One Patient, Many Places: Managing Health Care Transitions
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One Patient, Many Places: Managing Health Care Transitions

February 1, 2004

This report addresses how Managed Care Organizations can improve the quality of transitions among care venues for members with complex care needs. In this report, care transitions are defined as patient transfers from one care setting to another. Although transfers within one particular setting (such as from a hospital intensive care unit to a general medical ward) can be problematic, this report focuses on transfers between care settings, including hospitals, skilled nursing facilities, the patient’s home, outpatient primary care and specialty clinics, and assisted living and other long-term care facilities.

This report is one of eight released by the HMO Workgroup on Care Management.



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