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

Ensuring safe and high-quality care transitions across the care continuum continues to be a
global health policy priority. The urgency of this priority will continue to grow, given our aging …

Background Although more than a decade has passed since the imperative to reduce
fragmentation of care, high rehospitalization rates among Medicare patients with chronic …

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 …

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 …

Background: Despite the well-documented risks to patient safety associated with transitions
from one care setting to another, health care organizations struggle to identify which …

The care transition process is an essential part of healthcare delivery affecting patients and
families, healthcare providers, and healthcare systems. The care transition, when instituted …

Most providers are aware of the potential problems that can occur during a poor transition
between care settings. Changing the process and improving transitions becomes a …

Numerous studies have revealed that health care transitions for chronically ill older adults
are frequently poorly managed, often with devastating human and economic consequences …

The phrase “care transitions” does not mean the same thing to consumers, providers, or
policy makers. This article defines transitions and discusses transition models now in use …