Additional Resources for Patients and Caregivers

The PHR and Discharge Preparation checklist have also been incorporated into consumer guides for health care transitions by the Regional Medical Center at Lubec. These guides can be viewed by going to any of the following sites:

The Aging and Disability Resource Center
The University of Maine Center on Aging
The Community Living Exchange Collaborative



“Next Step in Care” A resource from the United Hospital Fund which provides information and advice to help family caregivers and health care providers plan safe and smooth transitions for patients.

“Taking Charge: Good Medical Care for the Elderly and How to Get It” by Jeanne Hannah and Dr. Joseph Friedman. This book provides caregivers with the information necessary for them to become effective members of the caregiving team.

“How to Survive Your Hospital Stay” by Gail Van Kanegan and Michael Boyette. A step-by-step guide to taking control of the hospitalization process. Chapter 18, "Going Home", focuses specifically on the issues confronted during the transition home.

American Geriatrics Society Patient Education Forum Concise and authoritative fact sheets, in question & answer format, designed to help you communicate more effectively with your health care providers. Each Forum highlights an important topic in geriatric health care and provides answers to commonly asked questions.

Consumers Advancing Patient Safety: Transitions Toolkit The pieces included in the “Taking Charge of your Healthcare: Your Path to Being an Empowered Patient” toolkit are designed to help patients and families plan and work together with their healthcare team to ensure a safe hospital transition to follow-up care.

The Center for Medicare Advocacy, Inc. A comprehensive resource for current information on the Medicare program.

Medicare Appeals Information Information and forms for Medicare appeals, from the U.S. Department of Health and Human Services.

Improving Health Care Quality: A Guide for Patients and Families Information and additional resources to help patients and families obtain better health care, from the Agency for Healthcare Research and Quality.

Patients’ Right to Palliative Care: Taking Your Complaint Beyond the Hospital Guidelines and resources for taking complaints to professional organizations.

State Insurance Department Websites Links to insurance departments for each state with contact information for specific issues.


The Care Transitions Intervention® and all of its materials are the property of the Care Transitions Program®. The Care Transitions Program® is solely authorized to provide training on the Care Transitions Intervention®. If another entity offers to train your organization, please contact us.


© Eric A. Coleman, MD, MPH