Since its inception, the Institute has examined the ways in which home health care providers can improve the transition of a patient from acute care to post-acute home health care or from home health care to other settings. The movement of patients across settings, referred to as “care transitions,” is a process that requires strong partnerships between long-term post-acute care settings like home health care and other providers such as hospitals, primary care physicians, and outpatient clinics.
From identifying key models of care transitions to working towards interoperable Electronic Health Records (EHRs), the Institute has continually brought together thought leaders and clinical experts to identify methods of improving a patient’s care transitions.