The Development of a Care Transition Model

Abstract

Improving population health, providing accessible, high-quality services, and lowering costs are goals that all of us in healthcare share today. 1 the emphasis of healthcare reform on quality, efficiency, and outcomes with the goal to decrease the fragmentation of care, the Care Transition Coalition was developed. This is a patient-centered initiative designed to improve the patient's transition across settings. During an episode of illness, patients may receive care in multiple settings, often resulting in fragmented and poorly executed transitions. our collaborative focus and enhanced continuity of care across health settings, the Care Transition Coalition addresses the deficiencies that occur during transitions by minimizing unnecessary hospitalizations and overutilization of the emergency department (ED). With declining reimbursement and rising health care expenses, nursing leadership must look to new models for leading their patient care staff and achieve exceptional outcomes. 2 As a system of care was being developed, several leadership models were utilized.