Unmet Need	Recommendation
Mobility	Routine home environment assessment for falls Address other fall risk factors (eg, medications, Orthostasis, vision impairment) Promote physical activity Address transportation issues
Medications	Routine medication reconciliation and education Systematic reporting of medication additions and changes
Social support	Routine age-appropriate depression screening Available counseling and IADL support
Communication	Increase frequency/length of visits as needed Enhanced data transfer across health systems
Abbreviation:	IADL, instrumental activities of daily living

Abbreviation: IADL, instrumental activities of daily living.