What Were the Four Original Goals of the Transitions of Care Program?

The Transitions of Care program, aimed at improving the coordination and continuity of healthcare as patients move between different healthcare settings, originally had four primary goals:

Reducing Hospital Readmissions: The program aimed to reduce the rate of patients being readmitted to the hospital shortly after discharge. By providing better post-discharge care and support, the program sought to ensure patients received appropriate care in their homes or other settings, reducing the need for hospital readmission.

Enhancing Medication Management: One key aspect of the program was improving medication management during transitions of care. This included ensuring patients understood their medications, had access to them, and were adhering to prescribed regimens to prevent complications and hospitalizations.

Strengthening Care Coordination: Effective communication and coordination among healthcare providers, patients, and caregivers were crucial. The program aimed to improve the sharing of information and collaboration to ensure seamless transitions between hospitals, primary care, and other care settings.

Promoting Patient and Family Engagement: The involvement of patients and their families in care decisions and transitions was a central goal. Educating patients and caregivers about their conditions and care plans empowered them to take an active role in managing their health.

These goals aimed to improve patient outcomes, reduce healthcare costs, and enhance the overall quality of care during transitions between different phases of care.

If you or a loved one require assistance with transitions of care, Golden Home Caregivers can provide support and coordination to ensure a smooth transition. Contact us at (403) 700-2122 for more information.