Background: Failure of safe care transitions after hospital discharge results in unnecessary
worsening of symptoms, extended period of illness or readmission to the hospital. Objective …

Elderly, chronically ill people experience frequent changes in health status that require
transitions among health care providers and settings. This issue brief describes two projects …

Transitional care (TC) has received widespread attention from researchers, health system
leaders, clinicians, and policy makers as they attempt to improve health outcomes and …

As the cost of care rises and fragmentation of health care increases, care transitions have
become critical parts of the health care system. Physicians and other inpatient providers …

BACKGROUND: Uninsured and Medicaid patients are particularly vulnerable as they
transition from hospital to home. Transitional care improvement programs require time and …

Background Despite growing emphasis on transitional care to reduce costs and improve
quality, few studies have examined transitional care improvements in socioeconomically …

Background Care transitions between clinicians or settings are often fragmented and
marked by adverse events. To increase patient safety and deliver more efficient and effective …

Objectives To evaluate the feasibility and effect of a pharmacist-led transitions-of-care (TOC)
pilot targeted to patients at high risk of readmission on process measures, hospital …

Our healthcare system emphasizes brief episodes of treatment for acute medical conditions,
followed by poorly coordinated care delivery. Care transitions are a particularly vulnerable …

Background: Pharmacists ability to directly impact patient satisfaction through increases in
the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) …