As a transitions of care pharmacy expert, I bring years of experience designing and implementing medication reconciliation programs that enhance patient safety and streamline care transitions. My work focuses on:

• Reducing Medication Errors: Ensuring accurate admission and discharge reconciliations, especially for high-risk patients like those on Medicare.

• Optimizing Discharge Planning: Reviewing patient histories, specialist notes, and guideline-directed therapies for disease states like heart failure, diabetes, and more.

• Overcoming Common Challenges: Addressing gaps in direct admits, surgical patients, and outdated external fill histories to ensure comprehensive care.

• Driving Measurable Outcomes: Lowering 30-day readmission rates and improving quality metrics through standardized protocols and staff training.