage pain and other symptoms related to illness, injury, or medical treatment.
• Cognitive and memory care. Our experts will evaluate your cognitive functioning and develop a care plan that meets your needs. Your care plan may include therapies that help you maintain cognitive function while reducing anxiety and addressing safety concerns.
• Coordination of care. We work closely with physicians in a variety of specialty areas and healthcare settings to ensure that you receive collaborative, multidisciplinary care.

Our Transition Team

We have an experienced team of providers dedicated to providing geriatric care at skilled nursing, hospice and rehabilitation facilities.