AHRQ Innovations Exchange | Best Practice Intervention Package-Transitional Care Coordination

full-text ►AHRQ Innovations Exchange | Best Practice Intervention Package-Transitional Care Coordination: "Best Practice Intervention Package—Transitional Care Coordination

Description
The purpose of the Transitional Care Coordination Best Practice Intervention Package (BPIP) is to assist home health agencies to:

1. Understand the concept of transitional care coordination and its potential role as a best practice in decreasing avoidable acute care hospitalizations
2. Recognize the necessity for home health to assert its role in the evolution of transitional care coordination
3. Implement transitional care coordination strategies to promote collaboration with other providers to improve care coordination

The package includes resources for several tracks defined by role:

* Leadership track
* Nurse track
* Therapist track
* Medical social worker
* Home health aide

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