Eric A. Coleman, MD, MPH
What is Transitional Care?
The term "care transitions" refers to the movement patients make between health care practitioners and settings as their condition and care needs change during the course of a chronic or acute illness. For example, in the course of an exacerbation of a chronic illness, a patient might receive care from a primary care physician or specialist in an outpatient setting, then transition to a hospital physician and nursing team during an inpatient admission before moving on to yet another care team at a skilled nursing facility. Finally, the patient might return home, where he or she would receive care from a visiting nurse. Each of these shifts from care providers and settings is defined as a care transition.
Are you a patient, friend or family caregiver?
As a patient or family caregiver, there are several steps you can take to be a more informed and effective member of the care team during the transition back home after hospitalization. Visit our patients and caregivers website specially designed to provide practical guides and tools for making your transition a successful one.