Filling Common Gaps in Care

Lack of clear responsibility during care transitions and after discharge to the community can leave patients and providers vulnerable to poor quality outcomes.

Each provider must work to ensure that patients, and subsequent care settings, have the information, capabilities, and resources they need to efficiently manage care across an episode. At the same time, providers across the continuum should view these gaps as opportunities to forge partnerships and leverage each others' strengths to elevate quality.

Things You’ll Learn:

• Why care transitions and community-based care continue to challenge providers
• How to effectively communicate with partners before, during, and after patient transitions
• Unique models of partnership to provide care for patients in the community

Download PDF