Under the Affordable Care Act of 2010, a variety of transitional care programs and services
have been established to improve quality and reduce costs. These programs help …

BACKGROUND Health systems are faced with a large array of transitional care interventions
and patient populations to whom such activities might apply. PURPOSE To summarize the …

Transitional care interventions aim to improve care transitions from hospital to home and to
reduce hospital readmissions for chronically ill patients. The objective of our study was to …

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

This study evaluated the effectiveness of a national transitional care program for elderly
adults with complex care needs and limited social support. The A ged C are T ransition …

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

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 The optimal structure and intensity of interventions to reduce hospital
readmission remains uncertain, due in part to lack of head-to-head comparison. To address …

Importance Discharge from the hospital to the community has been associated with serious
patient risks and excess service costs. Objective To evaluate the comparative effectiveness …

Transitions in care from hospital to primary care for older patients with chronic diseases (CD)
are complex and lead to increased mortality and service use. In response to these …