Care Transitions Intervention

The Care Transitions Program: Improving Quality and Safety During Care Handoffs
This program site provides comprehensive resources for implementing and supporting a Care Transitions program.

The Care Transitions Measure (CTM-3) (1 page PDF)
Use this three-question patient assessment to measure your patients’ satisfaction with care planning and understanding of self management and medication management upon discharge. Follow-up with the scoring sheet (1 page PDF).

The Medication Discrepancy Tool
This tool identifies and characterizes medication discrepancies that arise when patients are making the transition between sites of care.

Care Transitions Intervention Checklist (89kbs PDF)
Use this checklist to ensure you’re prepared for the Care Transitions coach training, which is scheduled on February 12–13, 2009.

The Care Transitions Intervention: A Patient-Centered Approach to Ensuring Effective Transfers Between Sites of Geriatric Care (86kbs PDF)
This article introduces a patient-centered interdisciplinary team intervention designed to improve transitions across sites of geriatric care.