The Care Transitions Theme is a
subnational theme that includes 14 state QIOs. This theme
focuses on improving coordination across the continuum of care.
In particular, QIOs promote seamless transitions from the
hospital to home, skilled nursing care, or home health care. QIOs work to reduce unnecessary readmissions to hospitals
that may increase risk or harm to patients and cost to the
Medicare program. QIOs are implementing projects that effect
process improvements to medication management, post-discharge
follow-up, and plans of care for patients who move across health
care settings. Click on the state markers below to visit the
Care Transitions website for each state or visit the
main QIOSC site.
Care Transitions Executive Summary (PDF)
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