Care Transitions

Care Transitions Links

Department of Health and Human Services - Transitional Care Management Services

Scientific Articles

Recent Articles (Added 10/19):

Radhakrishnan K, Jones TL, Weems D, Knight TW, Rice WH. Seamless Transitions: Achieving Patient Safety Through Communication and Collaboration. J Patient Saf. 2018 Mar;14(1):e3-e5. Abstract.

Prior Articles:

Dowling, R. (2016, June 10). How to bill and code transitional care management the right way. Article.

Jones CD, Burke RE. Annals for Hospitalists Inpatient Notes - Getting Past the “Black Box”—Opportunities for Hospitalists to Improve Postacute Care Transitions. Ann Intern Med. 2018;168:HO2–HO3. doi: 10.7326/M18-0940. Article. 

Werner NE, Tong M, Borkenhagen A, Holden RJ. Performance-Shaping Factors Affecting Older Adults' Hospital-to-Home Transition Success: A Systems Approach. Gerontologist. 2019 Mar 14;59(2):303-314. Abstract.