title: Nursing's Role in Successful Transitions Across Settings.
authors.affiliation: From the Kaiser Permanente, Kaiser Foundation Rehabilitation Center, Vallejo, CA (M.C.); The Betty Irene Moore School of Nursing, University of California, Davis, Sacramento, CA (M.C.); and School of Nursing, College of Health and Human Services, University of North Carolina, Wilmington (B.J.L.). Michelle.camicia@kp.org.
authors.forename: Michelle
authors.initials: M
authors.lastname: Camicia
authors.affiliation: From the Kaiser Permanente, Kaiser Foundation Rehabilitation Center, Vallejo, CA (M.C.); The Betty Irene Moore School of Nursing, University of California, Davis, Sacramento, CA (M.C.); and School of Nursing, College of Health and Human Services, University of North Carolina, Wilmington (B.J.L.).
authors.forename: Barbara J
authors.initials: BJ
authors.lastname: Lutz
mesh_terms: D000203:Activities of Daily Living; D017028:Caregivers; D003266:Continuity of Patient Care / Q000458:organization & administration*; D024802:Nurse's Role; D009726:Nurses; D020521:Stroke / Q000451:nursing* / Q000523:psychology
keywords: electronic health records; medication therapy management; nursing; patients readmission; stroke