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Poorly planned or executed transitions of care may result in patients’ readmission to hospitals, poor clinical outcomes and inappropriate use of services. It is imperative that practitioners understand and utilize a multidisciplinary transition of care model to ensure continuity of health care as patients transfer between different locations or different levels of care.

This learning module, created by Susan Altfeld and Michael Koronkowski, discusses multidisciplinary transition of care model. By the end of the module, learners should be able to: (1) define transitional care; (2) discuss post-acute care discharge destinations; (3) identify risk factors for adverse outcomes from acute care, with special focus on older adults; (4) summarize effective strategies to facilitate safe transitions from acute care for older adults; and (5) discuss the role and value of interprofessional support for older adults to ensure a successful transition from acute care. Registration is required to access the material but there is no charge.

Source: ENGAGE-IL, 2022
https://engageil.com/health-professional-ce/