The current landscape of transitions of care practice models: a scoping review

CD Rochester‐Eyeguokan, KJ Pincus… - … : The Journal of …, 2016 - Wiley Online Library
Transitions of care (TOC) are a set of actions to ensure patient coordination and continuity of
care as patients transfer between different locations or levels. During transitions associated …

[HTML][HTML] Pharmacists implementing transitions of care in inpatient, ambulatory and community practice settings

S Sen, JF Bowen, VS Ganetsky, D Hadley… - Pharmacy …, 2014 - ncbi.nlm.nih.gov
Objective To introduce pharmacists to the process, challenges, and opportunities of creating
transitions of care (TOC) models in the inpatient, ambulatory, and community practice …

Implementation of complex interventions: lessons learned from the patient-centered outcomes research institute transitional care portfolio

SB Gesell, JP Bettger, RH Lawrence, J Li… - Medical care, 2021 - journals.lww.com
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 discharge companion program: an interprofessional collaboration in transitional care model delivery

J Bingham, P Campbell, K Schussel, AM Taylor… - Pharmacy, 2019 - mdpi.com
To reduce readmission rates and avoid financial penalties from the Centers for Medicare
and Medicaid Services, hospitals are seeking to implement innovative transitions of care …

A call to bridge across silos during care transitions

F Sheikh, E Gathecha, M Bellantoni… - The Joint Commission …, 2018 - Elsevier
Background Older adults with complex medical conditions are vulnerable during care
transitions. Poor care transitions can lead to poor patient outcomes and frequent …

Evaluating the effects of a multidisciplinary transition care management program on hospital readmissions

ME Snyder, CE Krekeler, HA Jaynes… - American Journal of …, 2020 - academic.oup.com
Purpose To measure the effect of a pharmacist-initiated transitions of care (TOC) program on
rates of 30-day all-cause readmissions and primary care follow-up. Methods A retrospective …

[HTML][HTML] Exploring transitional care: evidence-based strategies for improving provider communication and reducing readmissions

RP Mansukhani, MB Bridgeman… - Pharmacy and …, 2015 - ncbi.nlm.nih.gov
The coordination of care as patients move from one health care setting to another is crucial
to treatment, but breakdowns in the process lead to poor transitions, fragmented care …

Effect of pharmacy-supported transition-of-care interventions on 30-day readmissions: a systematic review and meta-analysis

CR Rodrigues, AR Harrington… - Annals of …, 2017 - journals.sagepub.com
Objective: To describe pharmacy-supported transition-of-care (TOC) interventions and
determine their effect on 30-day all-cause readmissions. Data Sources: MEDLINE/PubMed …

Optimizing care transitions: the role of the community pharmacist

KT Melody, E McCartney, S Sen… - … Pharmacy Research and …, 2016 - Taylor & Francis
Transitions of care (TOC) refer to the movement of patients across institutions, among
providers, between different levels of care, and to and from home. Medication errors that …

[HTML][HTML] The developing role of community pharmacists in facilitating care transitions: a systematic review

CDA Kooyman, MJ Witry - Journal of the American Pharmacists Association, 2019 - Elsevier
Background The impact of multidisciplinary interventions to support patients moving from
hospital to home have generally demonstrated a benefit. However, the role of community …