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my proposal is nursing home health continuity care as a practitioner who has worked in the hospital and in the clinic and also in the nursing home there seems to be a segment of the continuity of care that is missing it has become a little fragment that families always enjoyed the fact that the doctor that they saw in the clinic was also the doctor that they saw in the hospital and in some cases that doctor was the same one that followed them into the nursing home and that model is just not one that we use anymore when they go to the nursing home whether it is for the patient that transitions into custodial care there or the patient that goes there for a finite period of time because theyre doing rehab after a procedure like a hip replacement when that patient comes back to the doctor its like they were in a black box we dont know what happened to them there what was their experience what medicines they might have had changed many of the nursing homes in the area have not even tran