Coordinated and continuous healthcare that helps patients move from one healthcare setting to another, ensuring a smooth and safe transition between levels of care.
The process of a patient moving from one healthcare setting (e.g., hospital, clinic) to another (e.g., home, rehabilitation facility), involving a transfer of responsibility and communication among healthcare providers.
The systematic process of preparing a patient to leave a healthcare facility, involving coordination of medical, social, and support services for a safe transition to home or another setting.
Healthcare services delivered at a patient’s home, including medical, nursing, and rehabilitative care, often utilized in transitional care to support recovery and independence.
Healthcare services provided after an acute hospital stay, including rehabilitation, skilled nursing, and other supportive services aimed at helping patients regain functionality and independence.
A healthcare professional responsible for coordinating and managing the various aspects of a patient’s care, especially during transitions between healthcare settings.
An approach to primary care that provides comprehensive, coordinated, and patient-centered care, emphasizing a team-based approach to meet the diverse needs of patients, including those in transitional care.
The process of creating the most accurate list of a patient’s medications and comparing it against the physician’s orders to avoid medication errors during transitions of care.
The use of technology, such as video calls or remote monitoring, to provide healthcare services and support to patients at a distance, enhancing access and continuity of care during transitions.
Temporary and specialized care provided to support patients during transitions, ensuring that they receive necessary services while awaiting placement in their next care setting.