Long-Term Care Facilities, Continuity and Coordination of Care

The American Academy of Family Physicians (AAFP) supports the role of family physicians in providing care of their patients following admission to long-term, subacute or extended care facilities by continuing as attending physicians when reasonable, or by coordinating care with other practitioners. Care coordination practices incorporate the provision of non face-to-face services and processes that helps patients transition back into the community after hospital and nursing home stays. For example, these processes can include the timely transfer of medical information, communication with patients’ family members, and resumption of direct care upon patient care transition event. Family physicians are encouraged to continue to be advocates for their patients' well-being by promoting the highest quality of health care in such facilities. (1982) (2013 COD)