What is it about?
Transitional care is patient care coordination between provider settings. This study shows how communication and coordination occurs when patient transitions occur between the acute or sub-acute setting into home health care using a specific transitional care model's intervention.
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Why is it important?
Our findings revealed year-over-year improvements in quality indicators for reducing patient re-hospitalizations, unplanned emergency room use, patient medication education, and patient medication administration.
Perspectives
I hope this article will help leaders develop strategic tactics to improve partnership collaborations and communications between their interdisciplinary team to improve patient outcomes. Moreover, I hope this article could lead to replicable care transition processes that could be shared throughout the health care industry
Audris Smith
Ashford University
Read the Original
This page is a summary of: Disconnects and Silos in Transitional Care: Single-Case Study of Model Implementation in Home Health Care, Home Health Care Management & Practice, March 2018, SAGE Publications,
DOI: 10.1177/1084822318765737.
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