This document discusses ways to reduce unnecessary emergency department visits by nursing home residents with Alzheimer's disease. It proposes conducting a staff survey and nursing home utilization review to understand the factors driving inappropriate transfers. Once the data is validated, the document recommends implementing protocols for determining when a resident needs to be transferred based on guidelines educating nursing staff on evaluating medical complaints and collaborating with other providers to determine patient needs. The goal is to decrease misuse of emergency department visits by utilizing integrated medical networks.