January/February 2020 Home Healthcare Now 31 Amanda S. Mixon, MD, MS, MSPH, FHM, Heidi Poppendeck, MPH, Sunil Kripalani, MD, MSc, Theodore Speroff, PhD, MS, John Schnelle, PhD, Robert Dittus, MD, MPH, and Christianne Roumie, MD, MPH In a prospective cohort study of Veterans and community health nurses, we enrolled hospitalized older Veterans referred to home care for skilled nursing and/or physical or occupational therapy for posthospitalization care. We assessed preadmission activities of daily living and instru- mental activities of daily living, health literacy, numeracy, and cognition. Postdischarge phone calls identified medi- cation errors and medication reconciliation efforts by home healthcare clinicians. Veterans Administration-based com- munity health nurses completed surveys about content and timing of postdischarge interactions with home healthcare clinicians. We determined the types and frequency of medication errors among older Veterans receiving home healthcare, patient–provider communication patterns in DISCREPANCIES in Older Veterans Receiving Home Healthcare MEDICATION this setting, and patient characteristics affecting medica- tion error rates. Most Veterans (24/30, 80%) had at least one discordant medication, and only one noted that er- rors were identified and resolved. Veterans were asked about medications in the home healthcare setting, but far fewer were questioned about medication-taking details, adherence, and as-needed or nonoral medications. Higher numeracy was associated with fewer errors. Veterans Ad- ministration community health nurses reported contact by home healthcare clinicians in 41% of cases (7/17). Given the high rate of medication errors discovered, future work should focus on implementing best practices for medica- tion review in this setting, as well as documenting barriers/ facilitators of patient–provider communication. ASSOCIATED PRESS January/February 2020 Home Healthcare Now 31 Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.